Internação compulsória e o cuidado de pessoas que fazem uso de crack

Abstract

The present dissertation has a mixed methods research design combined with a documental feature. From the legal proceedings for involuntary commitment of crack cocaine users, this piece of work aims at reflecting on the interactions of certain institutions (such as family, Unified Health System (SUS), welfare, Judiciary, etc.) in the process of health care provision to drug users. From this general objective, we produced two specific aims, which are the focus of the present dissertation: (a) to analyze academic and legal documents related to the topic of involuntary commitment, and, (b) to build a social and epidemiological listing of the legal proceedings (involuntary commitment requests) involving users of crack cocaine, received in 2013. We produced a social and epidemiological listing of the legal proceedings (involuntary commitment requests) involving drug users received by the 4th Regional Health Division (RHD) in 2013. The analysis of the documents gathered in the 4th RHD was based on descriptive statistical analysis, performed using software IBM SPSS, version 21. Furthermore, this research used Critical Social Psychology and Theories of Social Representation as theoretical and methodological foundations. The present research also used the body of knowledge from authors who focus on the issues related to mental health, drug users (more specifically crack cocaine users) and involuntary commitment. After presenting our methodological choices, the dissertation is organized in four chapters: the first one is entitled: Social representation and drugs ; the second chapter, Brazilian Policies on drugs: what kind of care do I need? ; the third chapter is entitled Involuntary commitment for crack cocaine users ; and the fourth and last chapter s title is Social and Epidemiological listing of legal proceeding of the 4th CRS: results and discussion . We concluded that the discourses contained in the legal proceedings are from people other than the crack cocaine users. Therefore we emphasize the necessity of listening to drug users. It is from their experiences and knowledge that health care will be planned and put into execution. The singular therapeutic project will be effectuated from a warm welcome and a listening without prejudices.