Made available in DSpace on 2014-12-17T15:38:50Z (GMT). No. of bitstreams: 1 KatiaCVAB.pdf: 1446099 bytes, checksum: 1566a0ab8e73fa2d8681f190faa7c2ff (MD5) Previous issue date: 2006-05-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The study is a reflexion of the use of drugs among children, pointing that as one of the most serious social problem nowadays. Customize the abuse of drugs reflecting on the childhood and the family s influence of the problem of the children that use drugs, is the main objective of this thesis. Choosing the qualitative method of research, the investigation starts with the reports of the children and mothers assisted at Centro de Refer?ncia e Apoio ? Crian?a e ao Adolescente Usu?rios de Drogas, program of specialized assistance of 1? Vara da Inf?ncia e da Juventude de Natal/RN. The research was done through semi-structured interviews, in a total of six subjects: three children and their respective mothers. Through the reports of the subjects, it is brought theorical reflexions that illustrates their perceptions and conceptions about topics like the usage of drugs, the circumstances the usage of drugs was started, the family s structure and dynamic, the situation on the streets, and other factors that affect the development of a child in her/his environment. It is proved that the usage of drugs in Brazil, problem that has been increasing the number of children affected by, is a multi faceted and complex phenomenon but some factors of social and family risks deserve to be pointed out like the manner of support future actions in the prevention area / O estudo faz uma reflex?o sobre o uso de drogas entre crian?as situando-o como um dos mais graves problemas sociais da atualidade. Caracterizar o abuso de drogas, refletindo sobre sua condi??o de inf?ncia e investigar a influ?ncia da fam?lia no desencadeamento do problema nestas crian?as, se configura como o objetivo central deste trabalho. Optando pelo m?todo de pesquisa qualitativa, a investiga??o se d? a partir dos relatos de crian?as e m?es atendidas pelo Centro de Refer?ncia e Apoio ? Crian?a e ao Adolescente Usu?rios de Drogas, programa de atendimento especializado da 1? Vara da Inf?ncia e da Juventude de Natal/RN. Os dados foram coletados atrav?s de entrevistas semi-estruturadas, com um total de seis sujeitos, sendo tr?s crian?as e suas respectivas m?es. Atrav?s das falas e depoimentos dos sujeitos, busca-se trazer reflex?es te?ricas que ilustrem as percep??es e concep??es deles acerca de temas como o uso de drogas, as circunst?ncias em que se iniciou o uso, a estrutura e din?mica familiares, a situa??o de rua, e outros fatores que comprometem o desenvolvimento da crian?a no meio em que vive. Comprova-se que o uso de drogas no Brasil, problema que acomete cada vez um maior n?mero de crian?as, ? um fen?meno multifacetado e complexo, por?m, alguns fatores de risco sociais e familiares merecem destaque como forma de subsidiar futuras interven??es na ?rea de preven??o

Este trabalho tem por objetivo geral apresentar uma ferramenta computacional auxiliar na gestão dos serviços farmacêuticos bem como alguns resultados alcançados com a sua aplicação na sistematização do atendimento aos usuários do Centro de Atenção Psicossocial álcool e drogas (CAPS ad) do município de Vitória-ES, conhecido como Centro de Prevenção e Tratamento de Toxicômanos (CPTT). O Programa de Gestão em Farmácia Pública (PGFP) Módulo Saúde Mental possui um formato de banco de dados relacional, desenvolvido sob a plataforma Access e possui interface com o gerador de planilhas e gráficos do tipo Excel , aplicáveis a outras farmácias de unidades do tipo CAPS ad. Desde 2004 vem sendo utilizado e aperfeiçoado com uma proposta de informatizar a administração da farmácia, possibilitando a instrumentalização do farmacêutico via emissão de relatórios para a gestão técnica, operacional e estratégica, além de propiciar a avaliação do serviço baseando-se em indicadores sócio demográficos, de morbidade e específicos da Assistência Farmacêutica voltados para o campo da toxicodependência. Para ilustrar o uso do PGFP são apresentados dados pertencentes a 489 prontuários de usuários cadastrados na farmácia no período de janeiro de 2007 a dezembro de 2008, além de 50 prescrições médicas sistematicamente selecionadas para cada ano, coletadas a partir do sistema. Com isso, foi possível elaborar o perfil demográfico, sóciosanitário dos usuários além de aspectos relacionados a Assistência Farmacêutica local. Foi utilizado o programa computacional SPSS 11.5 for Windows para a análise estatística exploratória descritiva (distribuição de freqüências) e inferencial (teste qui-quadrado) dos dados contidos nos prontuários. Dentre algumas dessas análises, observou-se a prevalência do Crack (44%) como substância psicoativa. Revelou que a maioria dos usuários cadastrados são homens (82,4%), com faixa etária prevalente entre 25 e 34 anos (31,7%) e com grau de escolaridade equivalente ao 1 Grau Incompleto (41,3%). Com relação aos aspectos relacionados a Assistência Farmacêutica pode-se observar um No. médio de medicamentos prescritos por receita entre 1,6 1,7 itens/receita; um percentual mínimo de 96% das receitas atendidas na farmácia; e o Clonazepam como o medicamento mais prescrito no período. São citadas algumas limitações do PGFP e dos dados apresentados. Conclui-se o presente estudo fazendo-se alusão a relevância do Programa de Gestão em Farmácia Pública (PGFP), em relação não somente ao seu potencial de uso na gestão estratégica e operacional da Assistência Farmacêutica em Saúde Mental (álcool e drogas), mas fundamentalmente, como importante ferramenta de informação que propicia a elucidação do perfil da drogadição, despertando a percepção para os aspectos ligados à saúde pública e as implicações sócio-econômicas sobre a população em estudo. / The purpose of this study is presenting and proposing the usage of a computer tool as well as some of its practical results after implantation, in order to support the management of the pharmaceutical services and the systematization of the approach methods used in the pharmacy for the patients inscribed for treatment in a Mental Health Unit Alcohol and Drugs department known as CAPS ad. Specifically in the city of Vitória, this Health Unit is known and registered in the Ministry of Health as Centro de Prevenção e Tratamento de Toxicômanos (C.P.T.T.) or Treatment and Prevention Center for Drug addicts. The Community Pharmacy Data Bank for Management (CPDBM) Mental Health Module, has a relational data bank format, developed under an Access platform, with an interface with a spreadsheet and graphic generator Excel type, applicable to the routine of any other Mental Health Units pharmacy. Since 2004 the Data Bank has been used and improved within the purpose of computerization of the pharmacy management, capacitating and sourcing the pharmacist with technical, operational and strategic reports. Furthermore it allows the professional to evaluate the service through social demographic, morbidity and specific Pharmaceutical Assistance indicators. In order to highlight the usage of the CPDBM, it is presented some data extracted from 489 patients files, registered in the pharmacy, from the period of January 2007 till December 2008. Besides, it was systematically selected out of the Data Bank, information originated from 50 dispensed medicals prescriptions referred respectively to 2007 and 2008. With these informations, it became possible to elaborate both social-sanitary and demographic profiles and to describe some aspects related to the local Pharmaceutical Assistance. Either the descriptive exploratory analysis (Frequencys distribuition) or the inferential analysis [ (c2 )Test] of the statistical Data from the patients file, used the SPSS 11.5 for Windows Software. Some of these findings, pointed the prevalence of Crack (44%) as the most treated psycho active substance. It has also revealed that the majority of drug users registered in the service were men (82,4%), with prevalence for the age between 25-34 years old and a formal educational school level equivalent to less than 8 years (41,3%). In relation to the local Pharmaceutical Assistance, it was observed a medium number of medicines per prescription between 1,6-1,7; a minimum rate of 96% for the coverage of dispensed prescriptions in the pharmacy; and Clonazepam as the most prescribed medicine during the analysed period. There will be cited some limitations either from the study or the Data bank itself. Coming to an end of this study, it makes reference to the relevance of the CPDBM, not only in relation to its potential usage for the strategic and operational management of the Pharmaceutical Assistance practice in the public pharmacy inserted in the context of Mental Health (Drug abuse), but also essentially as an important instrument of information which opens the possibility to elucidate the drug addictions profile, awaking the perception for various aspects connected to public health matters and its social economical implications on the focused population.

Este trabalho tem por objetivo geral apresentar uma ferramenta computacional auxiliar na gestão dos serviços farmacêuticos bem como alguns resultados alcançados com a sua aplicação na sistematização do atendimento aos usuários do Centro de Atenção Psicossocial álcool e drogas (CAPS ad) do município de Vitória-ES, conhecido como Centro de Prevenção e Tratamento de Toxicômanos (CPTT). O Programa de Gestão em Farmácia Pública (PGFP) Módulo Saúde Mental possui um formato de banco de dados relacional, desenvolvido sob a plataforma Access e possui interface com o gerador de planilhas e gráficos do tipo Excel , aplicáveis a outras farmácias de unidades do tipo CAPS ad. Desde 2004 vem sendo utilizado e aperfeiçoado com uma proposta de informatizar a administração da farmácia, possibilitando a instrumentalização do farmacêutico via emissão de relatórios para a gestão técnica, operacional e estratégica, além de propiciar a avaliação do serviço baseando-se em indicadores sócio demográficos, de morbidade e específicos da Assistência Farmacêutica voltados para o campo da toxicodependência. Para ilustrar o uso do PGFP são apresentados dados pertencentes a 489 prontuários de usuários cadastrados na farmácia no período de janeiro de 2007 a dezembro de 2008, além de 50 prescrições médicas sistematicamente selecionadas para cada ano, coletadas a partir do sistema. Com isso, foi possível elaborar o perfil demográfico, sóciosanitário dos usuários além de aspectos relacionados a Assistência Farmacêutica local. Foi utilizado o programa computacional SPSS 11.5 for Windows para a análise estatística exploratória descritiva (distribuição de freqüências) e inferencial (teste qui-quadrado) dos dados contidos nos prontuários. Dentre algumas dessas análises, observou-se a prevalência do Crack (44%) como substância psicoativa. Revelou que a maioria dos usuários cadastrados são homens (82,4%), com faixa etária prevalente entre 25 e 34 anos (31,7%) e com grau de escolaridade equivalente ao 1 Grau Incompleto (41,3%). Com relação aos aspectos relacionados a Assistência Farmacêutica pode-se observar um No. médio de medicamentos prescritos por receita entre 1,6 1,7 itens/receita; um percentual mínimo de 96% das receitas atendidas na farmácia; e o Clonazepam como o medicamento mais prescrito no período. São citadas algumas limitações do PGFP e dos dados apresentados. Conclui-se o presente estudo fazendo-se alusão a relevância do Programa de Gestão em Farmácia Pública (PGFP), em relação não somente ao seu potencial de uso na gestão estratégica e operacional da Assistência Farmacêutica em Saúde Mental (álcool e drogas), mas fundamentalmente, como importante ferramenta de informação que propicia a elucidação do perfil da drogadição, despertando a percepção para os aspectos ligados à saúde pública e as implicações sócio-econômicas sobre a população em estudo. / The purpose of this study is presenting and proposing the usage of a computer tool as well as some of its practical results after implantation, in order to support the management of the pharmaceutical services and the systematization of the approach methods used in the pharmacy for the patients inscribed for treatment in a Mental Health Unit Alcohol and Drugs department known as CAPS ad. Specifically in the city of Vitória, this Health Unit is known and registered in the Ministry of Health as Centro de Prevenção e Tratamento de Toxicômanos (C.P.T.T.) or Treatment and Prevention Center for Drug addicts. The Community Pharmacy Data Bank for Management (CPDBM) Mental Health Module, has a relational data bank format, developed under an Access platform, with an interface with a spreadsheet and graphic generator Excel type, applicable to the routine of any other Mental Health Units pharmacy. Since 2004 the Data Bank has been used and improved within the purpose of computerization of the pharmacy management, capacitating and sourcing the pharmacist with technical, operational and strategic reports. Furthermore it allows the professional to evaluate the service through social demographic, morbidity and specific Pharmaceutical Assistance indicators. In order to highlight the usage of the CPDBM, it is presented some data extracted from 489 patients files, registered in the pharmacy, from the period of January 2007 till December 2008. Besides, it was systematically selected out of the Data Bank, information originated from 50 dispensed medicals prescriptions referred respectively to 2007 and 2008. With these informations, it became possible to elaborate both social-sanitary and demographic profiles and to describe some aspects related to the local Pharmaceutical Assistance. Either the descriptive exploratory analysis (Frequencys distribuition) or the inferential analysis [ (c2 )Test] of the statistical Data from the patients file, used the SPSS 11.5 for Windows Software. Some of these findings, pointed the prevalence of Crack (44%) as the most treated psycho active substance. It has also revealed that the majority of drug users registered in the service were men (82,4%), with prevalence for the age between 25-34 years old and a formal educational school level equivalent to less than 8 years (41,3%). In relation to the local Pharmaceutical Assistance, it was observed a medium number of medicines per prescription between 1,6-1,7; a minimum rate of 96% for the coverage of dispensed prescriptions in the pharmacy; and Clonazepam as the most prescribed medicine during the analysed period. There will be cited some limitations either from the study or the Data bank itself. Coming to an end of this study, it makes reference to the relevance of the CPDBM, not only in relation to its potential usage for the strategic and operational management of the Pharmaceutical Assistance practice in the public pharmacy inserted in the context of Mental Health (Drug abuse), but also essentially as an important instrument of information which opens the possibility to elucidate the drug addictions profile, awaking the perception for various aspects connected to public health matters and its social economical implications on the focused population.

Bakgrund: Personer med spelproblem har betydligt oftare suicidtankar, suicidplaner och suicidförsök än den allmänna befolkningen. Spelproblem är ett folkhälsoproblem då det kan ge allvarliga sociala, hälsomässiga och ekonomiska konsekvenser för individen, för närstående och för samhället i stort. Syftet med den kvalitativa studien är att öka kunskapen om spelberoende samt få fördjupad förståelse för de spelfria spelberoendes upplevelser om deras väg till tillfrisknande. Metoden jag har använt mig av är kvalitativt inriktad forskning till följd av att jag vill förstå problemspelares upplevelser och syn på deras livsvärld och på så sätt få detaljrika berättelser. Resultatet av studien är att åtta kvalitativa forskningsintervjuer har genomförts med åtta spelfria spelberoende från tre ideella föreningar i tre olika städer i landet. Intervjumaterialet har därefter analyserats utifrån två teoretiska verktyg; Känsla av sammanhang (KASAM) och stigma. Slutsatsen av studien är att intervjupersonerna hade upplevt personlighetsförändringar där lögn, manipulationer och stjäla pengar blev deras vardag. De levde i sin bubbla för att de kände skam och skuld över att berätta för sina närstående om spelberoendet som orsakade förödande negativa konsekvenser för deras psykiska hälsa, sociala relationer och ekonomi. Vägen mot tillfrisknandet har varit i samband med kapitulationen och stödet från anhöriga men framförallt från självhjälpsgrupperna som har varit avgörande för upprätthållandet av återhållsamheten. / Background: People with gambling problems have significantly more frequent suicidal thoughts, plans and suicide attempts than the general population. Gambling problems are a public health problem as it can have serious social, health and economic consequences for the individual, for relatives and for society as a whole. The purpose of the qualitative study is to increase knowledge about gambling addiction and gain an in-depth understanding of the former gambling addicts´ perceptions and experiences about their path to recovery. The method I have used is qualitative research as a result of the fact that I want to understand problem players' experiences and views of their world of life and thus get detailed stories. The result of the study is that eight qualitative research interviews were conducted with eight former gambling addicts from three non-profit support groups in three different cities in the country. The interview material was then analyzed based on two theoretical tools; Sense of coherence (SOC) and stigma. The conclusion of the study is that the interviewees had experienced personality changes where lying, manipulation and stealing money became their everyday life. They lived in their bubble because they felt ashamed and guilty about telling their loved ones about gambling addiction that caused devastating negative consequences for their mental health, social relationships and finances. The path to recovery has been in connection with the capitulation and support from relatives, but above all from the self-help groups that have been crucial for maintaining restraint.

Text in German / Summaries in German, English, Afrikaans and Zulu / So vielfältig die Aufgaben sind, sich ehrenamtlich und damit freiwillig und unentgeltlich zu engagieren, so vielfältig sind die Motive, die dabei eine Rolle spielen können. In dieser Forschungsarbeit wird untersucht, welche Motive ausschlaggebend dafür sind, dass leitende Frauen und Männer unterschiedlichsten Alters über Jahre hinweg treu ihren Dienst in einer Einrichtung für suchtkranke Menschen tun und dabei nicht resignieren. Anhand von geführten Leitfaden-Interviews lässt sich dabei erkennen, inwieweit auch christliche Motive eine Grundlage für den ehrenamtlichen Einsatz darstellen. Dazu gibt besonders Joachim Bauer mit seinen neurobiologischen Untersuchungen der menschlichen Motivationssysteme viele Anhaltspunkte. Die durchgeführten Interviews werden mithilfe einer thematischen Inhaltsanalyse bearbeitet und anschließend bewertet. Abschließend werden Vorschläge zum Umgang mit ehrenamtlichen Mitarbeiterinnen und Mitarbeitern in der Suchtkrankenhilfe formuliert. Diese qualitative Studie leistet einen Beitrag dazu, neue Erkenntnisse über die Motivation ehrenamtlicher Suchtkrankenhelfer zu bekommen, was in dieser Form noch nicht erforscht wurde. / Just as varied as the tasks are for unpaid volunteer work, the potential motives are equally as diverse. This research will examine which motives are critical, for women and men of various ages in positions of leadership, to serve faithfully for years in institutions for addicts and not to resign. From guided interviews, it can be seen to what degree Christian motives form a foundation for this volunteer work. Joachim Bauer’s neurobiological research of “human motivation systems” supplies us with key indicators. The interviews will be performed using a method of thematic content analysis and then rated. In conclusion, proposals for handling volunteers working in the area of assisting addicts will be provided. This qualitative study will contribute new insights about the motivation of volunteers in facilities for addicts in an area that is yet to be explored using this approach. / Net so uiteenlopend as wat die take van onbetaalde vrywilligerwerkers is, is die potensiële beweegredes van hierdie vrywilligers. Hierdie navorsing stel ondersoek in na watter beweegredes krities is en daartoe lei dat mans en vroue van verskillende ouderdomme in posisies van leierskap vir jare getrou dien by instellings vir verslaafdes en nie bedank nie. Uit gestruktureerde onderhoude kan gesien word in watter mate Christelike motiewe of beweegredes die fondasie vir hierdie vrywillerwerk is. Joachim Bauer se neurobiologiese navorsing oor “menslike motiveringstelsels” bied aan ons sleutelaanwysers. Die onderhoude sal gevoer word met behulp van ’n metode van tematiese inhoudsontleding, waarna dit gegradeer sal word. Ten slotte sal voorstelle gegee word vir die hantering van vrywilligers wat met verslaafdes werk. Hierdie kwalitatiewe studie sal bydra tot nuwe insigte oor die motivering van vrywilligers in fasiliteite vir verslaafdes op ’n terrein wat nog nie aan die hand van hierdie benadering ontgin is nie. / Njengoba kunemisebenzi ehlukahlukene njengemisebenzi yamavolontiya angakhokhelwa, izisusa zakhona ezibalulekile zibanzi. Lolu cwaningo luzohlola ukuthi iziphi izisusa ezibalulekile, kubantu besilisa nabesifazane abehluka ngeminyaka ezikhundleni zobuholi, abazinikela emsebenzini ngokwethembeka ngokweminyaka abasuke beyibambile ezikhungweni kulabo asebejwayele noma okusegazini kubo okwenza okuthile kodwa bangawuyeka umsebenzi. Kusukela kuyizinhlolokhono eziqondile, kuyabonakala ukuthi yiziphi izizathu zobuKristu ezakha isisekelo salomsebenzi wokuvolontiya. Ucwaningo luka-Joachim Bauer oluqondene nezinzwa noma imizwa "lwezinhlelo zokugqugquzela abantu" lusinikeza izinkomba ezibalulekile. Inhlolokhono ezokwenziwa kuzosetshenziswa indlela yokuhlaziywa okuqukethwe bese ilinganiswa. Uma ngiphetha, iziphakamiso ngokuphatha amalovontiya asuke esebenza endaweni lapho esiza abasuke sebejwayele noma okusegazini kubi okwenza okuthile luzonikwa. Lolu cwaningo olungqala luzofaka ulwazi olusha olumayelana nokugqugquzelwa kwamavolontiya ezindaweni lapho kuhlala abantu asebejwayele noma okusegazini kubo okwenza okuthile okuyindawo esazohlonzwa kusetshenziswa lendlela. / Christian Spirituality, Church History and Missiology / M. Th. (Christian Leadership)