de Souza Jacqueline, Kantorski Luciane Prado
Programa de Pós-Graduação em Enfermagem Psiquiátrica da Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Rev Esc Enferm USP. 2009 Jun;43(2):373-83. doi: 10.1590/s0080-62342009000200017.
This study assessed individuals undergoing treatment at a Psychosocial Care Center for Alcohol and Drugs Abuse (CAPS ad) in Southern Brazil. There were 300 hours of participant observation and focal groups, in which the ecomap was used as an instrument to describe social support sources. The study objective was to identify the social network of individuals undergoing treatment due to drug abuse, promoting a reflection about the quality and situation of the bonds established with the people they considered important. The results showed a trajectory of separations and losses. The ecomap permitted to identify points of vulnerability in these subjects' bonds, and is thus an ethical strategy that allows for a joint identification (between professionals and users) of the needs regarding the social, family, and individual contexts that should be addressed when planning health care, especially concerning mental health.
本研究对巴西南部一家酒精和药物滥用心理社会护理中心（CAPS ad）正在接受治疗的个体进行了评估。进行了300小时的参与观察和焦点小组讨论，其中生态图被用作描述社会支持来源的工具。研究目的是识别因药物滥用而接受治疗的个体的社会网络，促使人们思考他们与认为重要的人建立的关系的质量和状况。结果显示出分离和损失的轨迹。生态图有助于识别这些受试者关系中的脆弱点，因此是一种伦理策略，能够（在专业人员和使用者之间）共同确定在规划医疗保健，尤其是心理健康保健时应考虑的社会、家庭和个人背景方面的需求。
