Assessment of components of crack users’ attention network

ABSTRACT Objective: Assess components of the Psychosocial Attention Network (RAPS) in crack user care in a Rio Grande do Sul municipality. Method: Qualitative study based on Fourth Generation Evaluation. Data collection occurred in 2014, through participating observation and interviews based on the Hermeneutic-Dialectic Circle. Ten uses, eleven family members, seven managers and eight workers at a Psychosocial Attention Center participated. The Constant Comparative Method was used for data analysis. Results: Difficulties were observed in the network articulation with the general hospital, due to prejudice and the lack of structure of the team. SAMU’s (Mobile Emergency Care Service) dependence on the Military Brigade for the service indicates a frailty of the network. The need to re-think the way therapeutic farms operate in the network is a consensus. Conclusion: RAPS is being implemented and its concretization depends on the involvement of professionals, managers and social control of users and family members.

Strategies of care for adolescent users of crack undergoing treatment

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.

Specificities of care to the adolescent crack user assisted in the psychosocial care network

ABSTRACT Objective: to analyze the specificities of care to the adolescent crack user assisted in the Network of Psychosocial Attention. Method: exploratory and descriptive study with qualitative approach. The participants were 20 professionals from the Center for Psychosocial Alcohol and Drug Attention and 10 professionals from the Center for Psychosocial Child and Adolescent Care. Data collection took place through semi-structured interviews and the data were processed by Nvivo 11 software and submitted to thematic analysis. Results: the care to the adolescent crack user assisted in the network involves care specificities in three scopes: adolescence as the life cycle stage, social aspects that involve the adolescent in the use situation, and differentiated care strategies to the adolescent using crack. Conclusion: the network services accessed by the adolescent crack user should be prepared to welcome him in their specificities, assessing the needs of care and promoting therapeutic workshops geared to the needs of this public in the specialized service. Implications for practice: the study may re-signify the care practices focused on the adolescent's needs. In addition, it is necessary to promote the strengthening of these services in the network with a view to subsidizing comprehensive and resolutive care.

Portraits on the crack user built by the media

ABSTRACT Objective: evaluate how the crack user is portrayed by the media. Method: qualitative study, using fourth generation evaluation. The data were collected in interviews and field observations in a mental health network service of the Porto Alegre-RS metropolitan area. The participants were 10 users, 11 family members, 08 health service professionals and 07 managers. Results: the findings revealed that media relates the crack user profile to violence, crime and disease, which does not correspond to the reality experienced in the health service. This image disregards the different ways of using the drug and the different productions of life of these individuals, increasing social exclusion and stigma. Final considerations: The challenge is to build shared, integrated, clear and honest information.

"CRACK" NEONATES AND THEIR MOTHERS

"This is very unfulfilling. You stay up nights with these babies trying to keep them alive, and you realize there's an unacceptable home situation they're going to, without a caring set of parents," said [a neonatologist]. The absence of maternal feeling among some crack users is chilling. Recently, in the middle of the night [the neonatologist] was called into the hospital nursery to resuscitate a one-pound, three-ounce baby, 14 weeks premature, the offspring of a habitual crack user in her late teens. "When I told the mother, (the baby) was critically ill, she said, `I was going to get an abortion, but I was too busy,' " said [the doctor]. "I said, `Do you want to touch your baby? Your baby is dying.' The only thing she said is, `What time is breakfast?' " The young woman vanished right after her meal.