scholarly journals The trajectory of crack users to the street situation in the perspective of family members

2019 ◽  
Vol 37 (2) ◽  
Author(s):  
Maycon Rogério Seleghim ◽  
Sueli Aparecida Frari Galera
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Community Mental Health ◽  
Crack Cocaine ◽  
Family Members ◽  
Sao Paulo ◽  
São Paulo ◽  
Illness Beliefs ◽  
The Family ◽  
Crack Users

Abstract Objective. To understand the family experience regarding the trajectory of crack users for the street situation.Method. Qualitative study using the systemic approach as the theoretical referential and the narrative as methodological referential. We conducted interviews with eleven family members of crack users with street situation experience cared for at a community mental health service. We analyzed the interviews using the inductive content analysis technique.Results. The family members understood the trajectory of the crack users for the street situation from two perspectives. One before the street situation process, for which they described a problematic childhood, the presence of stressor traumas/ events, vulnerabilities in the family environment, and their family members’ encounter with the drug world. Moreover, another posterior to the street situation, for which they narrated the perception of alterations in the users, the discovery of crack use, the deepening of the individuals’ relationship with the streets, and the adoption of coping strategies.Conclusion. It was made evident that the family adopts an explicative model for the behavior of drug use and contact with the streets based on the life history of the crack user family member.Descriptors: crack cocaine; family relations; homeless persons; community mental health services.How to cite this article: How to cite this article: Seleghim MR, Galera SAF. The trajectory of crack users to the street situation in the perspective of family members. Invest. Educ. Enferm. 2019; 37(2):e03.ReferencesRaupp L, Adorno RCF. Circuitos de uso de crack na região central da cidade de São Paulo (SP, Brasil). Ciênc. Saúde Colet. 2011; 16(5):2613-22.Dias AC, Araújo MR, Laranjeira R. Evolução do consumo de crack em coorte com histórico de tratamento. Rev. Saúde Pública. 2011; 45(5):938-48.Xavier DM, Gomes GC, Ribeiro JP, Mota MS, Alvarez SQ. Use of crack in pregnancy: repercussions for the newborn. Invest. Educ. Enferm. 2017; 35(3):260-67.Grant R, Gracy D, Goldsmith G, Shapiro A, Redlener IE. Twenty-five years of child and family homelessness: where are we now? Am. J. Public Health. 2013; 103(2):1-10.Tyler K, Schmitz RM. Family histories and multiples transitions among homeless young adults: pathways to homelessness. Child Youth Serv. Rev. 2013; 35(1):1719-26.Hyde J. From home to street: understanding young people’s transitions into homelessness. J. Adolesc. 2005; 28(2):171-83.Kidd SA, Karabanow J, Hughes J, Frederich T. Brief report: youth pathways out of homelessness – prelimiray finding. J. Adolesc. 2013; 36(6):1035-7.Wright LM, Leahey M. Enfermeiras e famílias: um guia para avaliação e intervenção na família. 3rd Ed. São Paulo: Roca, 2002.Watzlawick P, Bavelas JB, Jackson DD. Pragmática da comunicação humana. 18th Ed. São Paulo: Culturix; 2011. 266p.Canesqui AM (Org). Olhares socioantropológicos sobre os adoecidos crônicos. São Paulo: Hucitec; 2007. 149p.Riessman CK. Narrative Methods for the Human Sciences. USA: SAGE Publications; 2008. 244p.Castellanos MEP. A narrativa nas pesquisas qualitativas em saúde. Ciênc. Saúde Coletiva, Rio de Janeiro. 2014; 19(4):1065-76. Garro L, Mattingly C. Narrative as a construct and construction. In: Mattingly C, Garro L. Narrative and the cultural construction of illness and healing. Berkley, Los Angeles, London: University of California Press; 2000. Elo S, Kyngäs H. The qualitative content analysis process. J. Adv. Nurs. 2008; 62(1):10715. Narvaez JCM, Pechansky F, Jansen K, Pinheiro RT, Silva RA, Kapczinski F et al. Quality of life, social functioning, family structure, and treatment history associated with crack cocaine use in youth from the general population. Rev. Bras. Psiquiatr. 2015; 37(3):211-8.Choate PW. Adolescent alcoholism and drug addiction: the experience of parents. Behav. Sci (Basel). [Internet] 2015; 5(4):461-76.Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional por Amostra por Domicílios: síntese de indicadores 2013 [cited 10 Apr 2016]. Avaliable from: http://biblioteca.ibge.gov.br/visualizacao/livros/liv94414.pdfSeleghim MR, Oliveira MLF. Estrutura, relações e antecedentes do uso de drogas em famílias de usuários de crack. Rev. Eletr. Enf. 2014; 16(3):527-34.Seleghim MR, Marangoni SR, Marcon SS, Oliveira MLF. Family ties of crack cocaine users cared for in a psychiatric emergency department. Rev.Latino-Am. Enfermagem. 2011; 19(5):1163-70.Kleinman A, Eisenberg L, Good B. Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research. Ann. Intern. Med. 1978 ;88(2):251-8.Silva DI, Mello DF, Takahashi RF, Hollist CS, Mazza VA, Veríssimo MLOR. Validation of vulnerability markers of dysfunctions in the socioemotional development of infants. Rev. Latino-Am. Enfermagem. 2018; 26:3087.Pedersen SL, Walther CA, Harty SC, Gnagy EM, Pelham WE, Molina BS. The Indirect Effects of Childhood ADHD on Alcohol Problems in Adulthood through Unique Facets of Impulsivity. Addiction. 2016;111(9):1582-89.Leahey M, Wright LM. Families & Psychosocial Problems. Springhouse Corporation, 1987, 349pBell JM, Wright LM. The Illness Beliefs Model: Advancing practice knowledge about illness beliefs, family healing, and family interventions. J. Fam. Nurs. 2015; 21(2):179-85.Seleghim MR, Oliveira MLF. Influência do ambiente familiar no consumo de crack em usuários. Acta Paul. Enferm. 2013; 26(3):263-8.

Hell in the Family: Married Women and Madness Before Institutionalization at the St-Jean-de-Dieu Asylum, 1890 – 1921

2011 ◽  
Vol 19 (1) ◽  
pp. 15-28
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mentally Ill ◽  
Family Members ◽  
Community Mental Health Services ◽  
Married Women ◽  
French Canadian ◽  
Private Lives ◽  
The Family ◽  
Seeking Help

Research in Montreal's St-Jean-de-Dieu Asylum archives has revealed a number of letters from family members and local physicians pleading for asylum care for married women between 1890 and 1921. When added to other admission documents in patients' medical files, these letters allow an intimate glimpse into private lives of families and highlight the pain and distress of dealing with mentally ill people in the home before the introduction of community mental health services. Far from easily abandoning a spouse or mother, close-knit French Canadian families struggled until they could no longer cope before seeking help. To comply with asylum regulations, family members (primarily husbands, who were often illiterate) and local physicians were required to justify their applications for admission, but they did so in different ways.

scholarly journals Patterns of clozapine and other antipsychotics prescriptions in patients with treatment-resistant schizophrenia in community mental health centers in São Paulo, Brazil

2015 ◽  
Vol 42 (6) ◽  
pp. 165-170 ◽  
Author(s):  
Ana Stella de Azevedo Silveira ◽  
Deyvis Macarof Loureiro Vasconcelos Rocha ◽  
Cecília Ribeiro de Faissol Attux ◽  
Claudiane Sales Daltio ◽  
Letícia Aparecida da Silva ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Sao Paulo ◽  
Health Centers ◽  
São Paulo ◽  
Treatment Resistant ◽  
Community Mental Health Centers ◽  
Mental Health Centers

scholarly journals The multiprofessional work in the Psychosocial Care Centers of São Paulo State

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2131-2138
Author(s):  
Giovana Telles Jafelice ◽  
João Fernando Marcolan
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Daily Life ◽  
Psychosocial Care ◽  
Descriptive Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Psychiatric Reform ◽  
Paulo State ◽  
Definition Of

ABSTRACT Objective: Analyze how professionals understood the multi, inter and transprofessionality and how these practices happened in the CAPS (Psychossocial Care Centers) of São Paulo/SP. Method: Qualitative, exploratory, descriptive study, and use of Content Analysis. We interviewed 27 professionals from nine CAPS. Results: Organized in two categories: definition of multiprofessional, interprofessional and transprofessional work in Mental Health; and specific aspects of professions and Conceptions about multi, inter and transprofessional teamwork in daily life. There were difficulties in conceptualizing modalities of disciplinary integration, little problematization in the reality of workers, and questions of specific practices of each area. The devices have been problematized, in which the distancing of Public Policies happen. Final considerations: There is coexistence of the biomedical, of insane asylum and Psychosocial Care paradigms in the discourses and actions of the teams, to compromise the effectiveness of the Psychiatric Reform. The practice was close to the ideas of integration and of auxiliary interdisciplinarity and not of the effective construction of shared therapeutic knowledge and projects.

scholarly journals Perspectives on a psychiatric outpatient service for immigrants and refugees in São Paulo, Brazil over a 15-year period

2021 ◽  
pp. 002076402110272
Author(s):  
Luciana de Andrade Carvalho ◽  
Laura Helena Andrade ◽  
Patrícia Lin Ang ◽  
Carmen Lucia Albuquerque de Santana ◽  
Francisco Lotufo Neto ◽  
...  
Keyword(s):  
Mental Health ◽  
Cluster Analysis ◽  
Psychiatric Service ◽  
Sao Paulo ◽  
Service Planning ◽  
São Paulo ◽  
Immigrants And Refugees ◽  
Common Diagnosis ◽  
Logistic Regressions ◽  
Refugee Men

Background: Immigrants and refugees have specific mental health needs. Studies of immigrant/refugee psychiatric patients in Latin America are scarce. Aims: Present the profile of patients from an outpatient psychiatric service in Sao Paulo (Brazil) to better inform mental health service planning for immigrants and refugees in the Global South. Methods: Exploratory study to characterize the sociodemographic and mental health profile of refugees and immigrants attending outpatient psychiatric service from 2003 to 2018. Chi-square tests and logistic regressions were used to examine the association of demographic variables, exposure to violence, and immigrant status with psychiatric diagnosis. Cluster analysis was used to identify subgroups within the sample. Results: A total of 162 immigrants and refugees referred to the service obtained treatment. Of these patients, 57.4% were men, 59.8% were refugees/asylum seekers, 51.9% were Black, 48.8% were single, 64.2% had 10 years of education, and 57.4% were unemployed; the mean age of the sample was 35.9. Half of the sample (52.5%) was exposed to violence. The most common diagnosis was depression (54.2%), followed by PTSD (16.6%). Approximately 34% of the participants sought psychiatric care within 6 months of arrival. Logistic regressions showed that men had lower odds of presenting with depression (OR = 0.34). Patients with PTSD were more likely to be refugees (OR = 3.9) and not have a university degree (OR = 3.1). In the cluster analysis, a cluster of patients with PTSD included almost all Black refugee men exposed to violence. Most patients diagnosed with psychotic disorders were also Black refugee men. Conclusion: Immigrants and refugees represent a vulnerable group. The majority of the sample was Black, refugee men, who were also more likely to present with PTSD. Future studies are needed to better understand issues in treatment adherence in relation to socioeconomic characteristics.

Family perspectives on organ and tissue donation for transplantation: A principlist analysis

2017 ◽  
Vol 25 (8) ◽  
pp. 1041-1050
Author(s):  
Marcelo José dos Santos ◽  
Lydia Feito
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Sao Paulo ◽  
Tissue Donation ◽  
São Paulo ◽  
Ethical Considerations ◽  
Donation Process ◽  
The Family ◽  
Organ Procurement Organizations ◽  
Family Interview

Background: The family interview context is permeated by numerous ethical issues which may generate conflicts and impact on organ donation process. Objective: This study aims to analyze the family interview process with a focus on principlist bioethics. Method: This exploratory, descriptive study uses a qualitative approach. The speeches were collected using the following prompt: “Talk about the family interview for the donation of organs and tissues for transplantation, from the preparation for the interview to the decision of the family to donate or not.” For the treatment of qualitative data, we chose the method of content analysis and categorical thematic analysis. Participants: The study involved 18 nurses who worked in three municipal organ procurement organizations in São Paulo, Brazil, and who conducted family interviews for organ donation. Ethical considerations: The data were collected after approval of the study by the Research Ethics Committee of the School of Nursing of the University of São Paulo. Results: The results were classified into four categories and three subcategories. The categories are the principles adopted by principlist bioethics. Discussion: The principles of autonomy, beneficence, non-maleficence, and justice permeate the family interview and reveal their importance in the organs and tissues donation process for transplantation. Conclusion: The analysis of family interviews for the donation of organs and tissues for transplantation with a focus on principlist bioethics indicates that the process involves many ethical considerations. The elucidation of these aspects contributes to the discussion, training, and improvement of professionals, whether nurses or not, who work in organ procurement organizations and can improve the curriculum of existing training programs for transplant coordinators who pursue ethics in donation and transplantation as their foundation.

scholarly journals Humanization of Care from the Perspective of the Family Health Strategy Teams in a City in the Interior of São Paulo, Brazil

2010 ◽  
Vol 18 (4) ◽  
pp. 763-769 ◽  
Author(s):  
Maria José Sanches Marin ◽  
Luana Vergian Storniolo ◽  
Maria Yvette Moravcik
Keyword(s):  
Data Analysis ◽  
Family Health ◽  
Sao Paulo ◽  
Service Organization ◽  
São Paulo ◽  
Analysis Method ◽  
Qualitative Survey ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This study analyzes the understanding of professionals composing teams of the Family Health Strategy concerning humanization of care. This qualitative survey was carried out in a city in the interior of São Paulo through interviews with 20 professionals. The data analysis method used was Interpretation of Meanings based on the hermeneutic-dialectic perspective. The meaning of humanization according to the interviewed professionals includes an enlarged view, respect for ethical principles and facilitated access. The difficulties refer to the lack of prepared professionals, excessive demand and deficiencies in service organization. The professionals propose to educate and qualify professionals, make activities adequate given the professionals' roles and improve the organization of services. The professionals demonstrate understanding of the meaning of humanization and acknowledge the need to cope with difficulties.

scholarly journals Individual and contextual effects on mental health status in São Paulo, Brazil

2000 ◽  
Vol 22 (3) ◽  
pp. 116-123 ◽  
Author(s):  
Ilona Blue
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Psychiatric Morbidity ◽  
Sao Paulo ◽  
Mental Health Status ◽  
Independent Effect ◽  
São Paulo ◽  
Cross Sectional Survey ◽  
Multicentric Study ◽  
Socioeconomic Variables

Objectives: There is evidence that mental health status is partly determined by socioeconomic status. Recent research in the U.K. has highlighted the importance of place or context as a health determinant. This study aimed to analyze both individual socioeconomic variables and area of residence as potential risk factors for mental ill health. The objectives were to determine whether the effects of key explanatory variables on mental health status varies by area of residence and whether area of residence has an independent effect on mental health status once other key variables have been controlled for. Methods: The study used data collected as part of the Brazilian Multicentric Study of Psychiatric Morbidity. Data from a cross-sectional survey carried out in three socioeconomically contrasting sub-districts in São Paulo, Brazil, was used. The main outcome measure was mental health status as measured by the Questionário de Morbidade Psiquiátrica de Adultos (QMPA). Results: The results demonstrate that, even after key individual socioeconomic variables were controlled for, area of residence had a statistically significant effect on mental health status. Discussion: A possible explanation for the effect of area of residence relates to the social and physical features of places and their subsequent impact on health. Conclusions: It is important for mental health research to acknowledge the potential importance of the effect of area of residence on health, particularly in relation to developing new mental health promotion initiatives.

scholarly journals Amateur surfing on the south coast of São Paulo: lifestyle and work as factors of adherence to practice

1989 ◽  
Author(s):  
Luiz Carlos Marinovic Doro ◽  
◽  
Vinícius Demarchi Silva Terra ◽  
Império Lombardi Junior
Keyword(s):  
Sao Paulo ◽  
South Coast ◽  
São Paulo ◽  
Way Of Life ◽  
The South ◽  
Job Stability ◽  
Future Studies ◽  
Employment Conditions ◽  
The Family ◽  
The Relationship

In the present study, we dealt with the relationship between lifestyle and adherence to the physical activity and discussed the conditions that make it possible for amateur to remain in a complex practice as surfing. For these purpose, we interviewed eleven surfers with over eleven years of uninterrupted practice on the South Coast of São Paulo. Through an analysis of the interviews content, it was possible to verify that their permanence is less influenced by gender issues, age and marital status (usually prioritized in the literature about this subject) than employment conditions. It is argued that adherence to surfing is linked to lifestyle and youth ideals, while the conditions for the continuity of the amateurs practice involves the family and employment ties, whose stability gives security to the routine and modulates the possibilities between social times and nature times. Thus, mature surfers narrate a way of life that values prudent attitudes as a way of redefining surfing in their lives, pointing out to a transformation of surf culture. It is considered that the relationship between permanence in practice and job stability deserves to be investigated in future studies

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