As mudanças na política brasileira de drogas : o avanço da lógica da justiça sobre a saúde.

Ribeiro, Fernanda Mendes Lages; Minayo, Maria Cecília de Souza

doi:10.17151/culdr.2020.25.29.2

Cited by 6 publications

(1 citation statement)

References 21 publications

(39 reference statements)

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“…The abstinence coalition may be more able to raise budgets, recruit more supporters, and legal authority influencing veto players’ decisions regarding a drug policy focused on abstinence that favors specific groups of the abstinence coalition [ 18 ]. The war on drugs restricts evidence-based health strategies, such as harm reduction, and generates the proliferation of punitive approaches based on abstinence and involuntary confinement in low- and middle-income countries [ 9 , 12 – 16 , 24 , 28 , 29 , 50 , 51 ]. Certainly, tensions between abstinence-based treatment and harm reduction approaches represent a major challenge for a shift in the drug policy paradigm in countries that have heavily adopted coercive and punitive interventions [ 48 , 52 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil

Pedroso,

Araujo,

Corradi-Webster

2024

Harm Reduct J

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Background Although harm reduction is highlighted as an effective intervention for alcohol and drug use, a funding gap for harm reduction interventions has been identified, mainly in low- and middle-income countries. In these countries, tensions between abstinence and harm reduction models have impaired the shift from punitive practices to evidence-based interventions committed to guaranteeing the human rights of people who use drugs. Since 2015, the Brazilian government has adopted a more punitive and abstinence-focused drug policy that jeopardizes the care of people who use alcohol and other drugs and the comprehension of the harm reduction workers' perspective in relation to their practice. Therefore, this study aimed to comprehend the meanings constructed by Brazilian harm reduction workers regarding their practices with vulnerable populations amidst a context of political tension. Methods We conducted 15 in-depth semi-structured qualitative interviews with harm reduction workers employed in public health services for at least 6 months. Data were analyzed using thematic analysis. Results The thematic axis "The joy and pain of being a harm reduction worker in Brazil" was constructed and divided into four major themes: (1) Invisibility of harm reduction work; (2) Black, poor, and people who use drugs: identification with the service users; (3) Between advocacy and profession: harm reduction as a political act; (4) Small achievements matter. Despite the perceived invisibility of harm reduction workers in the public health and alcohol and drug fields, valuing small achievements and advocacy were important resources to deal with political tension and punitive strategies in Brazil. The findings also highlight the important role of harm reduction workers due to their personal characteristics and understanding of drug use behavior, which bring the target audience closer to actions within the public health system. Conclusion There is an urgent need to acknowledge harm reduction based on peer support as a professional category that deserves adequate financial support and workplace benefits. Additionally, expanding evidence-based harm reduction interventions and community-based voluntary drug use treatment centers should be prioritized by public policies to address the human rights violations experienced by people who use drugs.

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Section: Discussionmentioning

confidence: 99%

The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil

Pedroso,

Araujo,

Corradi-Webster

2024

Harm Reduct J

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Uma revisão bibliográfica sobre as estratégias de construção da autonomia nos serviços públicos brasileiros de atenção em saúde a usuários de drogas

2021

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Os arcabouços teórico-práticos que compõem o paradigma psicossocial no campo das drogas, tais como a redução de danos e a promoção da saúde, trouxeram foco ao sujeito em sofrimento na relação com a realidade social. Eles valorizam a singularidade de usuários e profissionais para compreensão do processo saúde-doença e a construção das políticas de saúde. Conceito que embasa e agrega essas características é o de construção de autonomia. Entretanto existem acepções e ações distintas relativas à autonomia, pluralidade intrínseca ao desenvolvimento da política de saúde mental e drogas no país. O objetivo deste artigo é descrever as estratégias para construção de autonomia para pessoas que fazem uso abusivo de drogas. O método utilizado foi a revisão integrativa, buscando-se, nas bases PsycInfo, PubMed, Biblioteca Virtual de Saúde (BVS) e Web of Science, estudos que analisaram o processo de cuidado a usuários de drogas. Foram sistematizadas ações que constroem autonomia e as barreiras para o cuidado. Foram selecionados 22 estudos, sendo 18 pesquisas em Centros de Atenção Psicossocial Álcool e Drogas (CAPS AD) e quatro em serviços de atenção primária. Sobressaíram ações realizadas na dimensão do resgate de valor social, como planos terapêuticos singulares e oficinas de redução de danos. Representam barreiras a exigência da abstinência, a falta de ações intersetoriais, falta de reinserção social por vínculos de trabalho e não participação em instâncias comunitárias e políticas. Evidencia-se um conjunto de práticas contraditórias e difusas, havendo as que constroem autonomia e as que impõem o controle sobre o usuário. Ainda assim, as ações dos CAPS AD e atenção primária demonstram ser fundamentais para o resgate de autonomia frente à estigmatização e marginalização.

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Implications of deficit discourse in the conversations of a mother who requests forced treatment

Araujo,

McNamee,

Corradi-Webster

2023

Psicol. USP

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This case study analyzes the implications of deficit discourse on the daily conversations of a mother who requested forced treatment for her son. Data were analyzed drawing on social construction, with an emphasis on positioning theory and deficit discourse. Two episodes displaying deficit discourse were analyzed: one about the son as someone who is powerless, coping with drug use and another about the mother as someone unable to help her son. A sample letter was constructed using relational discourse, which provided new understandings for practice. Results support the benefits of collaborative and relational approaches for people who use drugs and for the emotional support of families.

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As mudanças na política brasileira de drogas : o avanço da lógica da justiça sobre a saúde.

Cited by 6 publications

References 21 publications

The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil

The joy and pain of being a harm reduction worker: a qualitative study of the meanings about harm reduction in Brazil

Uma revisão bibliográfica sobre as estratégias de construção da autonomia nos serviços públicos brasileiros de atenção em saúde a usuários de drogas

Implications of deficit discourse in the conversations of a mother who requests forced treatment

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