Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization

Introduction: The scope of care and adherence to treatment of adolescent users of psychoactive substances (PAS) is a challenge for professionals and researchers. Understanding the situational contexts and itineraries taken by adolescents can assist in searching for solutions to this problem. Objecti...

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Authors: Pereira, Natália Alonso, Silva, Meire Luci da, Matsukura, Thelma Simões
Format: article
Status:Published version
Publication Date:2023
Country:Brasil
Institution:Universidade Federal de São Carlos (UFSCAR-DTO)
Repository:Cadernos Brasileiros de Terapia Ocupacional
Language:Portuguese
English
OAI Identifier:oai:ojs.www.cadernosdeterapiaocupacional.ufscar.br:article/3412
Online Access:https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3412
Access Level:Open access
Keyword:Adolescente
Usuários de Drogas
Transtornos Relacionados ao Uso de Substâncias
Tratamento Psiquiátrico Involuntário
Terapia Ocupacional
Adolescent
Drug Users
Substance Use Disorders
Involuntary Treatment
Psychiatric
Occupational Therapy
id BR_23d59ec30bce032ef2281de45791846a
oai_identifier_str oai:ojs.www.cadernosdeterapiaocupacional.ufscar.br:article/3412
network_acronym_str BR
network_name_str Brasil
repository_id_str
dc.title.none.fl_str_mv Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization
Adolescentes usuários de substâncias psicoativas: experiências e desafios durante a internação psiquiátrica
title Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization
spellingShingle Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization
Pereira, Natália Alonso
Adolescente
Usuários de Drogas
Transtornos Relacionados ao Uso de Substâncias
Tratamento Psiquiátrico Involuntário
Terapia Ocupacional
Adolescent
Drug Users
Substance Use Disorders
Involuntary Treatment
Psychiatric
Occupational Therapy
title_short Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization
title_full Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization
title_fullStr Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization
title_full_unstemmed Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization
title_sort Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalization
dc.creator.none.fl_str_mv Pereira, Natália Alonso
Silva, Meire Luci da
Matsukura, Thelma Simões
author Pereira, Natália Alonso
author_facet Pereira, Natália Alonso
Silva, Meire Luci da
Matsukura, Thelma Simões
author_role author
author2 Silva, Meire Luci da
Matsukura, Thelma Simões
author2_role author
author
dc.subject.por.fl_str_mv Adolescente
Usuários de Drogas
Transtornos Relacionados ao Uso de Substâncias
Tratamento Psiquiátrico Involuntário
Terapia Ocupacional
Adolescent
Drug Users
Substance Use Disorders
Involuntary Treatment
Psychiatric
Occupational Therapy
topic Adolescente
Usuários de Drogas
Transtornos Relacionados ao Uso de Substâncias
Tratamento Psiquiátrico Involuntário
Terapia Ocupacional
Adolescent
Drug Users
Substance Use Disorders
Involuntary Treatment
Psychiatric
Occupational Therapy
description Introduction: The scope of care and adherence to treatment of adolescent users of psychoactive substances (PAS) is a challenge for professionals and researchers. Understanding the situational contexts and itineraries taken by adolescents can assist in searching for solutions to this problem. Objective: Identify the experiences and challenges during psychiatric hospitalization from the perception of adolescent users of PSA. Method: This is an exploratory, qualitative study conducted with four adolescents with a history of psychiatric hospitalization, linked to two Psychosocial Care Centers – alcohol and other drugs (CAPSad) in different cities in the interior of the state of São Paulo, Brazil. Data were collected through semistructured interviews on substance use, life paths and context, therapeutic itinerary, and experiences during hospitalization. The responses were fully transcribed and analyzed using Bardin’s Content Analysis method. Results: The results showed an early start of PAS use, experiences of PAS abuse, vulnerability in the socio-family context, and a history of involuntary hospitalizations. The main challenges experienced and reported by these adolescents during hospitalization were: confinement associated with the long seclusion period, distance from family, lack of safety, and lack of therapeutic approaches. Conclusion: It has become evident that there is a significant challenge in integrating adolescent users of PAS into the Psychosocial Care Network devices within municipalities, as well as into the processes of coordination and accountability of proper care. There is a discrepancy between what is recommended and indicated in public policies and the premises of psychosocial care versus the actual reality of adolescents in psychiatric hospitals.
publishDate 2023
dc.date.none.fl_str_mv 2023-11-27
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3412
10.1590/2526-8910.ctoAO261434121
url https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3412
identifier_str_mv 10.1590/2526-8910.ctoAO261434121
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3412/3888
https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3412/3889
dc.rights.driver.fl_str_mv Copyright (c) 2023 The Authors
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 The Authors
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Brazilian Journal of Occupational Therapy
Cadernos Brasileiros de Terapia Ocupacional
Cuadernos Brasilenos de Terapia Ocupacional
publisher.none.fl_str_mv Brazilian Journal of Occupational Therapy
Cadernos Brasileiros de Terapia Ocupacional
Cuadernos Brasilenos de Terapia Ocupacional
dc.source.none.fl_str_mv Brazilian Journal of Occupational Therapy; Vol. 31 (2023); e3412
Cadernos Brasileiros de Terapia Ocupacional; v. 31 (2023); e3412
Cuadernos Brasilenos de Terapia Ocupacional; Vol. 31 (2023); e3412
2526-8910
reponame:Cadernos Brasileiros de Terapia Ocupacional
instname:Universidade Federal de São Carlos (UFSCAR-DTO)
instacron:UFSCAR
instname_str Universidade Federal de São Carlos (UFSCAR-DTO)
instacron_str UFSCAR
institution UFSCAR
reponame_str Cadernos Brasileiros de Terapia Ocupacional
collection Cadernos Brasileiros de Terapia Ocupacional
repository.name.fl_str_mv Cadernos Brasileiros de Terapia Ocupacional - Universidade Federal de São Carlos (UFSCAR-DTO)
repository.mail.fl_str_mv cadto@ufscar.br||cadto@ufscar.br
_version_ 1853661816098390016
spelling Adolescent users of psychoactive substances: experiences and challenges during psychiatric hospitalizationAdolescentes usuários de substâncias psicoativas: experiências e desafios durante a internação psiquiátricaAdolescenteUsuários de DrogasTranstornos Relacionados ao Uso de SubstânciasTratamento Psiquiátrico InvoluntárioTerapia OcupacionalAdolescentDrug UsersSubstance Use DisordersInvoluntary TreatmentPsychiatricOccupational TherapyIntroduction: The scope of care and adherence to treatment of adolescent users of psychoactive substances (PAS) is a challenge for professionals and researchers. Understanding the situational contexts and itineraries taken by adolescents can assist in searching for solutions to this problem. Objective: Identify the experiences and challenges during psychiatric hospitalization from the perception of adolescent users of PSA. Method: This is an exploratory, qualitative study conducted with four adolescents with a history of psychiatric hospitalization, linked to two Psychosocial Care Centers – alcohol and other drugs (CAPSad) in different cities in the interior of the state of São Paulo, Brazil. Data were collected through semistructured interviews on substance use, life paths and context, therapeutic itinerary, and experiences during hospitalization. The responses were fully transcribed and analyzed using Bardin’s Content Analysis method. Results: The results showed an early start of PAS use, experiences of PAS abuse, vulnerability in the socio-family context, and a history of involuntary hospitalizations. The main challenges experienced and reported by these adolescents during hospitalization were: confinement associated with the long seclusion period, distance from family, lack of safety, and lack of therapeutic approaches. Conclusion: It has become evident that there is a significant challenge in integrating adolescent users of PAS into the Psychosocial Care Network devices within municipalities, as well as into the processes of coordination and accountability of proper care. There is a discrepancy between what is recommended and indicated in public policies and the premises of psychosocial care versus the actual reality of adolescents in psychiatric hospitals.Introdução: O alcance do cuidado e a adesão ao tratamento de adolescentes usuários de substâncias psicoativas (SPA) é um desafio para profissionais e pesquisadores. Compreender os contextos situacionais e os itinerários percorridos por adolescentes pode auxiliar a busca de soluções para essa problemática. Objetivo: Identificar as experiências e desafios durante a internação psiquiátrica a partir da percepção de adolescentes usuários de SPA. Método: Estudo exploratório, qualitativo com a participação de quatro adolescentes com histórico de internação psiquiátrica, vinculados a dois Centros de Atenção Psicossocial - álcool e outras drogas (CAPSad) em diferentes cidades do interior do Estado de São Paulo, Brasil. Os dados foram coletados por meio de entrevistas semiestruturadas abordando uso de SPA, percursos e contexto de vida, itinerário terapêutico e vivências durante a internação. As respostas foram transcritas na íntegra e analisadas pelo método de Análise de Conteúdo de Bardin. Resultados: Os resultados evidenciaram início precoce do uso de SPA, experiências de uso abusivo de SPA, vulnerabilidade no contexto sociofamiliar e histórico de internações involuntárias. Os principais desafios vivenciados e retratados por esses adolescentes durante a internação foram: confinamento associado ao longo período de reclusão, distanciamento familiar, falta de segurança e carência de abordagens terapêuticas. Conclusão: Evidenciou-se dificuldade de inserção dos adolescentes usuários de SPA nos dispositivos da Rede de Atenção Psicossocial dos municípios, assim como nos processos de articulação e responsabilização do cuidado. Há uma discrepância entre o que está preconizado e indicado nas políticas públicas e nas premissas da atenção psicossocial em comparação com a realidade de adolescentes internados em hospitais psiquiátricos.Brazilian Journal of Occupational TherapyCadernos Brasileiros de Terapia OcupacionalCuadernos Brasilenos de Terapia Ocupacional2023-11-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/341210.1590/2526-8910.ctoAO261434121Brazilian Journal of Occupational Therapy; Vol. 31 (2023); e3412Cadernos Brasileiros de Terapia Ocupacional; v. 31 (2023); e3412Cuadernos Brasilenos de Terapia Ocupacional; Vol. 31 (2023); e34122526-8910reponame:Cadernos Brasileiros de Terapia Ocupacionalinstname:Universidade Federal de São Carlos (UFSCAR-DTO)instacron:UFSCARporenghttps://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3412/3888https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3412/3889Copyright (c) 2023 The Authorshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPereira, Natália AlonsoSilva, Meire Luci daMatsukura, Thelma Simões2024-11-21T19:10:25Zoai:ojs.www.cadernosdeterapiaocupacional.ufscar.br:article/3412Revistahttp://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/indexPUBhttps://old.scielo.br/oai/scielo-oai.phpcadto@ufscar.br||cadto@ufscar.br2526-89102526-8910opendoar:2024-11-21T19:10:25Cadernos Brasileiros de Terapia Ocupacional - Universidade Federal de São Carlos (UFSCAR-DTO)false
score 15.298079

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