Thesis (M.Soc.Sc.)--University of Hong Kong, 1998. / Includes bibliographical references (leaves 85-90) Also available in print.

Thesis (M. Soc. Sc.)--University of Hong Kong, 1998. / Includes bibliographical references (leaves 85-90).

published_or_final_version / Sociology / Master / Master of Social Sciences

M.Cur. (Psychiatric Nursing) / In local communities, young people use different substances for reasons known to them alone. This research study is about young people who are aged between 18 and 30 years, who smoke cannabis and are mentally ill. Mostly the parents of these young people, as well as other members of the family, the neighbours and the community at large experience many challenges resulting from cannabis smoking. The objectives of this study were to explore and describe the experiences of parents living with mental health care users smoking cannabis and to issue guidelines for the advanced psychiatric nurse practitioner to facilitate the mental health of parents living with mental health care users smoking cannabis in the context under study. A qualitative research design that was exploratory, descriptive and contextual was followed to achieve the aim and objectives of the study. Purposive sampling was used for sample selection based on inclusion criteria. The number of participants selected for this study was guided by data saturation. The total number of participants selected for this study was seven. The data collection methods used were phenomenological interviews, observation and field notes. In the phenomenological interview, the participant was asked: “How is it for you living with a mental health care user smoking cannabis?” The phenomenological interviews were audiotaped and transcribed. The researcher and an independent coder analysed the transcribed phenomenological interviews and field notes. The researcher used Tesch’s method of data analysis (Creswell, 2007:157) in analysing the data. The measures to ensure trustworthiness in this study include credibility, dependability, confirmability, transferability and authenticity. The seven ethical principles of competence of the researcher, right to self-determination, right to privacy, right to autonomy and confidentiality, right to protection from exploitation and obtaining informed consent guided this study ...

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2017-06-22T12:19:46Z No. of bitstreams: 1 Sandra Regina Martins Caldas.pdf: 1508699 bytes, checksum: 748d89be44fc628649fefa233d65bac7 (MD5) / Made available in DSpace on 2017-06-22T12:19:46Z (GMT). No. of bitstreams: 1 Sandra Regina Martins Caldas.pdf: 1508699 bytes, checksum: 748d89be44fc628649fefa233d65bac7 (MD5) Previous issue date: 2017-06-13 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This study aims to assess the Nar-Anon anonymous mutual-aid family groups of drug addicts based on reviews from interviewees experiences with members of this brotherhood in the city of São Paulo. What values are incorporated by its members? How do such groups achieve their primary goal of providing support to addicts’ family members? This research was conducted based on the use of semi-structured interviews as well as a bibliographic study on the structure of these groups, an ethnographic analysis on the experience within the Nar-Anon groups considering the material collected through the interviews alongside the researcher's own experience over eight years of attendance in two rooms of the brotherhood in the city, between 2008 and 2016.Therefore, emphasis is placed on the sense attributed by the group to recovery and spirituality for the construction of a new way of live coexisting with the chemical dependency syndrome. The approach adopted here will be that of Magnani, for whom looking close up and within (2002) allows one the apprehension of behaviors and meanings, for that matter, turning to a look from outside and from a distance for a broadened understanding of these groups as a totality. Authors like Foucault, Le Breton, Goffman, Novaes, and Campbell provide a critical view on the collected material / Este projeto tem por objetivo investigar os grupos anônimos de mutua ajuda para familiares de dependentes químicos – Nar-Anon, a partir de análises de vivências experimentadas por entrevistados junto a frequentadores da irmandade na cidade de São Paulo. Que valores são incorporados por seus membros? De que forma conseguem tais grupos praticar seu objetivo primordial que é o de prestar ajuda a familiares de dependentes químicos? Esta pesquisa optou por entrevistas semi-estruturadas bem como de um estudo bibliográfico sobre a estrutura desses grupos, uma análise etnográfica sobre a vivência dentro dos grupos de Nar-Anon a partir do material coletado através das entrevistas bem como da experiência da própria pesquisadora ao longo de oito anos de participação em duas salas da irmandade na cidade, entre 2008 e 2016. Assim, busca-se ênfase no sentido, atribuído pelo grupo, à recuperação e espiritualidade para a construção de uma nova maneira de viver dentro da convivência com a síndrome da dependência química. A perspectiva adotada será a de Magnani, para quem o olhar de perto de dentro (2002), permite a apreensão de comportamentos e significados, para aí sim, se passar a um olhar de fora e de longe para a compreensão destes grupos enquanto totalidade. Autores Como Foucault, Le Breton, Goffman, Novaes e Campbell propiciam um olhar crítico sobre o material coletado

Chemical substance abuse is a major problem affecting young people of all races, in particular teenagers, not only in South Africa but globally as well. Although this phenomenon continues to be a serious condition that impacts on teenagers’ growth, learning and relationships with their parents, there is limited knowledge-based research on the experiences, challenges and coping strategies of parents living with teenagers abusing chemical substances. A qualitative research approach was employed to explore, describe and contextualize the experiences, challenges and coping strategies of parents living with teenagers abusing chemical substances in Ramotse, Hammanskraal in Gauteng Province. The researcher used purposive and snowball sampling methods to draw the sample. Data was collected through the semi-structured interviews and analysed using Tesch’s eight steps (Creswell, 2009). Data was verified against four criteria developed by Guba and Lincoln’s model to test the trustworthiness of a qualitative research study. The ethical considerations adhered to throughout this study were informed consent, anonymity, confidentiality, debriefing of participants and management of information. The findings confirm that there is lack of support for parents living with teenagers abusing chemical substance. From the findings, recommendations for policy, education, practice and future research were made. The results were disseminated by means of a written research report to management of SANCA and the participants. / Social Work / M. A. (Social Work)

The proposed research aims to explore and describe the experiences, challenges and coping strategies of fathers, parenting children, abusing illegal substances. The use and abuse of illegal substances became national and global dilemmas. The impact and damage caused when drugs are widely used over time is irreversible, as it influences the lives of users and those of their families, their communities, and the country. This research provides an opportunity for fathers, parenting children, abusing illegal substances to share their experiences and challenges. Data are collected by conducting in-depth and face-toface interviews with the participants. The collected data are analysed by following the eight steps of Tesch in Creswell (2009:186). Data are analysed using Lincoln and Guba’s model of trustworthiness of qualitative research for validation. The study endeavours to obtain an understanding of the experiences and challenges encountered by fathers, parenting children, abusing illegal substances and how social workers could assist in addressing this dilemma. / Social Work / M.A. (Social Work)

O consumo de crack tem se constituído numa problemática de saúde pública pelas diversas consequências individuais, familiares e sociais que provoca. O objetivo desse estudo foi investigar a relação entre a perspectiva de suporte familiar de usuários de crack, de familiares e de técnicos sociais do Programa ATITUDE, analisando as possíveis implicações dessas percepções na assistência aos usuários e seus familiares. Optou-se por desenvolver a dissertação na modalidade artigos. No primeiro artigo, foi realizada uma revisão narrativa baseada em 23 artigos pesquisados nas bases de dados BVS, Scielo Periódicos e ScienceDirect, no intuito de avaliar as contribuições dos estudos às estratégias públicas de enfrentamento ao crack. Os critérios adotados para a seleção dos artigos foram: 1) artigos sobre "crack e políticas públicas", publicados nos últimos cinco anos e, 2) estudos com a população ou sobre a política pública brasileira. Como resultado foram incluídos nove artigos epidemiológicos, três sobre clinica das drogas, três sobre contextos de uso e violência, sete sobre representação social e mídia e um sobre família. Aspectos como mudança na assistência comunitária, políticas intersetoriais, vigilância e controle epidemiológicos, melhor integração entre os organismos que trabalham para a redução da demanda e aumento de pesquisas clínicas, foram ressaltados como importantes para a proposição de políticas públicas. O segundo artigo vem atender ao objetivo principal do estudo, sendo realizado com 62 participantes. Inicialmente foi aplicado em 46 usuários de crack, vinculados ao Programa ATITUDE, o Inventário de Percepção de Suporte Familiar (ISPF), que apresentou uma elevada consistência interna (&#945;=0,88). Na segunda fase, foi realizada uma entrevista semi-estruturada com oito usuários selecionados entre os 46 iniciais, quatro familiares e 12 técnicos sociais do programa. A média de idade desses usuários foi de 30 anos (DP=6,98), cujo perfil sociodemográfico remete a usuários, em sua maioria: não casados (78,3%), que residiam sozinhos (52,2%), com ensino fundamental incompleto (63%), advindos de famílias sem convivência entre os pais (65,2%) e que responderam ao IPSF com referência à família de origem (87%). Foram encontradas correlações significativas entre morar sozinho e ter uma baixa percepção de suporte familiar (r=0,324; p=0,05). A análise por fator, também evidenciou uma correlação significativa entre o Fator 1 (afetivo-consistente) e tipo de família (r=0,460; p=0,01) e com quem reside (r=0,309; p=0,05). Na etapa qualitativa, foi realizada uma análise de conteúdo temática, revelando-se, em linhas gerais, quatro temáticas principais para usuários e familiares, quais sejam: influência familiar, relacionamento familiar, lidar com problemas e expressão de sentimento. Para os técnicos, foram identificadas outras quatro temáticas: contribuição familiar, atividades terapêuticas, abordagem à família e relato de experiência. A predominância da percepção de um baixo suporte familiar (t (44) = -4,428; p<0,05), evidenciada na análise quantitativa, foi consoante com a fala dos demais participantes durante a entrevista. Em consonância com a literatura, neste estudo também se constatou a predominância do apoio materno e a influência dos pares se sobrepondo à da família na relação dos usuários com o crack. Discute-se, à luz da Teoria Social Cognitiva, a influência que a autoeficácia familiar e a modelação social exercem sobre o consumo de substâncias. Essa reflexão nos revela a importância de se efetivar uma proposição já contemplada na Política Nacional de Assistência Social, que remete a um olhar mais sistêmico sobre a questão do consumo do crack, contemplando tanto as necessidades do usuário como de seus familiares. Acredita-se que os paradigmas poderão ser aprimorados no sentido de favorecer novos modelos de políticas na atenção aos usuários de drogas, em especial de crack. / Crack usage has constituted a public health problem by the various individual, family and social consequences it causes. The aim of this study is to investigate the relationship between family support perspective of crack users, family and social technicians from the ATTITUDE program, analyzing the possible implications of these perceptions on the assistance for users and their families. We chose to develop the thesis in the format of articles. In the first article, we reviewed narratives based on 23 articles surveyed in the VHL databases Scielo Journals and Science Direct, in order to assess the contributions of these studies to public coping strategies with crack. The criteria adopted for the selection of items were: 1) articles on "crack and public policy," published in the last five years, and 2) studies with the population or on the Brazilian public policy. As a result, it was included nine epidemiological articles, three on clinical drug, three on contexts of use and violence, seven on social representation and media and one about family. Aspects such as change in Community assistance, intersectional policies, surveillance and epidemiological control, better integration between organizations working to reduce demand and increase in clinical research, were highlighted as important in proposing public policies. The second article is an answer to the main objective of the study, being conducted with 62 participants. Initially, it was applied to 46 crack users, linked to the Program ATTITUDE. Inventory of Family Support Perception (ISPF), which showed a high internal consistency (&#945; = 0.88). In the second phase, a semi-structured interview with eight selected users was conducted between the 46 initial four families and 12 social workers program. The average age of these users was 30 years (SD = 6.98), whose socio-demographic profile refers to users, mostly: not married (78.3%), who lived alone (52.2%), with incomplete primary education (63%) coming from families without coexistence between parents (65.2%) who responded to the IPSF with reference to the family of origin (87%). Significant correlations were found between living alone and having a low perception of family support (r = 0.324; p = 0.05). The factor analysis also showed a significant correlation between Factor 1 (affective-consistent), and family (r = 0.460; p = 0.01) and with whom resides (r = 0.309; p = 0.05). In the qualitative stage, a content analysis was performed, revealing themselves, in general, four main themes for users and families, such as: family influence, family relationships, dealing with problems and expression of feelings. For technicians, four other themes were identified: family contribution, therapeutic activities, approach to family and experience report. The predominance of the perception of a low family support (t (44) = -4.428, p <0.05), as evidenced in the quantitative analysis, was consonant with the speech of the other participants during the interview. In line with the literature, this study also found the prevalence of maternal support and peer influence overlapping the familys as observed in the link of users with crack. It is argued in the light of Social Cognitive Theory, the influence family self-efficacy and social modeling have on substance use. This reflection reveals the importance of executing a proposition already included in the National Policy for Social Assistance, which refers to a more systemic view on the issue of crack consumption, covering both user needs and their families. It is believed that the paradigms can be improved in order to encourage new policy models in the care of drug users, especially crack.

Made available in DSpace on 2017-06-01T18:09:01Z (GMT). No. of bitstreams: 1 michelle_maria_campos_carvalho.pdf: 1914610 bytes, checksum: 65ba75d624b499bc0b0b33badcdde2c9 (MD5) Previous issue date: 2016-07-19 / Crack usage has constituted a public health problem by the various individual, family and social consequences it causes. The aim of this study is to investigate the relationship between family support perspective of crack users, family and social technicians from the ATTITUDE program, analyzing the possible implications of these perceptions on the assistance for users and their families. We chose to develop the thesis in the format of articles. In the first article, we reviewed narratives based on 23 articles surveyed in the VHL databases Scielo Journals and Science Direct, in order to assess the contributions of these studies to public coping strategies with crack. The criteria adopted for the selection of items were: 1) articles on "crack and public policy," published in the last five years, and 2) studies with the population or on the Brazilian public policy. As a result, it was included nine epidemiological articles, three on clinical drug, three on contexts of use and violence, seven on social representation and media and one about family. Aspects such as change in Community assistance, intersectional policies, surveillance and epidemiological control, better integration between organizations working to reduce demand and increase in clinical research, were highlighted as important in proposing public policies. The second article is an answer to the main objective of the study, being conducted with 62 participants. Initially, it was applied to 46 crack users, linked to the Program ATTITUDE. Inventory of Family Support Perception (ISPF), which showed a high internal consistency (&#945; = 0.88). In the second phase, a semi-structured interview with eight selected users was conducted between the 46 initial four families and 12 social workers program. The average age of these users was 30 years (SD = 6.98), whose socio-demographic profile refers to users, mostly: not married (78.3%), who lived alone (52.2%), with incomplete primary education (63%) coming from families without coexistence between parents (65.2%) who responded to the IPSF with reference to the family of origin (87%). Significant correlations were found between living alone and having a low perception of family support (r = 0.324; p = 0.05). The factor analysis also showed a significant correlation between Factor 1 (affective-consistent), and family (r = 0.460; p = 0.01) and with whom resides (r = 0.309; p = 0.05). In the qualitative stage, a content analysis was performed, revealing themselves, in general, four main themes for users and families, such as: family influence, family relationships, dealing with problems and expression of feelings. For technicians, four other themes were identified: family contribution, therapeutic activities, approach to family and experience report. The predominance of the perception of a low family support (t (44) = -4.428, p <0.05), as evidenced in the quantitative analysis, was consonant with the speech of the other participants during the interview. In line with the literature, this study also found the prevalence of maternal support and peer influence overlapping the family s as observed in the link of users with crack. It is argued in the light of Social Cognitive Theory, the influence family self-efficacy and social modeling have on substance use. This reflection reveals the importance of executing a proposition already included in the National Policy for Social Assistance, which refers to a more systemic view on the issue of crack consumption, covering both user needs and their families. It is believed that the paradigms can be improved in order to encourage new policy models in the care of drug users, especially crack. / O consumo de crack tem se constituído numa problemática de saúde pública pelas diversas consequências individuais, familiares e sociais que provoca. O objetivo desse estudo foi investigar a relação entre a perspectiva de suporte familiar de usuários de crack, de familiares e de técnicos sociais do Programa ATITUDE, analisando as possíveis implicações dessas percepções na assistência aos usuários e seus familiares. Optou-se por desenvolver a dissertação na modalidade artigos. No primeiro artigo, foi realizada uma revisão narrativa baseada em 23 artigos pesquisados nas bases de dados BVS, Scielo Periódicos e ScienceDirect, no intuito de avaliar as contribuições dos estudos às estratégias públicas de enfrentamento ao crack. Os critérios adotados para a seleção dos artigos foram: 1) artigos sobre "crack e políticas públicas", publicados nos últimos cinco anos e, 2) estudos com a população ou sobre a política pública brasileira. Como resultado foram incluídos nove artigos epidemiológicos, três sobre clinica das drogas, três sobre contextos de uso e violência, sete sobre representação social e mídia e um sobre família. Aspectos como mudança na assistência comunitária, políticas intersetoriais, vigilância e controle epidemiológicos, melhor integração entre os organismos que trabalham para a redução da demanda e aumento de pesquisas clínicas, foram ressaltados como importantes para a proposição de políticas públicas. O segundo artigo vem atender ao objetivo principal do estudo, sendo realizado com 62 participantes. Inicialmente foi aplicado em 46 usuários de crack, vinculados ao Programa ATITUDE, o Inventário de Percepção de Suporte Familiar (ISPF), que apresentou uma elevada consistência interna (&#945;=0,88). Na segunda fase, foi realizada uma entrevista semi-estruturada com oito usuários selecionados entre os 46 iniciais, quatro familiares e 12 técnicos sociais do programa. A média de idade desses usuários foi de 30 anos (DP=6,98), cujo perfil sociodemográfico remete a usuários, em sua maioria: não casados (78,3%), que residiam sozinhos (52,2%), com ensino fundamental incompleto (63%), advindos de famílias sem convivência entre os pais (65,2%) e que responderam ao IPSF com referência à família de origem (87%). Foram encontradas correlações significativas entre morar sozinho e ter uma baixa percepção de suporte familiar (r=0,324; p=0,05). A análise por fator, também evidenciou uma correlação significativa entre o Fator 1 (afetivo-consistente) e tipo de família (r=0,460; p=0,01) e com quem reside (r=0,309; p=0,05). Na etapa qualitativa, foi realizada uma análise de conteúdo temática, revelando-se, em linhas gerais, quatro temáticas principais para usuários e familiares, quais sejam: influência familiar, relacionamento familiar, lidar com problemas e expressão de sentimento. Para os técnicos, foram identificadas outras quatro temáticas: contribuição familiar, atividades terapêuticas, abordagem à família e relato de experiência. A predominância da percepção de um baixo suporte familiar (t (44) = -4,428; p<0,05), evidenciada na análise quantitativa, foi consoante com a fala dos demais participantes durante a entrevista. Em consonância com a literatura, neste estudo também se constatou a predominância do apoio materno e a influência dos pares se sobrepondo à da família na relação dos usuários com o crack. Discute-se, à luz da Teoria Social Cognitiva, a influência que a autoeficácia familiar e a modelação social exercem sobre o consumo de substâncias. Essa reflexão nos revela a importância de se efetivar uma proposição já contemplada na Política Nacional de Assistência Social, que remete a um olhar mais sistêmico sobre a questão do consumo do crack, contemplando tanto as necessidades do usuário como de seus familiares. Acredita-se que os paradigmas poderão ser aprimorados no sentido de favorecer novos modelos de políticas na atenção aos usuários de drogas, em especial de crack.