O cuidado aos dependentes químicos: com a palavra profissionais de saúde de centros de atenção psicossocial em álcool e drogas The care for chemically dependent: with words from health professional of centers of psychosocial on alcohol and drugs

Abstract

OBJETIVO:conhecer a vivência dos profissionais de saúde frente à assistência aos dependentes de substâncias psicoativas.MÉTODOS: Estudo qualitativo, realizado com 26 profissionais de três Centros de Atenção Psicossocial, na modalidade álcool e drogas, localizados no estado de São Paulo, de agosto de 2012 a fevereiro de 2013. RESULTADOS: A média de idade foi de 33,7 anos, onde 15 eram mulheres e 11 homens. O tempo de trabalho médio na instituição foi de 3,1 anos.Emergiram as categorias: 1. O processo de trabalho e suas repercussões no cuidado aos dependentes de substâncias psicoativas e; 2. Impotência diante do abandono do tratamento. 3. O relacionamento do profissional com os dependentes de substâncias psicoativas e a família. CONCLUSÃO: Os profissionais convivem com a falta de condições de trabalho, mas há a possibilidade da produção de vínculo com os usuários e familiares, como instrumento para atingir a integralidade e a humanização do cuidado.DESCRITORES:Pessoal de Saúde;Serviços Comunitários de Saúde Mental; Saúde Mental.

Familiares de usuários de substâncias psicoativas em busca de cuidado

“…It is noticed that the action of these professionals would be to subsidize the choice of appropriate strategies that guarantee access to users at an opportune time and continuously, providing a link with the team of health professionals and, consequently, adherence to the proposed treatment. 10,24 The absence of a link in Primary Health Care and other public services of low and medium complexity may have contributed to families seeking services of high complexity, such as emergency rooms, psychiatric emergency and psychiatric hospital, looking for assistance for the severe consequences of psychoactive substance abuse, not just for repeated physical trauma. It is warned, however, that the emergency care/hospitalization process does not allow the establishment of a therapeutic bond, as users access these services for episodic problems and, after resolving the complaint, they are discharged, http://www.ufpe.br/revistaenfermagem/ get better and remain without follow-up care related to the abuse of psychoactive substances.…”

“…This social circle makes connections that bring people together and can be modified over time and with changes in life and becomes an aid, which can be adopted in the case of illness. 14,24 There is a need to strengthen the links that favor the care process, such as continuity of care in community-based service and a psychosocial care center for alcohol and psychoactive substances, the use of the social assistance reference center and the basic health unit need to be strengthened in the studied family groups, as they are the basis of the Psychosocial Care Network and the Drug Dependency Care and Support subsystem. 4,6 The initial care and continued use of a psychiatric hospital, the family's financial burden with the payment of "treatment" in non-SUS therapeutic communities and access to health services only in the traumatic event and clinical complications need to be weakened, due to low resolution in the face of drug abuse, as they are accessed only in times of aggravation of the case and represent a failure in public policies to fight drugs.…”