Terapia comunitária como recurso de abordagem do problema do abuso do álcool, na atenção primária

Abstract

This study aimed to identify the potential of community therapy (CT) as a method to address the problem of alcohol abuse in primary care from a user perspective. This study was carried out at the headquarters of the Quatro Varas Project, Fortaleza-CE, Brazil. This qualitative, ethnographic study used semi-structured interview and participant observation. Of the 20 interviewed participants, one was chosen for an in-depth interview. Two thematic units were constructed: the effects of the therapy on alcoholism and therapy as a social support resource for problems related to alcohol use. Results indicate that the dialogue established during therapy promotes re-signification of the problem and redirects the therapy course towards management of one's own life and search for citizenship. We concluded that CT favors the elaboration of a network of systemic relationships that broaden the understanding of problems caused by alcoholism and is an effective strategy to address the problem in the community health sphere.

Indicadores De Qualidade Na Atenção Primária À Saúde No Brasil: Uma Revisão Integrativa

“…Destes, treze foram desenvolvidos na região sudeste, sete no nordeste, três no sul e dois no centro-oeste. Quanto aos indicadores de qualidade utilizados para a pesquisa, dos 26 artigos, dez estavam relacionados ao DM [13][14][15][16][17][18][19][20][21][22] , nove à HA [23][24][25][26][27][28][29][30][31] , dois envolviam tanto DM quanto HA [32][33] , dois estavam direcionados ao tabagismo 34,35 , e dois ao alcoolismo 36,37 . A busca não gerou resultados relacionados à imunização/vacinação.…”

“…Três abordavam a orientação ou aconselhamento nutricional 23,25,29 , e três referiram a assistência farmacêutica para controle de efeitos e riscos relacionados à medicação 17,27,32 . Um artigo descreveu a atividade física como intervenção para o alcance de melhores resultados em saúde 24 e um apresentou a terapia comunitária como recurso de abordagem do problema do abuso do álcool 36 .…”

<b>Alcoolismo e dinâmica familiar: sentimentos manifestos/ Alcoholism and family dynamics: feelings shown

“…A situação fica insustentável, levando ao afastamento dos membros e gerando rupturas familiares (1) . Crianças e adolescentes em convívio com alcoolistas podem se desenvolver de maneira pouco sadia por presenciarem acontecimentos negativos no ambiente familiar (17) .…”

Terapia Comunitária como cuidado complementar a usuários de drogas e suas contribuições sobre a ansiedade e a depressão

“…15 In chemical dependence, studies have already shown success of these complementary therapies, such as the use of auriculotherapy, 16 art therapy, 17 music therapy 18 and Integrative Community Therapy (TCI). 19,20 Among these modalities, TCI presents itself as an auspicious approach. It was created in 1987, inserted in the Brazilian Public Health System (Sistema Único de Saúde, SUS) in 2008, being pointed out in 2017 10 as an expressive, effective practice to manage suffering, including the disorder related with the use/abuse of alcohol, crack and other psychoactive substances.…”

“…It was created in 1987, inserted in the Brazilian Public Health System (Sistema Único de Saúde, SUS) in 2008, being pointed out in 2017 10 as an expressive, effective practice to manage suffering, including the disorder related with the use/abuse of alcohol, crack and other psychoactive substances. 19,20 The TCI is held in open, public and community yarning circles, to provide moments of comprehensive listening among its participants, and at the same time to foster ties, in order to strengthen support networks, redefine personal demands, restoring self-esteem, self-confidence, and autonomy, and generate space for collective health care and self-care. 11,12,19 However, to this date, there are no studies that measure the effectiveness of TCI intervention with drug users using validated psychometric instruments.…”