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Characteristics of clients using a community-based drug treatment service ('CAPS-AD') in Brazil: An exploratory study.
Gallassi, Andrea Donatti; Nakano, Eduardo Yoshio; Wagner, Gabriela Arantes; de Oliveira Silva, Maria de Nazareth Rodrigues Malcher; Fischer, Benedikt.
Afiliação
  • Gallassi AD; Center of Drugs and Associated Vulnerabilities, Faculty of Ceilândia, University of Brasilia, Brazil; Science and Health Technology Program, Faculty of Ceilândia, University of Brasilia, Brazil. Electronic address: andrea.gallassi@gmail.com.
  • Nakano EY; Department of Statistics, University of Brasilia, Brazil.
  • Wagner GA; Department of Preventive Medicine, Universidade Federal de São Paulo, São Paulo, Brazil.
  • de Oliveira Silva Mde N; Center of Drugs and Associated Vulnerabilities, Faculty of Ceilândia, University of Brasilia, Brazil.
  • Fischer B; Social & Epidemiological Research, Centre for Addiction and Mental Health, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Institute of Medical Science, University of Toronto, Toronto, Canada; Centre for Applied Research in Mental Health and Addiction, Faculty
Int J Drug Policy ; 31: 99-103, 2016 05.
Article em En | MEDLINE | ID: mdl-26935220
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviços de Saúde Comunitária / Transtornos Relacionados ao Uso de Cocaína / Alcoolismo / Usuários de Drogas / Alcoólicos / Fumar Cocaína Tipo de estudo: Diagnostic_studies / Etiology_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Drug Policy Assunto da revista: SAUDE PUBLICA / TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Ano de publicação: 2016 Tipo de documento: Article País de publicação: Holanda
Texto completo
Adicionar na Minha BVS
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XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviços de Saúde Comunitária / Transtornos Relacionados ao Uso de Cocaína / Alcoolismo / Usuários de Drogas / Alcoólicos / Fumar Cocaína Tipo de estudo: Diagnostic_studies / Etiology_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Drug Policy Assunto da revista: SAUDE PUBLICA / TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Ano de publicação: 2016 Tipo de documento: Article País de publicação: Holanda