Fatores que interferem na adesão ao tratamento de álcool e outras drogas na perspectiva da equipe multiprofissional dos Caps AD III do estado do Tocantins

Abstract

The abusive use of alcohol and other drugs is a complex phenomenon and requires specific public policies. In this sense, the Center for Psychosocial Care Alcohol and Other Drugs, represents an important device aimed at providing comprehensive and continuous care to people with needs related to the consumption of alcohol, crack and other drugs. Therefore, this study aimed to know the factors that interfere in adherence to the treatment of Alcohol and other Drugs, from the perspective of the multidisciplinary team. This is a qualitative study with a descriptive, exploratory design. Bardin's Content Analysis was used. Data collection was carried out between the months of April and June 2022, through individual interviews, in a virtual environment (online), subsidized by a semi-structured script, in a synchronic way. Ten professionals who were members of the multidisciplinary team of the Alcohol and Other Drugs services of the State of Tocantins were interviewed. In this sense, from the discourses, coded and analyzed, it was identified that there are professionals who understand that the stigma that the person has on themselves and the negative influence of the social network are difficulties found for treatment adherence. They mentioned that, in view of the difficulties of non- adherence, they use as a strategy the active search through home visits, as well as guidance and reflections on the importance of continuing in treatment. They considered as a fundamental characteristic for favoring adherence the team to be welcoming, to have good listening and sensitivity to the cause. They emphasized the importance of family participation. The participants highlighted that the device has as operating characteristics, to constitute a service of open doors and without barriers. However, some discourses have a certain rigidity, believing that the people who are in the CAPS AD III are difficult people, marginalized and sick, with emphasis on vertical and hierarchical relations, which can cause a distancing in the subject- professional-service relationship. The Psychosocial Care Network aims to expand people's access to services and reduce deinstitutionalization; Thus, the participants consider it as fragmented and disjointed, and may not be able to produce continuous attention to people. It was concluded that the identification of intervening factors can favor the planning of therapeutic interventions that meet the needs of each individual, aiming to reduce stigmas and social injustices, with a view to promoting health and strengthening the Harm Reduction Strategy.