scholarly journals Institutional care for children and adolescents that use drugs

2021 ◽  
Vol 38 ◽  
Author(s):  
Julia Corrêa GOMES ◽  
Fernanda Kimie Tavares MISHIMA-GOMES ◽  
Clarissa Mendonça CORRADI-WEBSTER

Abstract The literature highlights the existence of weaknesses in the psychosocial care network, especially in the treatment of children and adolescents that use drugs. The study aimed to comprehend, based on the Winnicottian theoretical framework, how a Residential Care Unit has been providing care to children and adolescents with needs arising from drugs use in situations of social vulnerability. Semi-structured interviews, with eight care providers, and 65 hours of participant observation were carried out. From the thematic analysis, three themes were constructed: (1) Setting: regarding attention to basic needs and construction of a routine; (2) View: regarding empathy and expansion of perspectives; (3) Aggressiveness: regarding new ways of relating. Important actions are aimed at constructing care for this specific population, as this is a current theme with recent and weakly structured public policies.

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Elitiele Ortiz dos Santos ◽  
Leandro Barbosa de Pinho ◽  
Aline Basso da Silva ◽  
Adriane Domingues Eslabão

ABSTRACT Objective: To assess stigma and prejudice in the organization of the Psychosocial Care Network for drug users. Methods: this is a qualitative study, developed through Empowerment Assessment. The survey was conducted in a municipality in Rio Grande do Sul, with 42 network workers. For data collection, participant observation, semi-structured interviews and open forum were used. For data analysis, thematic analysis was used. Results: the network’s mission involved a proposal for care without prejudice and judgments for drug users. It was identified that the composition of the network with training in multidisciplinary residency and psychiatry facilitates achieving the mission, and among the difficulties, the challenges to overcome prejudice were analyzed. Strategies for continuing education, seminars, and user empowerment in the community are suggested. Final considerations: stigma and prejudice need to be problematized in the networks for the organization of more inclusive and rehabilitating psychosocial care.


2021 ◽  
Vol 31 (3) ◽  
pp. 472-483
Author(s):  
Ana Cristina Lindsay ◽  
Madelyne J. Valdez ◽  
Denisse Delgado ◽  
Emily Restrepo ◽  
Yessica M. Guzmán ◽  
...  

This descriptive qualitative study explored Latinx mothers’ acceptance of the human papillomavirus (HPV) vaccine for their adolescent children. Data were collected through individual, semi-structured interviews and analyzed using a hybrid method of thematic analysis that incorporated deductive and inductive approaches. Twenty-two ( n = 22), mostly foreign-born, Latinx mothers of male and female adolescents participated in the study. Three main themes and nine subthemes emerged from the analyses. Findings identified the need for increased efforts to raise awareness and knowledge among Latinx mothers of the direct benefits of the HPV vaccine for sons, including stressing prevention of HPV-associated cancers in males. Findings also underscore the need for improved health care providers’ communication and recommendation of the HPV vaccine for Latinx adolescent males. Future research should intervene upon the study’s findings to address barriers that remain and affect Latinx mothers’ acceptance and uptake of the HPV vaccine for their children, in particular their sons.


2021 ◽  
pp. 101269022110054
Author(s):  
Nicola Hague ◽  
Graeme Law

The world of football arguably brings together and unites people in support of their teams and countries, while inspiring young children and adolescents to dream of a professional career. Existing research in the field has sought to begin to understand what professional footballers experience on their journey through the game. However, much of this UK-based research has focused on first team players and their professional experiences, including transitions from youth team to first team and to retirement. This study, therefore, aimed to examine players during their youth academy scholarship at one English Championship club. This study focused on the transitional experiences of youth players from school to the academy and their resulting embodying of a footballer’s identity. Twelve semi-structured interviews with players aged 17–19, were conducted and then analysed by thematic analysis using figurational sociology concepts. Three different types of transition were identified. Among other reasons, early specialisation in football was a prevalent factor that partly influenced the way the players experienced their transition. The transition into the academy coincided with the transition from youth to adulthood that was arguably anything but linear as players managed the dominant sub-cultures present in the club.


2019 ◽  
Vol 36 ◽  
Author(s):  
Kelly Guimarães TRISTÃO ◽  
Luziane Zacché AVELLAR

Abstract Caring for people using psychoactive substances is historically associated with segregatory practices, even with children and adolescents. This study aims to understand the place of care based on the discourse of adolescents. Participant observation and semi-structured interviews were conducted with six adolescent users of psychoactive substances met at a child and adolescent mental health service. The data were analyzed by thematic analysis and discussed in the light of analytical psychology and of the assumptions of the psychiatric reform. One can conclude that the place of care is not fixed, but depends on how it is carried out, understood, and received, and on how the relational processes are established in the service with the adolescent. From the therapeutic relationships built in the service, it can be understood as temenos, the safe and potentially therapeutic place, where the transformation and development process of the subjects can be supported.


Author(s):  
Graciela Morales Trujillo ◽  
Guillermina Natera Rey

Este artículo analiza el porqué de la migración de campesinos e indígenas convertidos en jornaleros agrícolas en México, un tema de suma importancia, ya que, de acuerdo con autores como Barrón y Hernández (2016), para muchas comunidades y familias rurales e indígenas, la migración interna representa la única estrategia de supervivencia en el país. Para abordar el tema, se da cuenta de la realización de un estudio cualitativo con enfoque etnográfico y técnicas de recolección de datos como la observación participante y entrevistas semiestructuradas, cuyos resultados se sometieron a un análisis temático. De acuerdo con este estudio, los jornaleros agrícolas del Valle del Mezquital, Hidalgo, migran por tres razones principales: pobreza, tradición migratoria y violencia, con la característica de que se desplazan en unidades familiares, en una migración circular permanente.  Palabras clave: Migración Interna, Jornaleros Agrícolas, Pobreza, Violencia Why migrate? The reality of a community of migrant farm laborers in MexicoSummaryThis article analyzes the reasons for the migration of peasants and indigenous people who have become agricultural laborers in Mexico, an issue of utmost importance, since, according to authors such as Barrón and Hernández (2016), for many rural and indigenous communities and families, the internal migration represents the only survival strategy in the country. To address the issue, a qualitative study with an ethnographic approach and data collection techniques such as participant observation and semi-structured interviews was carried out, whose results were subjected to a thematic analysis. According to this study, agricultural laborers from Valle del Mezquital, Hidalgo, migrate for three main reasons: poverty, migratory tradition and violence, with the characteristic that they move in family units, in a permanent circular migration.Keywords: Internal migration, Agricultural laborers, Poverty, Violence Pourquoi migrer? La réalité d’une communauté de journaliers agricoles migrants au MexiqueRésuméCet article analyse la raison de la migration de paysans et indigènes devenus journaliers agricoles au Mexique, un thème de grande importance car selon quelques auteurs comme Barrón et Hernández (2016), pour beaucoup de communautés et familles rurales et indigènes, la migration interne représente la seule stratégie de survivance dans le pays. Pour aborder le thème, on rend compte de la réalisation d’une étude qualitative avec une approche ethnographique et des techniques de recollection de données comme l’observation participative et des interviews semi structurées dont les résultats ont été analysés thématiquement. Selon cette étude, les journaliers agricoles de Valle del Mezquital, Hidalgo, migrent à cause de trois raisons principales : pauvreté, tradition migratoire et violence, avec la caractéristique qu’ils se déplacent en unité circulaire permanente.Mots clés : Migration Interne, Journaliers Agricoles, Pauvreté, Violence


2017 ◽  
Vol 11 (1) ◽  
pp. 263-276 ◽  
Author(s):  
Nayyereh Davoudi ◽  
Nahid Dehghan Nayeri ◽  
Mohammad Saeed Zokaei ◽  
Nematallah Fazeli

Background and Objective:Regarding the fact that emergency ward has unique characteristics, whose uniqueness affects informed consent processes by creating specific challenges. Hence, it seems necessary to identify the process and challenges of informed consent in the emergency ward through a qualitative study to understand actual patients’ and health care providers’ experiences, beliefs, values, and feelings about the informed consent in the emergency ward. Through such studies, new insight can be gained on the process of informed consent and its challenges with the hope that the resulting knowledge will enable the promotion of ethical, legal as well as effective health services to the patients in the emergency ward.Method:In this qualitative study, research field was one of the emergency wards of educational and public hospitals in Iran. Field work and participant observation were carried out for 515 hours from June 2014 to March 2016. Also, conversations and semi-structured interviews based on the observations were conducted. The participants of the study were nurses and physicians working in the emergency ward, as well as patients and their attendants who were involved in the process of obtaining informed consent.Results:Three main categories were extracted from the data: a sense of frustration; reverse protection; and culture of paternalism in consent process.Conclusion:Findings of this study can be utilized in correcting the structures and processes of obtaining informed consent together with promotion of patients' ethical and legal care in emergency ward. In this way, the approaches in consent process will be changed from paternalistic approach to patient-centered care which concomitantly protects patient’s autonomy.


2019 ◽  
Vol 37 (3) ◽  
Author(s):  
Juliane Portella Ribeiro ◽  
Giovana Calcagno Gomes ◽  
Marina Soares Mota ◽  
Elitiele Ortiz Santos ◽  
Adriane Domingues Eslabão

Objective. To analyze the care strategies of the adolescent crack user under treatment. Methods. Study of qualitative approach of descriptive type. The participants were 20 professionals from the Centro de Atenção Psicossocial Álcool e Drogas (Center for Psychosocial Care Alcohol and Drugs) and 10 professionals from the Centro de Atenção Psicossocial Infanto-juvenil (Center for Child Psychosocial Care) in a municipality in the interior of Rio Grande do Sul (Brazil). Data collection occurred through semi-structured interviews and the data were submitted to Thematic Analysis. Results. It was identified the development of strategies in four scopes: attractive activities in specialized services, the building of bonds between the team and the adolescent, the inclusion of family in the care and the intersectoral work.  Conclusion.  Care strategies, directed to and that address the needs of adolescents, contribute to better adherence to treatment and social reintegration.Descriptors: Adolescent; Crack Cocaine; Street Drugs; Mental Health; adolescent health services; qualitative research.How to cite this article: Ribeiro JP, Gomes GC, Mota MS, Ortiz E, Eslabão AD. Strategies of care for adolescent users of crack undergoing treatment. Invest. Educ. Enferm. 2019; 37(3):e12. 


2016 ◽  
Vol 38 (1) ◽  
pp. 19-36 ◽  
Author(s):  
JARI PIRHONEN ◽  
ILKKA PIETILÄ

ABSTRACTCulturally, institutional care has been seen to strip older people of their status as full adult members of society and turn them into ‘have-nots’ in terms of agency. The substantial emphasis in gerontology of measuring the activity and functional ability of the elderly has unintentionally fostered these stereotypes, as have traditional definitions of agency that emphasise individuals’ choices and capacities. The aim of this paper is to discover what kind of opportunities to feel agentic exist for people who have reduced functional abilities and therefore reside in assisted living. In this paper, agency is approached empirically from the viewpoint of Finnish sheltered housing residents. The data were gathered using participant observation and thematic interviews. This study suggests that even people with substantial declines in their functional abilities may feel more or less agentic depending on their functional and material surroundings and the support they receive from the staff, relatives and other residents. The perception that residents’ agency in assisted living cannot be reduced to measurable activity has methodological implications for gerontological research on agency. Care providers can utilise our findings in reasserting their residents’ quality of life.


2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Diene Monique Carlos ◽  
Ana Beatriz Campeiz ◽  
Wanderlei Abadio de Oliveira ◽  
Jorge Luiz da Silva ◽  
Monika Wernet ◽  
...  

ABSTRACT Objectives: to characterize and analyze the experiences of families involved in domestic violence against children and adolescents, based on the Paradigm of Complexity. Methods: qualitative research, in which data of 15 families was collected through documentary research, open interviews and field diary. The data were analyzed through thematic analysis. Results: two categories “I don’t have it” and “I didn’t have it” emerged, revealing the historicity that marks the violence experienced in the present. They include social vulnerability, maternal burden, associated with urban violence to which families are exposed. At the same time, stories of violence by the intimate partner, as well as intergenerational violence and drug abuse have impacted the current moment. Final Considerations: nursing can contribute to attribute new meaning to violent stories woven by families, as well as to the interdisciplinary construction of perspectives and interventions that consider the multiple violence and adversities to which such a population is exposed.


Author(s):  
Denise Lewis

This study addresses ways Khmer refugee elders utilize traditional herbal medicine with Western biomedicine in the treatment and prevention of illnesses. Methods include semi-structured and informal interviews with elders and family members, semi-structured interviews with local health care providers and Khmer physicians, and participant observation of everyday life and actions specific to health beliefs and behaviors. Data reveal a reliance on traditional medical ideology for understanding and treating illnesses. Utilizing a traditional ideology, Khmer elders rely heavily on traditional treatments and use Western biomedicine as supplements or adjuncts to traditional preventive and curative practices. This research has important implications for health care providers who treat SEA elders, especially for di et and treatment of chronic illnesses often associated with aging populations.


Sign in / Sign up

Export Citation Format

Share Document