A redução de danos no atendimento especializado em álcool e outras drogas

The harm reduction HR is the official policy of Ministry of Public Health to deal with problem derived from alcohol consumption and other drugs AD. The HR refers to policies and support programs whose purpose is to reduce the risks related to the use of AD, without necessarily decrease individual consumption. This research aim was to analyze the HR conceptions and practices at two specialized institutions for AD users: 1) Psychosocial Care Center Alcohol and Drugs III (CAPSad III); 2) Therapeutic Community Fazenda da Esperança (FE) Dom Bosco. This is a qualitative research that used the following methodological tools: semi-structured interview with 21 professionals; socio demographic file and rounds of conversation with 63 participants users; participant observation and field journal. The interviews with professionals have characterized HR as a less complex and cheap treatment. At FE the HR proposal does not make part of their actions, being considered ―against the human being dignity‖. At CAPSad III is understood as an ―inevitable‖ guideline to service, once users do not remain abstinent. The users understand RD as an improvement in healthy conditions, social relations and work that occurs with the decreasing consumption of AD. They use the HR when they avoid situations that facilitate AD consumption, share relapse prevention strategies and, exclusively at CAPSad III, decrease psychotropic consumption. Stands out as an analyzer the HR comprehension as a less efficient treatment that opposes to the objective of both institutions, which is abstinence. The HR is not operationalize in daily routine by professionals and users as a healthy promotion strategy, however, the users are more affected to HR and produce strategies to face the difficulties arising from the AD consumption

Suporte ao uso de álcool e drogas na atenção primária: um estudo com equipes de Natal/RN

National surveys indicate that 6.8 % of the brazilian population is dependent on alcohol and 1 % dependent on illicit drugs, representing a significant portion of the population affected by this issue . Primary Care becomes instrumental in expanding the coverage of this demand and in reducing unnecessary referrals for specialized care. This study aimed to investigate the responsiveness and institutional support of Primary Care Teams in relation to the demands of alcohol and drugs users. The research was conducted in a Family Health Unit in West Sanitary District of Natal City. With quantitative and qualitative nature, our study consisted of two stages. At first, we performed a mapping of alcohol and other drugs abusive use in a sample of the population assisted by Family Heath Teams, using sociodemographic questionnaire and ASSIST (Alcohol, Smoking and Substance Involvement Screening Test). 406 questionnaires were completed. Of these questionnaires, 27.8% are men and 72.2% women, of which 56% are between 20 and 39 years-old, they are housewives, have a stable relationship and are consumers of tobacco (37.6%), marijuana (13%) and especially alcohol (57%). In second stage, two Conversation Circles with Family Health Teams and the referential Family Health Support Center were formed to discuss the data of the mapping realized in the previous phase. The circles, which had participation of 20 of the 37 professional teams from Family Health and 2 from Family Health Support Center, showed a lack of professional training in the subject; inability of the healthcare network in the user embracement; belief of professionals that nothing can be done when matter is alcohol and drugs; and referencing as the only care action performed by teams. Thus we point out the need to support an approach on issues of alcohol and drugs which consider gender issues, investing in Harm Reduction Policy as a possibility of working in this context for recognizing each user in their uniqueness and strategizing with them to promote health in a broad and contextualized way

Tratamento do Centro de Atenção Psicossocial para usuários de álcool e outras drogas CAPSad II Leste Natal/RN : uma avaliação da efetividade

The treatment for abusive users of alcohol and other drugs suffered significant modifications until arriving to the psychosocial model that is used by Centro de Atenção Psicossocial CAPSad II Eastern Natal/RN (Psychosocial Support Center). That model appears starting from Brazilian sanitary and psychiatric reforms which are expressed in the principles and propositions of Sistema Único de Saúde SUS (Unique System of Health). The Psychiatric Reform meant a rupture with the mental hospital and hospital centered treatment pattern which was destined to the abusive users of alcohol and other drugs. The new proposal offers the universalization, democratization, regionalization and completeness of the actions in the field of mental health. It gathers a strictly interdisciplinary health staff. The purpose of this study is to evaluate the effectiveness of the treatment for abusive users of alcohol and other drugs offered by CAPSad II Eastern Natal/RN. The evaluation used, as priority, the qualitative social research through an evaluating study starting from the non-experimental model. The methodological process used different instruments of data collection: bibliographical and documental researches, systematic observations at CAPSad II Eastern Natal/RN and, mainly, the semistructured interviews (21) that were accomplished with the professionals, users and relatives of CAPSad II Eastern Natal/RN. The investigation showed the effectiveness of the service and, therefore, CAPSad II Eastern Natal/RN constitute itself as the main confronting strategy to the mental hospital and hospital centered treatment pattern of caring the abusive users of alcohol and other drugs

Trabalhadores de verão : políticas públicas, turismo e emprego no litoral potiguar

El turismo en el Estado de Rio Grande do Norte (RN) se presenta constantemente por los medios de comunicación de massa como fuente de desarrollo regional y local , delante de las inversiones generadas y la posibilidad verdadera/potencial de trabajos en sus diversos sectores. Las políticas públicas del sector fueran y son responsables por la captación de inversiones privadas y su generación consiguiente de puestos de trabajo. En los años 90, el gobierno del RN puso el Programa de Desarrollo del Turismo en Rio Grande do Norte PRODETUR/RN I, con vistas a la competitividad local como destinación regional y nacional. El programa relacionado fue responsable por las inversiones diversas en infraestructura en los espacios implicados, aunque de forma asimétrica. Tales inversiones han contribuido para consolidar los discursos positivos con respecto al binomio turismo y trabajo . Con respecto a los discursos acríticos relacionados a este tema, mientras generador de trabajos y del desarrollo local es que se ha planteado esta investigación, puesto que la calidad de los trabajos generados por la actividad turística no se questiona y, de forma análoga, los costes sociales de la política pública, es decir, la importancia de su modelo de desarrollo , tampoco es questionado. Desde la problematica que se ha delineado arriba las questones que han norteado la investigación fueran: ¿de que forma la política pública del turismo llamada de PRODETUR/RN fue eficaz para generar empleo y renta a las ciudades en que se ha llavado a cabo? ¿Cuales son las características de estos trabajos? ¿ como estos trabajos se dividen en el espacio de las ciudades? Así el área delimitada para el estudio englobou las seis ciudades apoyadas por este Programa: Natal, Parnamirim, Ceará-Mirim, Nísia Floresta, Extremoz y Tibau do Sul. El recorte temporal de la pesquisa corresponde a la implantación de este programa (1996) hasta los dias actuales. La investigación de campo fue basada en el uso de 186 encuestas con los trabajadores en la actividad del turismo de litoral sur de Rio Grande do Norte, más allá de la realización (secundaria) de ocho entrevistas con agentes sociales que tienen relación con el tema. Como consideraciones finales de la investigación, se creer que hay una asimetría en el espacio turístico potiguar, donde Natal es la zona que más ha recibido las ventajas más grandes proporcionadas por la actividad, mientras que el restante de las ciudades son el eje para la sustentación de la actividad turística de Natal. De esta forma, las ciudades periféricas (todas, excepto Natal) incluidas en PRODETUR/RN ejercen el papel del subproducto de la ciudad capital, donde la precarización de las relaciones de trabajo se evidencian, todavía más en estas ciudades secundarias . La política pública en vez de intentar ecualizar las ventajas de la actividad en las seis ciudades, contribuye más, todavía para consolidar el nivel de centralizad de Natal. El PRODETUR/RN I fue capaz de generar, indirectamente, trabajos significativos, sin embargo la mayoría de éstos si presentan en los niveles operacionales de la actividad, con las características puestas en esta investigación (baja escolaridad, bajas rentas, falta de formalidad, levantadas horas de trabajo, bajo grado de sindicación y otros más); los puestos de trabajos creados si hallan sobretodo en Natal; y las demás ciudades sirven como elementos de apoyo para la capital mientras producto central de las decisiones sobre el turismo en el Estado del RN

A percepção dos moradores da comunidade do Passo da Pátria em Natal-RN

This essay: The perception environmental of the Passo da Pátria dwellers in Natal-RN has as its goal, investigate the perception of the dwellers in an degraded environment in ways of urbanizing, at the Potengi River riverine. This is an area in zone environmental risk, which year after year was even forgotten by the municipality, but which attracted a huge estranger public because of its facility in access urbanized areas in Natal at the same rate of its natural riches from the mangue and the sea. Front to problems of economical nature as scarce job offers, its habitants build their dwellings without any kind order or social protection, occupying an inadequate space for the well keeping of the urban environmental equilibrium. The analyzed community is exposed to water floods, tropical diseases, and to criminal problems like gangsters and drug dealers. We propose in such essay observe the connivance of the dwellers with the natural environment and their expectations o citizen transformations. This essay has as its bases the studies of Tuan (1983), Nunes (2000) and principally in Wilhem Reich (1998) in who we found our concept of perception, that here plays like an important analytical category to confront our corpus. Our first chapter debates the concept of place, not in an historical materialistic vision, but within an phenomenological survey; the second chapter presents the impacts of the urbanization in the community perception, and in the third one is analyzed the perception of the Passo da Pátria community. Based in this analyzes we confirmed that the conditions of living of the dwellers are extremely dangerous; but, the most of them do not see such dangers, even saying that are well living in its community