Substance use disorders and social functioning from an occupational perspective: a pre and post-study

• Autor(a) principal: Moreira, Samantha Ferreira da Costa
• Data de Publicação: 2023
• Outros Autores: Nakano, Eduardo Yoshio, Santos, Helton Saulo Bezerra dos, Oliveira, Karina Diniz, Miranda, Kleverson Gomes de, Fonseca, Rafaela Maria Alves Martins, Gallassi, Andrea Donatti
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Cadernos Brasileiros de Terapia Ocupacional
• Texto Completo: https://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/3476
• topic: Substance Use Disorders; Psychosocial Support Systems; Mental Health Services; Occupational Therapy; Brazil; Transtornos Relacionados ao Uso de Substâncias; Sistemas de Apoio Psicossocial; Centro de Atenção Psicossocial; Terapia Ocupacional; Brasil

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.