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Int J Drug Policy ; 31: 99-103, 2016 05.
Artigo em Inglês | MEDLINE | ID: mdl-26935220

RESUMO

BACKGROUND: Substance use is common in Brazil. In order to improve availability of substance misuse care services, over 400 Psycho-Social Care Centres for Alcohol and Drugs (CAPS-AD) - providing community-based care - have been established following mental health care reform (2001). Information on CAPS-AD clients and outcomes is limited. The present study examined select characteristics of local CAPS-AD clients. METHODS: N=143 adult CAPS-AD clients in Ceilândia (suburb of Brasília, Federal District) participated in a 1-week 'snapshot' assessment of service users (February 2015). Following consent, descriptive data were collected by a brief, anonymous interviewer-administered questionnaire that included socio-demographic, drug use, treatment history and needs/barriers information. RESULTS: Participants were predominantly male; middle-aged; unemployed; married; with middle-school education; primary problem drugs indicated were alcohol and cocaine/crack; half had prior treatment histories and indicated that treatment was externally motivated; 60% reported ways to improve treatment and possible reasons for treatment discontinuation; in multi-variate analyses, the latter was associated with employment and education status (both p<.05). CONCLUSION: CAPS-AD services appear to have increased low-barrier substance misuse treatment availability in Brazil, as well as attract individuals new to the treatment system. Various potential barriers to continuing in treatment should be addressed and more research on CAPS-AD clients and outcomes is needed.


Assuntos
Alcoólicos/psicologia , Alcoolismo/reabilitação , Fumar Cocaína/prevenção & controle , Transtornos Relacionados ao Uso de Cocaína/reabilitação , Serviços de Saúde Comunitária , Usuários de Drogas/psicologia , Adolescente , Adulto , Alcoolismo/diagnóstico , Alcoolismo/epidemiologia , Alcoolismo/psicologia , Atitude do Pessoal de Saúde , Brasil/epidemiologia , Fumar Cocaína/efeitos adversos , Fumar Cocaína/epidemiologia , Fumar Cocaína/psicologia , Transtornos Relacionados ao Uso de Cocaína/diagnóstico , Transtornos Relacionados ao Uso de Cocaína/epidemiologia , Transtornos Relacionados ao Uso de Cocaína/psicologia , Escolaridade , Feminino , Pesquisas sobre Atenção à Saúde , Conhecimentos, Atitudes e Prática em Saúde , Acessibilidade aos Serviços de Saúde , Necessidades e Demandas de Serviços de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Avaliação das Necessidades , Razão de Chances , Aceitação pelo Paciente de Cuidados de Saúde , Fatores de Risco , Desemprego/psicologia , Adulto Jovem
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