www.revistas.usp.br/smad 2 SMAD, Rev Eletrônica Saúde Mental Álcool Drog. 2023 jan.-mar.;19(1):52-60 Use of alcohol and other drugs: interfaces with homeless people’s vulnerabilities
DOI:
https://doi.org/10.11606/issn.1806-976.smad.2023.187797Keywords:
Homeless Persons, Health Vulnerability, Nursing, Substance-Related Disorders, Mental HealthAbstract
Objective: to know the interfaces of the use of alcohol and other drugs in the vulnerabilities of
homeless people. Methodology: a qualitative and exploratory-descriptive study, developed in
Santa Catarina, Brazil. Fifteen homeless people participated. Information was collected through
interviews and interpreted based on thematic content analysis. Results: several vulnerabilities were
evidenced in the interviewees’ statements, such as use of psychoactive substances and living on
the streets. Some participants already used drugs and, especially, alcoholic beverages before living
on the streets. They referred to the breaking of family ties and that they feel unsupported. Means
to obtain alcohol and other drugs to minimize withdrawal symptoms and craving were mentioned.
They spoke about the violence they sometimes face. The difficulty of this population regarding
psychosocial rehabilitation was pointed out. Conclusion: the study shows that homeless people
are exposed to individual, social and programmatic vulnerabilities. This condition is intertwined
with the use of alcohol and other drugs, in addition to social issues that permeate this population.
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References
Mota ST, Vicentin MCG. Visibility, stigmatization and territorialization: perceptions about vulnerability in primary health care. Distúrb Comum. 2017;29(1):158-71. https://doi.org/10.23925/2176-2724.2017v29i1p158-171
Ayres JR, Calazans GJH, Saletti HC Filho, França-Júnior I. Risco, vulnerabilidade e práticas de prevenção e promoção da saúde. In: Campos GWSC, Bonfim JRA, Minayo MCS, Akerman M, Drumond M Júnior, Carvalho YM, organizators. Tratado de Saúde Coletiva. São Paulo: Hucitec; 2017. p. 375-417.
Silva MF. Informed consent: a strategy to mitigate vulnerability in hospital care. Rev Bioét. 2017;25(1):30-8. https://doi.org/10.1590/1983-80422017251163
Silva RP, Leão VAS, Santos ESV, Costa GN, Santos RV, Carvalho VT, et al. Assistência de enfermagem a pessoas em situação de rua. Rev Recien [Internet]. 2017 [cited 2021 June 26];20(7):31-9. Available from: https://www.recien.com.br/index.php/Recien/article/view/133
Patrício ACFA, Silva RAR, Araújo RF, Silva RF, Nascimento GTS, Rodrigues TDB, et al. Common mental disorders and resilience in homeless persons. Rev Bras Enferm. 2019;72(6). https://doi.org/10.1590/0034-7167-2018-0541
Ayano G, Belete A, Duko B, Tsegay L, Dachew BA. Systematic review and meta-analysis of the prevalence of depressive symptoms, dysthymia and major depressive disorders among homeless people. BMJ Open. 2021;11:e040061. https://doi.org/10.1136/bmjopen-2020-040061
Ministério da Saúde (BR). A Política do Ministério da Saúde para Atenção Integral a Usuários de Álcool e outras Drogas [Internet]. Brasília: Ministério da Saúde; 2003 [cited 2021 June 26]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/pns_alcool_drogas.pdf
Ministério da Saúde (BR). Portaria GM/MS nº1.190/2009. Institui o Plano Emergencial de Ampliação do Acesso ao Tratamento e Prevenção em Álcool e outras Drogas no Sistema Único de Saúde – PEAD 2009-2010 – e define suas diretrizes gerais, ações e metas. Brasília: Diário Oficial da União, 4 jun 2009 [cited 2021 June 26];(seção 1):128. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2009/prt1190_04_06_2009.html
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 14. ed. São Paulo: Hucitec; 2014. 407 p.
Spadoni L, Machado CP Júnior, Barroso LHM, Boni AL, Faria MRGV, Souza SMB. Perfil de drogadição e práticas sociais entre moradores de rua. Psicol Saber Social. 2017;6(1):113-28. https://doi.org/10.12957/psi.saber.soc.2017.30670
Rodrigues JS, Lima AF, Holanda RB. Identity, drugs and mental health: narratives of people living on streets. Psicol Ciênc Prof. 2018;38(3):424-36. https://doi.org/10.1590/1982-37030004912017
Sicari AA, Zanella AV. Homeless People in Brazil: A Systematic Review. Psicol Ciênc Prof. 2018;38(4):662-79. https://doi.org/10.1590/1982-3703003292017
Medeiros RP. Between the wanderings and the crossingsin the streets of the city: territories and drug use by homeless people. Civitas Rev Ciênc Soc. 2019;19(1):142-58. https://doi.org/10.15448/1984-7289.2019.1.30759
Moura JF Junior, Ximenes VM. O lugar o uso de drogas na identidade de uma pessoa em situação de rua. Gerais Rev Interinst Psicol [Internet]. 2016 [cited 2021 June 26];9(2):259-76. Available from: http://pepsic.bvsalud.org/pdf/gerais/v9n2/v9n2a08.pdf
Koopmans FF, Daher DV, Acioli S, Sabóia M, Ribeiro CRB, Silva CSSL. Living on the streets: an integrative review about the care for homeless people. Rev Bras Enferm. 2018;72(1):211-20. https://doi.org/10.1590/0034-7167-2017-0653
Abal YS, Gugelmin SA. A redução de danos nas cenas abertas de uso de crack e outras drogas ilegalizadas: a perspectiva dos trabalhadores da saúde. Em Sociedade. 2018;1(1):24- 43. https://doi.org/10.5752/P.2595-7716.2018v1n1p24-43
Batista CB, Vasconcelos MPN, Dalla Vecchia M, Queiroz IS. Permanent education on harm reduction: the experience of psychosocial care course in alcohol and other drugs. Interface (Botucatu). 2019;23:e180071. https://doi.org/10.1590/Interface.180071
Castellanos M, Baptista T, Ayres JR. Entrevista com José Ricardo Ayres. Saúde Soc. 2018;27(1):51-60. https://doi.org/10.1590/S0104-12902018000002
Oliveira EC, Medeiros AT, Trajano FMP, Chaves G Neto, Almeida SA, Almeida LR. Mental health care in the territory: conceptions of primary health care professionals. Esc Anna Nery Rev Enferm. 2017;21(3):e20160040. https://doi.org/10.1590/2177-9465-EAN-2017-0040
Wandekoken KD, Araujo MD, Borge LH. Desafios na produção do cuidado em um Centro de Atenção Psicossocial Álcool e Drogas. Rev Gest Saúde. 2019;10(Spec No):37-53. https://doi.org/10.26512/gs.v0i0.23318
Winkelmann MC, Lopes PR, Heidemann ITSB, Fernandes GCM, Dalmolin IS. Percepção das pessoas em situação de rua sobre os determinantes sociais da saúde. Rev Enferm UFSM. 2018;8(1):88-101. https://doi.org/10.5902/2179769227259
Castro RAS, Padilha EB, Dias CM, Botti NCL. Vulnerabilities of the homeless population to suicide behavior. Rev Enferm UFPE Online [Internet]. 2019 [cited 2021 June 26];13(2):431-7. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/237023/31352
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