Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?

Detalhes bibliográficos
Autor(a) principal: Wandekoken, Kallen Dettmann
Data de Publicação: 2022
Outros Autores: Dalbello-Araujo, Maristela
Tipo de documento: Artigo
Idioma: por
Título da fonte: Trabalho, Educação e Saúde (Online)
Texto Completo: https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1278
Resumo: The article presents the different positions the current Brazilian public policies have on alcohol and drug abuse and discusses the possible effects such differences could have on the healthcare worker's performance. It is the outcome of documentary research on these policies, such as ordinances, laws, and decrees from 1938 to those currently in effect. We chose to list them chronologically, considering the two main political positions: 1. Focus on public security and justice; 2. focus on public health. We found that in this period there was a clear attempt to make a paradigm shift in order to include use prevention and treatment. However, the policies and the common sense still bear strong signs of idealistic views of a world free of drugs which are derived from moralistic, intolerant, and authoritarian concepts such as the war on drugs, repression, and reductions in supply. It is in this context that public health professionals, especially those working in psychosocial alcohol and drug abuse care centers, face the challenge and experience the subjective effects of everyday work at the face of so many differences and contradictions.
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spelling Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?Trabajo en los centros de atención psicosocial alcohol y drogas y las políticas públicas: ¿qué camino seguir?Trabalho nos centros de atenção psicossocial álcool e drogas e as políticas públicas: que caminho seguir?políticacentros de atenção psicossocialtrabalhadorespolicypsychossocial care centersworkerspolíticacentros de atención psicosocialtrabajadoresThe article presents the different positions the current Brazilian public policies have on alcohol and drug abuse and discusses the possible effects such differences could have on the healthcare worker's performance. It is the outcome of documentary research on these policies, such as ordinances, laws, and decrees from 1938 to those currently in effect. We chose to list them chronologically, considering the two main political positions: 1. Focus on public security and justice; 2. focus on public health. We found that in this period there was a clear attempt to make a paradigm shift in order to include use prevention and treatment. However, the policies and the common sense still bear strong signs of idealistic views of a world free of drugs which are derived from moralistic, intolerant, and authoritarian concepts such as the war on drugs, repression, and reductions in supply. It is in this context that public health professionals, especially those working in psychosocial alcohol and drug abuse care centers, face the challenge and experience the subjective effects of everyday work at the face of so many differences and contradictions.El artículo presenta diferentes posiciones de las políticas públicas brasileñas vigentes relacionadas con el uso de alcohol y drogas, y discute las posibles repercusiones que tales divergencias pueden conllevar para la actuación del trabajador de la salud. Se trata del resultado de investigación documental sobre estas políticas tales como ordenanzas, leyes y decretos, a partir de 1938, hasta las actualmente vigentes. Se optó por presentarlas en forma cronológica, cosiderando dos posiciones políticas principales: 1. foco en la seguridad pública y la justicia; 2. foco en la salud pública. Se constató que en ese período hubo una clara intención de cambio de paradigma, con el fin de abarcar la prevención del uso y el tratamiento. Sin embargo, todavía se observa en las políticas y en el sentido común, la presencia de fuertes rasgos de ideales de un mundo libre de drogas, a partir de conceptos moralistas, intolerantes y autoritarios como de la guerra a las drogas, represión y reducción de la oferta. Es en este contexto que los profesionales de la salud pública, especialmente aquellos que trabajan en los centros de atención psicosocial de alcohol y drogas, enfrentan el gran desafío y vivencian efectos subjetivos en la actuación cotidiana frente a tantas divergencias y contradicciones.O artigo apresenta diferentes posicionamentos das políticas públicas brasileiras vigentes relacionadas ao uso de álcool e drogas e discute possíveis repercussões que tais divergências podem trazer para a atuação do trabalhador da área de saúde. Trata-se do resultado de pesquisa documental sobre essas políticas, tais como portarias, leis e decretos a partir de 1938 até aquelas vigentes atualmente. Optou-se por elencá-las de forma cronológica, considerando os dois principais posicionamentos políticos: 1. foco na segurança pública e justiça; 2. foco na saúde pública. Constatou-se que neste período houve uma clara tentativa de mudança de paradigma, de forma a abranger a prevenção ao uso e tratamento. No entanto, ainda se verifica nas políticas e, no senso comum, a presença de fortes traços de ideais de um mundo livre das drogas, a partir de conceitos moralistas, intolerantes e autoritários como da guerra às drogas, repressão e redução da oferta. É neste contexto que os profissionais da saúde pública, em especial aqueles que atuam nos centros de atenção psicossocial álcool e drogas, enfrentam o grande desafio e vivenciam efeitos subjetivos no cotidiano de atuação frente a tantas divergências e contradições.Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz2022-08-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigo Avaliado pelos paresapplication/pdfhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/127810.1590/1981-7746-sol00003Trabalho, Educação e Saúde; v. 13 n. supl.1 (2015)1981-7746reponame:Trabalho, Educação e Saúde (Online)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1278/456Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venânciohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessWandekoken, Kallen Dettmann Dalbello-Araujo, Maristela 2022-08-26T14:52:47Zoai:ojs.pkp.sfu.ca:article/1278Revistahttps://www.tes.epsjv.fiocruz.br/index.php/tesPUBhttps://www.tes.epsjv.fiocruz.br/index.php/tes/oairevtes@fiocruz.br1981-77461678-1007opendoar:2024-03-06T13:01:17.776238Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?
Trabajo en los centros de atención psicosocial alcohol y drogas y las políticas públicas: ¿qué camino seguir?
Trabalho nos centros de atenção psicossocial álcool e drogas e as políticas públicas: que caminho seguir?
title Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?
spellingShingle Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?
Wandekoken, Kallen Dettmann
política
centros de atenção psicossocial
trabalhadores
policy
psychossocial care centers
workers
política
centros de atención psicosocial
trabajadores
title_short Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?
title_full Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?
title_fullStr Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?
title_full_unstemmed Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?
title_sort Working at psychosocial alcohol and drug care centers and public policies: which is the way forward?
author Wandekoken, Kallen Dettmann
author_facet Wandekoken, Kallen Dettmann
Dalbello-Araujo, Maristela
author_role author
author2 Dalbello-Araujo, Maristela
author2_role author
dc.contributor.author.fl_str_mv Wandekoken, Kallen Dettmann
Dalbello-Araujo, Maristela
dc.subject.por.fl_str_mv política
centros de atenção psicossocial
trabalhadores
policy
psychossocial care centers
workers
política
centros de atención psicosocial
trabajadores
topic política
centros de atenção psicossocial
trabalhadores
policy
psychossocial care centers
workers
política
centros de atención psicosocial
trabajadores
description The article presents the different positions the current Brazilian public policies have on alcohol and drug abuse and discusses the possible effects such differences could have on the healthcare worker's performance. It is the outcome of documentary research on these policies, such as ordinances, laws, and decrees from 1938 to those currently in effect. We chose to list them chronologically, considering the two main political positions: 1. Focus on public security and justice; 2. focus on public health. We found that in this period there was a clear attempt to make a paradigm shift in order to include use prevention and treatment. However, the policies and the common sense still bear strong signs of idealistic views of a world free of drugs which are derived from moralistic, intolerant, and authoritarian concepts such as the war on drugs, repression, and reductions in supply. It is in this context that public health professionals, especially those working in psychosocial alcohol and drug abuse care centers, face the challenge and experience the subjective effects of everyday work at the face of so many differences and contradictions.
publishDate 2022
dc.date.none.fl_str_mv 2022-08-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigo Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1278
10.1590/1981-7746-sol00003
url https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1278
identifier_str_mv 10.1590/1981-7746-sol00003
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.tes.epsjv.fiocruz.br/index.php/tes/article/view/1278/456
dc.rights.driver.fl_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Fundação Oswaldo Cruz, Escola Politécnica de Saúde Joaquim Venâncio
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
publisher.none.fl_str_mv Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz
dc.source.none.fl_str_mv Trabalho, Educação e Saúde; v. 13 n. supl.1 (2015)
1981-7746
reponame:Trabalho, Educação e Saúde (Online)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Trabalho, Educação e Saúde (Online)
collection Trabalho, Educação e Saúde (Online)
repository.name.fl_str_mv Trabalho, Educação e Saúde (Online) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv revtes@fiocruz.br
_version_ 1798943471523856384

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