The primary practice adopted to reduce Covid-19 contamination is social distancing (SD). SD had significant consequences on alcohol/drug use, quality of life, and psychosocial aspects. In the university community specifically, SD produces a collective traumatic event with changes in the work routine by the suspension of presence. This study aims to identify and analyze the associations of increased alcohol and marijuana consumption on the quality of life and psychosocial aspects of the university community (students, professors, and technical and administrative staff) at a Brazilian public university during SD due to Covid-19 pandemic. This descriptive and cross-sectional study used an online questionnaire to obtain information from 2790 university community participants. Data were analyzed using IBM SPSS Statistics version 22. The analysis included descriptive associations performed using Spearman’s correlation coefficient and p < 0.05 was taken as statistically significant. The participants’ majority was 62% female, 95.4% students, 73% were 17–25 years old, 33.4% had income between 1 and 3 minimum wage, and 48% of the university community “totally adhered to SD.” The increased alcohol consumption during SD was associated with a worsening in quality of life ( p = 0.001), health satisfaction ( p = 0.015), the meaning of life ( p = 0.040), ability to concentrate ( p = 0.001), satisfaction with yourself ( p = 0.029), and frequency of negative feelings ( p = 0.001); in contrast, increased alcohol use improved satisfaction with peer support ( p = 0.042), as well as increased marijuana use improved satisfaction with sex life ( p < 0.001). The increased alcohol use was higher in women (30.5%) than in men (26.7%) and was negatively associated with more quality of life and psychosocial aspects among women than men. Students were the segment that presented the highest frequency of associations with increased alcohol and/or marijuana use in the three domains analyzed. This study innovated by associating increased alcohol and/or marijuana use with worsening quality of life and psychosocial aspects rather than evaluating them apart. Future studies must identify whether this association between increased alcohol use, mainly, and the worsening quality of life and psychosocial aspects during the SD period is maintained or improved with the return to face-to-face activities at the university, with particular attention to women and students. Psychologists and other mental health professionals should be called upon to develop interventions to meet emerging mental health needs.

O Núcleo Ampliado de Saúde da Família e Atenção Básica (Nasf-Ab) é uma tipologia de equipe multiprofissional da Atenção Primária à Saúde (APS) que foi implementando com objetivo de ampliar o olhar de atuação da estratégia de Saúde da Família, proporcionar uma retaguarda especializada e de aumentar a resolutividade do cuidado. Este estudo tem como objetivo avaliar e compreender as fraquezas, desafios e ameaças dessas equipes no Brasil através da literatura já publicada. Trata-se de uma revisão integrativa com consultas nas bases Scielo, BVS, Periódicos CAPES e LILACS. Como análise, foi utilizada o método de análise de conteúdo. Os achados foram categorizados em 5 temáticas considerando a frequência em que apareciam nos achados. Conclui-se que grande parte dos desafios que perpassam o Nasf-Ab está ligado a um tensionamento entre os modelos de atenção, principalmente o hegemônico, médico-centrado e o modelo da saúde da família, centrado no território, comunitário.

Introduction Improvements in the social functioning (SF) of people experiencing substance use disorders (SUD) can occur even without use discontinuation. Occupational Therapy (OT) performs multifaceted work on it. Objective This study analyzes the SF of people experiencing SUD before and after treatment and the contributions of OT. Method A pre and post-study before and after starting treatment for SUD in a Psychosocial Care Centre - Alcohol and other Drugs (CAPS-AD) in Brasilia, Brazil - was conducted with 35 clients based on an SF questionnaire. A measure of the participant's SF improvement was defined as the difference between the SF before treatment (SFpre) with the SF after treatment (SFafter). The association between SF and sociodemographic variables/drug/previous treatment was verified by linear regression; all analyses considered a significance level <5%. Results Most of the 35 participants were male (83%), 30-49 years old (77%), attended elementary school (57%), unemployed (57%), single (46%), Black (40%), had been treated previously (60%) and had present alcohol use disorder (46%). Overall, people undergoing treatment significantly improved their SF. Multivariate analysis showed that Whites improved their SF more (mean of 18.8± 10.4) than Pardos/Blacks (10.8± 8.7; 14.1± 6.4), and the improvement in SF was lower for participants who were taking treatment for the first time (10.3± 5.7) compared with those who had previous treatment (17.2± 9.4). Conclusion Treatment in CAPS-AD improved the SF of people experiencing SUD, and the OT professional is a key agent in improving SF due to its performance and approach to clients in vulnerable contexts.