Screening and Brief Intervention for the use of alcohol and other drugs

Abstract

Objective: to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances. Method: a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed. Results: the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol. Conclusion: it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.

Risk and Protective Factors for the Use of Illicit Drugs

“…Although frequent use of hypnotics was identified, a scientific study (Abreu et al, 2018) also found a predominance in the use of marijuana, cocaine, and crack (4.2%), as was evidenced among the participants in this investigation.…”

Cannabis use, risk behaviours and harms in Brazil: A comprehensive review of available data indicators

“…Among adults utilising a community‐based health programme in a vulnerable socio‐economic community in Rio de Janeiro state in 2013/2014 ( n = 1031), 8.4% had a lifetime history of cannabis use; 1.2% were considered to have a moderate use risk evaluated by the ASSIST [85]; furthermore, approximately 2% of care‐seeking individuals in the general health unit ( n = 1489) of the same community reported cannabis use in the prior 3 months [86]. Among adult male inpatients ( n = 209) of a psychiatric hospital in Maringá (Paraná) in 2016, 73% reported lifetime use of cannabis, and 16% and 33% of the sample had moderate and high risk related to cannabis use (ASSIST‐based), respectively [87].…”

Usuários de álcool e outras drogas na Rede de Atenção Psicossocial: Cuidado de Enfermagem

“…Assim, podemos destacara como estratégia de intervenção, a utilização de técnicas terapêuticas sucintas e de pequena duração, a exemplo da "Intervenção Breve", uma técnica terapêutica direcionada a mudança de conduta, na busca por redução de danos, ajudando os usuários a perceber que tal uso lhes causam riscos, tornando-se uma motivação para que reduzam ou deixem de consumir tais substâncias. (22) Desse modo, é imprescindível garantir estratégias para o acolhimento aos usuários e que estes se sintam confiantes e estabeleçam vínculos com os profissionais de saúde e os serviços, de modo a viabilizar um cuidado que vá ao encontro das reais necessidades de usuários e famílias. Como outras estratégias destacamos o acolhimento, o PTS, a referência técnica, a visita domiciliar e as reuniões de equipe como importantes ferramentas para a produção do cuidado aos usuários, práticas que requer um comprometimento por parte de toda equipe.…”