Sociodemographic and pharmacotherapeutic profile of Psychosocial Care Centers III Alcohol and Drugs users
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2023.201959Keywords:
Epidemiological Profile, Medications, Mental Health, Alcohol Abuse, Illicit Drugs, Substance Use DisordersAbstract
Objective: to sociodemographically characterize and outline the pharmacotherapeutic profile
of the users treated in two Psychosocial Care Centers III Alcohol and Drugs, one for children/
adolescents/adults and the other for adults. Methodology: a documentary, exploratory and
descriptive study with a quantitative and qualitative approach, through the analysis of medical
records and semi-structured interviews. Results: a total of 156 users were included, most of whom
were male, single, black- or brown-skinned, with Incomplete Elementary School, unemployed,
and aged between 18 and 29 years old. The drug of choice was marijuana and use initiation
was mostly in the age group of 7 to 15 years old. Drug prescription as addiction management
occurs in 65% of the cases, with benzodiazepines and antidepressants as the most prescribed
medications. Conclusion: the sociodemographic profile found is compatible with the literature
and the impact of the social factors that lead to vulnerability in the users is closely related to
the use of psychoactive substances. Medication use in chemical addiction is still an uncertain
intervention due to the physical and mental problems resulting from this addiction, to the drug
interactions and to those between the medications and the substances used, in addition to
adherence to medication, oftentimes leading to an exchange of “drugs” for “drugs”.
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References
Mariano IM, Oliveira CC, Babachinas IS. Perceptions of factors that influence the use of psychoactive substances in a Psychosocial Attention Center. Cad Cult Cienc [Internet]. 2020 Dec;18(2):62-72. [cited 2022 Sep 30]. Available from: http://periodicos.urca.br/ojs/index.php/ cadernos/article/view/1793
World Health Organization. Health Topics, Drugs Psychoactive [Internet]. Viena: WHO; 2022 [cited 2022 Aug 30]. Available from: https://www.who.int/health-topics/drugs-psychoactive#tab=tab_2
Ministério da Saúde (BR). Departamento de Informática do Sistema Único de Saúde – DATASUS. Informações epidemiológicas e morbidade. Morbidade hospitalar do SUS por local de internação – Brasil 2019. Internações por ano devido transtornos mentais e comportamentais devido ao uso de álcool e de outras substâncias psicoativas. Brasília: MS; 2020 [cited 2022 Aug 30]. Available from: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/niuf.def
Ministério da Saúde (BR). Portaria 3.088 de 23 de dezembro, institui a Rede de Atenção Psicossocial para pessoas com sofrimento ou transtorno mental e com necessidades decorrentes do uso de crack, álcool e outras drogas, no âmbito do Sistema Único de Saúde (SUS) [Internet]. Diário Oficial da União, 31 nov. 2011. Brasília: MS; 2011 [cited 2022 Aug 30]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt3088_23_12_2011_rep.html
Ministério da Saúde (BR). Portaria 1.028 de julho de 2005. Determina que as ações que visem a redução de danos sociais e à saúde, decorrentes do uso de produtos, substâncias ou drogas que causem dependência sejam reguladas por esta portaria [Internet]. Diário Oficial da União, jul. 2005 [cited 2022 Aug 30]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2005/ prt1028_01_07_2005.html
Ministério da Saúde (BR). Resolução 32, de dezembro de 2017. Estabelece as Diretrizes para o Fortalecimento da Rede de Atenção Psicossocial (RAPS) [Internet]. Diário Oficial da União, 22 dez. 2017 [cited 2023 Feb 10]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/cit/2017/ res0032_22_12_2017.html
Fátima GC, Torres S, Ecker DDI. Prevenção e promoção de saúde no CAPS AD através de oficinas de psicoeducação. Rev Eletr Cient UERGS. 2019 Mar;5(2):191-7. https://doi.org/10.21674/2448-0479.52.191-197
Meneses-Gaya C, Crippa JA, Hallak JE, Miguel AQ, Laranjeira R, Bressan RA, et al. Cannabidiol for the treatment of crack-cocaine craving: an exploratory double-blind study. Braz J Psychiatry. 2021 Sep-Oct;43(5):467-76. https://doi.org/10.1590/1516-4446-2020-1416
Ministério da Saúde (BR). Portaria 344 de maio de 1998. Aprova o Regulamento Técnico sobre substâncias e medicamentos sujeitos a controle especial [Internet]. Diário Oficial da União, 1998 [cited 2022 Aug 30]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/svs/1998/prt0344_12_05_1998_ rep.html#:~:text=PORTARIA%20N%C2%BA%20344%2C%20DE%2012,medicamentos%20sujeitos%20a%20controle%20especial
Di Pietro G, Silva RMR, Santos JC, Santana TS, Rezende BAM, Santana APA, et al. Features and factors associated with drinking problems or illegal drugs use: a cross sectional cohort study with patients of a Psychosocial Care Service. Appl Clin Res Clin Trials Reg Affairs. 2016;3(3):192-200. https://doi.org/10.2174/2213476X03666161102095255
Santos JS, Oliveira MA, Brito GC, Rocha CE, Di Pietro G. Pharmaceutical intervention and medication adherence in a psychosocial care center for alcohol and other drugs. Rev Conexão Cienc. 2021 Oct;16(2):46-61. https://doi.org/10.24862/cco.v16i2.1350
Sá Ferreira A, Sodré MLG, Ferreira MCFC, Marinho SF, Fernandes MA, Rodrigues MS, et al. Pharmacotherapeutic profile at a Center for Psychosocial Care Alcohol and Drugs (CAPS-ad) of Northeast Brazil. Rev Cienc Saúde. 2020;10(3):56-63. https://doi.org/10.21876/rcshci.v10i3.905
Lopes MA, Sprícigo JS, Mitjavila MR, Schneider DR, Abreu D. Differences in age and gender among CAPS ad users and the implications in the health care network. SMAD, Rev Eletrônica Saúde Mental Álcool Drog. 2018 Jul-Sep;14(3):159-67. https://doi.org/10.11606/issn.1806-6976.smad.2018.000412
Leandro MM, Rosas MA, Nóbrega KBG, Albuquerque-Maranhão LC, Epalanga AKPS, Facundes VLD. Characteristics of drug use and abuse of the population under treatment at a psychosocial care center for young child in the city of Recife. Braz J Hea Rev. 2020;3(5):12294-314. https://doi.org/10.34119/bjhrv3n5-076
Fernandez-Montalvo J, Lopez-Goñi JJ, Azanza P, Cacho R. Gender differences in drug-addicted patients in a clinical treatment center of Spain. Am J Addict. 2014;23(4):399-406. https://doi.org/10.1111/j.1521-0391.2013.12117.x
United Nations Office on Drugs and Crime. World Drug Report (2016) [Internet]. Viena; UNODOC; 2016 [cited 2022 Aug 30]. Available from: https://www.unodc.org/wdr2016/
Vargas DD, Ponce TD, Ramírez EGL, Pereira CF, Nóbrega MDPSDS. Women receiving specialized treatment for psychoactive substance use: a cohort study. Rev Esc Enferm USP. 2018;52:e03368. https://doi.org/10.1590/S1980-220X2017042403368
Santos EIC, Souza Andrade D, Carvalho KS, Alves VS. Programmatic vulnerability of women assisted in a Psychosocial Care Center for Alcohol and Other Drugs. Braz J Health Rev. 2020 Set-Out;3(5):12345-61. https://doi.org/10.34119/bjhrv3n5-079
Medeiros KT, Maciel SC, Sousa PFD. Women in the Context of the Drugs: Social Representations of Users in Treatment. Paidéia. 2017;27(Suppl 1):439-47. https://doi.org/10.1590/1982-432727s1201709
Kerr-Corrêa F, Kerr LRFS. Hazardous alcohol use among transwomen in a Brazilian city. Cad Saúde Pública. 2017;33(3):e00008815. https://doi.org/10.1590/0102-311X00008815
Castoldi L, Berengan MM, Both NS, Fortes VS, Pinheiro TV. HIV post-exposure prophylaxis in vulnerable populations: a retrospective longitudinal study in a public health outpatient clinic in Rio Grande do Sul, Brazil, 2015-2018. Epidemiol Serv Saúde. 2021;30(2):e2020646. https://doi.org/10.1590/S1679-49742021000200017
Oliveira VC, Capistrano FC, Ferreira ACZ, Kalinke LP, Felix JVC, Maftum MA. Sociodemographic and clinical profile of people assisted in a CAPS ad in the south of Brazil. Rev Baiana Enferm. 2017 Jan;31(1):e16350. https://doi.org/10.18471/rbe.v31i1.16350
Trevisan ER, Castro SDS. Psychosocial Care Centers - alcohol and drugs: users’ profile. Saúde Debate. 2019;43(121):450-63. https://doi.org/10.1590/0103-1104201912113
Araujo NB, Marcon SR, Silva NG. Clinical and sociodemographic profile of adolescents who stayed and did not stay in treatment at CAPSad Cuiabá/MT. J Bras Psiquiatr. 2012;61(4):227-34. https://doi.org/10.1590/S0047-20852012000400006
Santana RT, Miralles NCW, Alves JF, Santos VA, Vinholes U, Silveira DS. Profile of users of a Psychosocial Care Center. Braz J Health Rev. 2020;3(1):1343-57. https://doi.org/10.34119/bjhrv3n1-103
Nascimento GPD. Em nome do Pai: Memórias do projeto em Direitos Humanos “Nome Legal” do Ministério Público da Paraíba (2011–2015) [Thesis]. Universidade Federal da Paraíba: Centro de Ciências Humanas, Letras e Artes; 2018. [cited 2022 Aug 30]. 150 p. Available from: https://repositorio.ufpb.br/jspui/handle/123456789/ 14846?locale=pt_BR
Barbosa CW, Zandonadi AC. Parental alienation and its impacts on psychological development of children and adolescents. Rev Farol [Internet]. 2018 [cited 2022 Aug 30];7(7):58-72. Available from: https://pt.scribd.com/document/445074346/A-alienacao-parental-e-seus-impactos-no-desenvolvimento-psicologico-da-crianca-e-do-adolescente
Almeida RAD, Anjos UUD, Vianna RPDT, Pequeno GA. Profile of users of psychoactive substances in João Pessoa. Saúde Debate. 2014;38(102):526-38. https://doi.org/10.5935/0103-1104.20140049
Silva NG, Barros S, Azevedo FCD, Batista LE, Policarpo VC. The race/color variable in studies of characterization of the users of Psychosocial Care Centers’. Saúde Soc. 2017;26(1):100-14. https://doi.org/10.1590/S0104-12902017164968
Carvalho MES, Mendonça FA. Intra-urban inequalities, and socio-environmental conditions: elements for the delimitation of Leptospirosis risk areas. Ateliê Geográfico. 2018;12(1):25-50. https://doi.org/10.5216/ag.v12i1.45132
Mendes KT, Ronzani TM, Paiva FSD. Homeless population, vulnerabilities and drugs: a systematic review. Psicol Soc. 2019;31:1-15. https://doi.org/10.1590/1807-0310/2019v31169056
Oliveira MF, Souza AR, Moura ADA, Feitoza AR, Pontes RS. Perception of professionals about a Psychosocial Care Center – alcohol and drugs (CAPS-AD). Rev Tendên Enferm Profis [Internet]. 2017 [cited 2022 Sep 30];9(3):2252-6. Available from: https://www.sumarios.org/artigo/percep%C3%A7%C3%A3o-dos-profissionais-sobre-um-centro-de-aten%C3%A7%C3%A3o-psicossocial-%E2%80%93-%C3%A1lcool-e-drogas-caps-ad
Jesus FB. Lima FCA, Martins CBG, Matos KF, Souza SPS. Vulnerability in adolescence: the experience and expression of the adolescent. Rev Gaúcha Enferm. 2011;32(2):359-67. https://doi.org/10.1590/S1983-14472011000200021
Rosa SH, Venturi AFA, Antunes JMF Neto. Adolescence and psychoactive substances use disorder. Prospectus. 2020;2(2):309-24. https://doi.org/10.5281/zenodo.5565214
Ribeiro JP, Gomes GC, Vicente BG, Soares MC, Braga LR, Santos EOD. Profile of adolescent user of crack in treatment in the psychosocial care center alcohol and drugs. Rev Pesq Cuid Fundam. 2021;13:41-9. https://doi.org/10.9789/2175-5361.rpcfo.v13.7159
Bosetto A, Silva CM, Peder LD. Drug interactions between psychoactive drugs and the relationship with prescribers and users profile. J Health NPEPS. 2020;5(1):187-206. https://doi.org/10.30681/252610104104
Silva SN, Lima MG, Ruas CM. Drug use in Psychosocial Care Centers: analysis of prescriptions and the profile of users in different modalities of the service. Ciênc Saúde Colet. 2020;25(7):2871-82. https://doi.org/10.1590/1413-81232020257.23102018
Montemitro C, Angebrandt A, Wang TY, Pettorruso M, Abulseoud OA. Mechanistic insights into the efficacy of memantine in treating certain drug addictions. Prog Neuropsychopharmacol Biol Psychiatry. 2021;111:e110409. https://doi.org/10.1016/ j.pnpbp.2021.110409
Knevitz MF, Buccini DF. Psychopharmacy in the treatment of chemical dependence: a review. Rev Interdisc Estud Saúde. 2018;7(1):205-19. https://doi.org/10.33362/ries.v7i1.1124
Freire MBO, Silva BGC, Bertoldi AD, Fontanella AT, Mengue SS, Ramos LR, et al. Benzodiazepines utilization in Brazilian older adults: a population-based study. Rev Saúde Pública. 2022;56(10):1-13. https://doi.org/10.11606/s1518-8787.2022056003740
Oliveira LVE, Coelho AA, Salvador PTCDO, Freitas CHSDM. Visible and invisible walls: reflections on the itinerary of drug users in Brazil. Physis. 2019;29(04):e290411. https://doi.org/10.1590/S0103-73312019290411
Andrade JM, Souza FAF, Duarte JF, Leite PIP, Medeiros PMC. Evalution of the Adhesion of the Treatment with Antidepressives in Patients of a Public Pharmacy in the Interior of Ceará. Id On Line Rev Psicol [Internet]. 2018 [cited 2022 Aug 30];12(42):203-12. Available from: https://idonline.emnuvens.com.br/id/article/view/1306/ 0#:~:text=O%20estudo%20obteve%2096%25%20de,e%20os%20efeitos%20dos%20f%C3%A1rmacos
Castro LA, Couzi C. Potential use of the anticonvulsants in the outpatient treatment of alcohol dependence. J Bras Psiquiatr. 2006;55(3):212-7. https://doi.org/10.1590/S0047-20852006000300007
Elizabeth A, Schlenk EA, Bernardo LM, Organist LA, Klem ML, Engberg S. Optimizing medication adherence in older patients: a systematic review. J Clin Outcomes Manag [Internet]. 2008 [cited 2022 Aug 30];15(12):595-606. Available from: https://www.researchgate.net/profile/SandraEngberg/publication/24410351_Optimizing_Medication_Adherence_in_Older_Patients_A_Systematic_Review/links/0c96052409ac449e76000000/Optimizing-Medication-Adherence-in-Older-Patients-A-Systematic-Review.pdf
Baltar JGC, Iglesias A, Borlot EB. Comorbidity between the use of alcohol and other substances, psychiatric disorders, and suicide behavior: a review. Rev Psicol Saúde. 2020;12(2):3-18. https://doi.org/10.20435/pssa.v0i0.676
Ministério da Saúde (BR), Secretaria Executiva, Coordenação Nacional de DST/Aids. A Política do Ministério da Saúde para atenção integral a usuários de álcool e outras drogas [Internet]. Brasília: Ministério da Saúde; 2003 [cited 2022 Aug 30]. 60 p. Available from: https://bvsms.saude.gov.br/bvs/ publicacoes/politica_atencao_alcool_drogas.pdf
Barboza PS, Silva DA. Medicamentos antidepressivos e antipsicóticos prescritos no Centro de Atenção Psicossocial (CAPS) do município de Porciúncula – RJ. Acta Biom Brasiliensia [Internet] 2012 [cited 2022 Aug 30];3(1):85-97. Available from: https://www.actabiomedica.com.br/index.php/acta/article/view/39
Silva AO, Barbosa AA, Cunha APS, Rolim IAA, Santos RF, Borges JMP, et al. Potential interactions between drugs and alcohol-medications in alcoholic patients treated by a Psychosocial Alcohol and Drug Care Center. Res Soc Dev. 2021;10(9):e20610917697. https://doi.org/10.33448/rsd-v10i9.17697
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