Alcoholic beverage users: structural and functional aspects based on the Calgary Model

Abstract

Objective: to describe the structural and functional aspects and support networks of families living with users of alcoholic beverages. Methods: a cross-sectional descriptive study, methodological reference of the Calgary Family Assessment Model, based on semi-structured interviews with the genogram and eco-map tools, carried out with relatives of four construction workers hospitalized for injuries related to alcoholic beverage use, and notified to an information and toxicological assistance center. Results: there was a reduction of the children between the generations, but the use of drugs was expanding in the families. Distant and conflicted family relationships were found. The neighborhood support network was strongly linked, but the support of Primary Health Care was a weak link. Conclusion: the structural and functional evaluation of the families propitiated knowledge for health promotion, treatment and recovery processes to restore fragile family relationships.Objetivo: descrever os aspectos estruturais e funcionais e as redes de apoio e sustentação de famílias que convivem com usuários de bebida alcoólica. Métodos: estudo descritivo de corte transversal, referencial metodológico do Modelo Calgary de Avaliação da Família, a partir de entrevistas semiestruturadas, com as ferramentas genograma e ecomapa, realizadas com familiares de quatro trabalhadores da construção civil internados por agravos ligados ao uso de bebida alcoólica, e notificados a um centro de informação e assistência toxicológica. Resultados: houve redução dos filhos entre as gerações, mas o uso de drogas esteve em expansão nas famílias. Foram encontradas relações familiares distantes e conflituosas. A rede de apoio da vizinhança foi apontada com vínculo forte, porém o apoio da Atenção Primária da Saúde consistiu vínculo fraco. Conclusão: a avaliação estrutural e funcional das famílias propiciou conhecimento para processos de promoção, tratamento e recuperação da saúde, para restabelecer as relações familiares fragilizadas.

Family violence against children: approach to nursing through genogram and ecomapa / Violência familiar contra criança: abordagem de enfermagem através do genograma e ecomapa

“…In this sense, even if a single case is conducted, some generalizations can be attempted when the context involves decisive, rare, typical, revealing, and longitudinal cases. 9 As a strategy to get to know particularities of the family, which is the object of this case study, the Calgary Model of Assessment and Intervention in the Family was used, along with the construction of the family genogram and ecomap 5 , in order to know the outline of the family and family relationships in a scenario of violence, in addition to social relationships and support networks. These data were collected from the institutional medical records through the records of the multiprofessional team during the hospitalization period, with the elaboration of the child's family history and complementary data.…”

“…According to this model, it is necessary to evaluate the internal and external structure and the family context through the genogram and the echomap. 5 The genogram and the ecomap are instruments that can be used by professionals in several areas, mainly for the understanding of family processes. The genogram is a graphic representation of the family composition and the basic relationships in, elaborated by means of symbols.…”