Heloísa Garcia Claro

Tradução e adaptação cultural do global appraisal of individual needs - initial

Se objetivo traducir y adaptar culturalmente el instrumento Global Appraisal of Individual Needs - Initial y calcular su Indice de Validad de Contenido. Estudio metodologico, de adaptacion cultural del instrumento. El mismo fue traducido al portugues en dos versiones que originaron la sintesis de las traducciones, sometidas a la evaluacion de cuatro expertos en el area de alcohol y otras drogas. Luego de modificaciones, fue retraducido y re-sometido a los expertos y autores del instrumento original, resultando una version final del instrumento, el Evaluacion Global de las Necesidades Individuales - Inicial. El Indice de Validad de Contenido del instrumento fue de 0,91, considerado valido por la literatura. El instrumento Evaluacion Global de las Necesidades Individuales - Inicial es un instrumento adaptado culturalmente para el portugues brasileno; mientras tanto, el instrumento no fue sometido a tests con la poblacion objeto, lo cual sugiere que sean realizados estudios que prueben su confiabilidad y validad.

Processos de avaliação de serviços de saúde mental: uma revisão integrativa

This integrative review of assessing processes in mental health services, both natio- nwide and internationally, aimed to identify the dimensions by means of which the services have been evaluated and their contribution to the attention in mental health. Bibliographic survey was conducted during the period February-May 2012, noting the prevalence of three-dimensio- nal qualitative assessing studies. The results reveal greater involvement of professionals, the par- ticipation of users and family and the search for better quality of care as factors related to the users degree of satisfaction. The improvement in health care quality was considered the evalua- tion biggest contribution.

Drug use, mental health and problems related to crime and violence: cross-sectional study

Objetivo: investigar la correlacion entre los trastornos relacionados con el uso de alcohol y otras drogas y los sintomas de trastornos mentales, problemas relacionados con el crimen y la violencia y a la edad y al genero. Metodos: estudio descriptivo transversal, llevado a cabo con 128 usuarios de un Centro de Atencion Psicosocial en Alcohol y otras Drogas, en la ciudad de Sao Paulo, entrevistados a traves del instrumento Evaluacion Global de Necesidades Individuales - Deteccion Corta. Se realizaron modelos de regresion lineal univariantes y multiples para verificar la correlacion entre las variables. Resultados: en los modelos de regresion univariantes, los sintomas de internalizacion, externalizacion y problemas relacionados con el crimen/la violencia se mostraron significantes y se incluyeron en el modelo multiple, en que solamente los sintomas de internalizacion y problemas relacionados con el crimen y la violencia siguieron siendo significativos. Conclusiones: hay correlacion entre la gravedad de los problemas relacionados con el consumo de alcohol y la severidad de los sintomas de salud mental y con el crimen y la violencia en la muestra estudiada. Los resultados enfatizan la necesidad de un caracter interdisciplinario e intersectorial de atencion al usuario de alcohol y otras drogas, ya que viven en un ambiente de vulnerabilidad social.Objective: to investigate the correlation between disorders related to the use of alcohol and other drugs and symptoms of mental disorders, problems related to crime and violence and to age and gender. Methods: cross-sectional descriptive study carried out with 128 users of a Psychosocial Care Center for Alcohol and other Drugs, in the city of São Paulo, interviewed by means of the instrument entitled Global Appraisal of Individual Needs - Short Screener. Univariate and multiple linear regression models were used to verify the correlation between the variables. Results: using univariate regression models, internalizing and externalizing symptoms and problems related to crime/violence proved significant and were included in the multiple model, in which only the internalizing symptoms and problems related to crime and violence remained significant. Conclusions: there is a correlation between the severity of problems related to alcohol use and severity of mental health symptoms and crime and violence in the study sample. The results emphasize the need for an interdisciplinary and intersectional character of attention to users of alcohol and other drugs, since they live in a socially vulnerable environment.

Vulnerabilidade para o comportamento sexual de risco em usuários de álcool e outras drogas

Correspondência: Gabriella de Andrade Boska Universidade de São Paulo. Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 CEP: 05403-000, São Paulo, SP, Brasil E-mail: gabriellaboska@hotmail.com 1 Residente, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil. 2 Aluna do curso de graduação em Enfermagem, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil. 3 PhD, Professor Doutor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil. 4 PhD, Professor Assistente, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil. 5 PhD, Professor Doutor, Universidade Federal de São Paulo, São Paulo, SP, Brasil. 6 PhD, Professor, Universidade Federal do ABC, São Bernardo do Campo, SP, Brasil. Vulnerabilidade para o comportamento sexual de risco em usuários de álcool e outras drogas

Atitudes das equipes dos serviços de atenção psicossocial em álcool e drogas

Considerando que as atitudes dos profissionais de saude influenciam suas praticas assistenciais, objetivou-se mensurar as atitudes desses profissionais frente ao alcool, alcoolismo e alcoolista. Foram entrevistados 288 profissionais de 12 Centros de Atencao Psicossocial Alcool/Drogas por meio da Escala de Atitudes Frente ao Alcool, Alcoolismo e Alcoolista. Apontou-se tendencia a atitudes positivas, sobretudo dos profissionais com nivel superior e que desenvolviam intervencoes dirigidas a alertar os riscos do consumo do alcool e a desenvolver consciencia critica dos problemas. Entretanto, os trabalhadores apresentaram atitudes negativas frente a etiologia do alcoolismo e aqueles que desenvolviam intervencoes dirigidas a abstinencia apresentaram atitudes menos positivas.

Night beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization

OBJECTIVE To analyze and characterize the use of night beds in a Psychosocial Attention Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas - CAPS ad). METHOD It is a quantitative, documental, descriptive and retrospective study. Data were gathered from 565 medical records. An analysis of continuous variables was performed. RESULTS When admitted to the beds, most users (87.6%) consumed multiple substances daily and were vulnerable, specially in street situation (68.3%). These users were admitted on an average of two times, undergoing a previous evaluation by the nurse (85.8%), usually for detoxication or due to the vulnerable condition. They stayed in the center for an average of seven days and 31.1% did not finish what was proposed. For a few cases, hospital support was needed. Overall, discharges were planned, but the return happened without booking. CONCLUSION Social issues cut through the use of night beds, however, it is a therapeutic resource that meets significant demands and is present in the daily lives of vulnerable users as a comprehensive care.

What is the emphasis of Brazilian drug policy: resocialization or internment?

Objective: To analyze the discourses of public managers, at the municipal and state levels of the city of São Paulo Brazil and of community services that serve users dependent on drugs with mental disorders, in order to confront them with the current public policies of the Brazilian Ministry of Health and Check whether they have advanced or receded. Methods: Cross-sectional, interpretive qualitative study was carried out with four public managers and community service providers who attend drug users. Data were collected through semi-structured interviews. Results: The speeches indicated that despite the fact that despite participant health managers indicate which direction should be given the care to drug users, under some aspects, public policies in the last six years have receded. Conclusion: The Policy advanced with the structuring of the psychosocial care network and articulation with a single network of social assistance, among others, but fell back when it introduced the therapeutic communities in the health network and promoted hospitalizations with public funding.

Internal Consistency and Convergent Validity of the Portuguese Versions of the Global Appraisal of Individual Needs–Initial and Short Screener: Validity of the Portuguese GAIN-I and SS

The goal of this article is to present evidence on the internal consistency and convergent validity of the Brazilian Portuguese versions of the Global Appraisal of Individual Needs–“Initial” and “Short Screener” versions. MethodsOne hundred sixty-eight individuals from an inpatient service and/or a community-based outpatient service located in São Paulo were interviewed using the Brazilian Portuguese versions of the instruments. The internal consistency of the instruments scales was computed, along with evidence for the convergent validity between corresponding subscales of the Initial and Short Screener instruments. ResultsCronbach’s alpha values for both instruments’ total scale scores were greater than .7. The Short Screener scales showed strong-to-moderate correlations with corresponding subscales of the Initial. The General Individual Severity Scale from the Initial and Total Disorder Screener from the Short Screener have convergent validity with each other (&rgr; = 0.801). ConclusionsThe Brazilian Portuguese instrument scales showed evidence for internal consistency and convergent validity performing similarly to the American English versions.

Uso de drogas, saúde mental e problemas relacionados ao crime e à violência: estudo transversal

Objetivo: investigar la correlacion entre los trastornos relacionados con el uso de alcohol y otras drogas y los sintomas de trastornos mentales, problemas relacionados con el crimen y la violencia y a la edad y al genero. Metodos: estudio descriptivo transversal, llevado a cabo con 128 usuarios de un Centro de Atencion Psicosocial en Alcohol y otras Drogas, en la ciudad de Sao Paulo, entrevistados a traves del instrumento Evaluacion Global de Necesidades Individuales - Deteccion Corta. Se realizaron modelos de regresion lineal univariantes y multiples para verificar la correlacion entre las variables. Resultados: en los modelos de regresion univariantes, los sintomas de internalizacion, externalizacion y problemas relacionados con el crimen/la violencia se mostraron significantes y se incluyeron en el modelo multiple, en que solamente los sintomas de internalizacion y problemas relacionados con el crimen y la violencia siguieron siendo significativos. Conclusiones: hay correlacion entre la gravedad de los problemas relacionados con el consumo de alcohol y la severidad de los sintomas de salud mental y con el crimen y la violencia en la muestra estudiada. Los resultados enfatizan la necesidad de un caracter interdisciplinario e intersectorial de atencion al usuario de alcohol y otras drogas, ya que viven en un ambiente de vulnerabilidad social.Objective: to investigate the correlation between disorders related to the use of alcohol and other drugs and symptoms of mental disorders, problems related to crime and violence and to age and gender. Methods: cross-sectional descriptive study carried out with 128 users of a Psychosocial Care Center for Alcohol and other Drugs, in the city of São Paulo, interviewed by means of the instrument entitled Global Appraisal of Individual Needs - Short Screener. Univariate and multiple linear regression models were used to verify the correlation between the variables. Results: using univariate regression models, internalizing and externalizing symptoms and problems related to crime/violence proved significant and were included in the multiple model, in which only the internalizing symptoms and problems related to crime and violence remained significant. Conclusions: there is a correlation between the severity of problems related to alcohol use and severity of mental health symptoms and crime and violence in the study sample. The results emphasize the need for an interdisciplinary and intersectional character of attention to users of alcohol and other drugs, since they live in a socially vulnerable environment.

Uso de drogas, salud mental y problemas relacionados con el crimen y la violencia: estudio transversal

Objetivo: investigar la correlacion entre los trastornos relacionados con el uso de alcohol y otras drogas y los sintomas de trastornos mentales, problemas relacionados con el crimen y la violencia y a la edad y al genero. Metodos: estudio descriptivo transversal, llevado a cabo con 128 usuarios de un Centro de Atencion Psicosocial en Alcohol y otras Drogas, en la ciudad de Sao Paulo, entrevistados a traves del instrumento Evaluacion Global de Necesidades Individuales - Deteccion Corta. Se realizaron modelos de regresion lineal univariantes y multiples para verificar la correlacion entre las variables. Resultados: en los modelos de regresion univariantes, los sintomas de internalizacion, externalizacion y problemas relacionados con el crimen/la violencia se mostraron significantes y se incluyeron en el modelo multiple, en que solamente los sintomas de internalizacion y problemas relacionados con el crimen y la violencia siguieron siendo significativos. Conclusiones: hay correlacion entre la gravedad de los problemas relacionados con el consumo de alcohol y la severidad de los sintomas de salud mental y con el crimen y la violencia en la muestra estudiada. Los resultados enfatizan la necesidad de un caracter interdisciplinario e intersectorial de atencion al usuario de alcohol y otras drogas, ya que viven en un ambiente de vulnerabilidad social.Objective: to investigate the correlation between disorders related to the use of alcohol and other drugs and symptoms of mental disorders, problems related to crime and violence and to age and gender. Methods: cross-sectional descriptive study carried out with 128 users of a Psychosocial Care Center for Alcohol and other Drugs, in the city of São Paulo, interviewed by means of the instrument entitled Global Appraisal of Individual Needs - Short Screener. Univariate and multiple linear regression models were used to verify the correlation between the variables. Results: using univariate regression models, internalizing and externalizing symptoms and problems related to crime/violence proved significant and were included in the multiple model, in which only the internalizing symptoms and problems related to crime and violence remained significant. Conclusions: there is a correlation between the severity of problems related to alcohol use and severity of mental health symptoms and crime and violence in the study sample. The results emphasize the need for an interdisciplinary and intersectional character of attention to users of alcohol and other drugs, since they live in a socially vulnerable environment.