ResumoContexto: O consumo de álcool e drogas constitui-se em uma problemática mundial. A exclusão e a ausência de políticas específicas que marcaram a saúde pública brasileira demonstram a necessidade de reversão dos modelos assistenciais para contemplar as reais necessidades dos usuários que apresentam transtornos decorrentes do consumo de álcool e drogas. O desafio de formular uma política específica de prevenção, tratamento e reabilitação numa lógica que permita a singularidade e a reinserção social dos indivíduos tem sido tema dos diversos estudos nessa área. Objetivos: Identificar a utilização e compreensão do conceito da reabilitação psicossocial na atenção aos problemas associados ao consumo de álcool e drogas. Métodos: Revisão bibliográfica do banco de dados MEDLINE, de 1997 a 2007, sobre a reabilitação psicossocial no campo da atenção aos transtornos decorrentes do consumo de álcool e outras drogas. Resultados: Foram selecionados dez artigos que apresentavam similaridade com o tema. Conclusões: Encontramos os termos "suporte social" e "apoio social", que fazem referência à importância da rede social na recuperação do usuário de álcool e outras drogas, assim como a reabilitação psicossocial determina a importância da rede social do indivíduo como um de seus eixos. , P.H. et al. / Rev. Psiq. Clín 35, supl 1; 82-88, 2008 Palavras-chave: Reabilitação psicossocial, álcool, drogas. Pinho AbstractContext: The consumption of alcohol and drugs constitutes a worldwide problem. Exclusion and lack of specific policies for those who suffer with drug and alcohol dependency has marked Brazilian public health policy and demonstrated the need for change in the service models in order to contemplate the real needs of those with alcohol and drug abuse disorders. The challenge of formulating a specific prevention, treatment and rehabilitation policy within a framework that considers individuality and allows social reinsertion of individuals has been the subject of numerous studies in this area. Objectives: To identify the use and understanding of the concept of psychosocial rehabilitation associated with the problems of alcohol and drug abuse. Methods: Literature review in the MEDLINE database between 1997 and 2007 on psychosocial rehabilitation, specifically in the cases of alcohol and drug use disorders. Results: Ten articles were selected based on their pertinence to the subject. Conclusions: We found the term "social support" which refers to the importance of a social network to help the patient recovering from alcohol and drug addiction, just as the psychosocial rehabilitation -which determines the importance of the individual's social network -is one of its bases.Pinho, P.H. et al. / Rev. Psiq. Clín 35, supl 1; 82-88, 2008

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.

Objective: To analyze the work process and its impact on nursing professionals in a mental health service for the care of drug users. Methods: Cross-sectional study including nursing professionals in a community mental health service. The research instrument was the SATIS-BR and a questionnaire with analysis categories of the work performed. Dialectic hermeneutics was used for the qualitative data. Data were processed and analyzed using the Statistical Package for the Social Sciences. Results: The work overloads identified have interfered with the satisfaction experienced by workers and reflected in their physical and mental health. Conclusion: In their work process, nursing professionals were exposed to all work overloads, with mental burnout more intense than the physical, reflecting in dissatisfaction with the work activity and in workers' physical health. ResumoObjetivo: Analisar o processo de trabalho e seu impacto nos profissionais de Enfermagem em serviço de saúde mental destinado à atenção aos usuários de substâncias psicoativas. Métodos: Estudo transversal que incluiu os profissionais de enfermagem em um serviço de saúde mental comunitário. O instrumento de pesquisa foi o SATIS-BR e um questionário com as categorias de análise do trabalho realizado. Para os dados qualitativos, empregou-se a hermenêutica dialética. Os dados foram processados e analisados no programa Statistical Package for Social Sciences. Resultados: Foram identificadas sobrecargas de trabalho que interferiram na satisfação percebida pelos trabalhadores e refletiram em sua saúde física e psíquica. Conclusão: Os profissionais de Enfermagem, em seu processo de trabalho, estiveram expostos a todas as cargas de desgaste, sendo o desgaste psíquico mais intenso que o físico, o qual refletiu na insatisfação com a atividade laboral e na saúde física dos trabalhadores.

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.