do Carmo Dhione Almeida, Palma Sonia Maria Motta, Ribeiro Ariadne, Trevizol Alisson Paulino, Brietzke Elisa, Abdalla Renata Rigacci, Alonso Ana Leonor Sala, da Silva Claudio Jerónimo, Cordeiro Quirino, Laranjeira Ronaldo, Ribeiro Marcelo
Departamento de Psiquiatria, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Centro de Referência de Álcool, Tabaco e Outras Drogas (CRATOD), Secretaria Estadual de Saúde, São Paulo, SP, Brazil.
Trends Psychiatry Psychother. 2018 Oct-Dec;40(4):285-291. doi: 10.1590/2237-6089-2017-0084.
The recovery housing (RH) program was initiated in São Paulo with the objective of providing treatment for substance use disorders and addressing users' housing and employment problems. The purpose of this study was to describe the model based on its first 11 months of operation, it was launched in June 2016 in Brazil.
We carried out a retrospective analysis of the records of all subjects treated in the RH of the Restart Program (Programa Recomeço) since its creation, from June 2016 to May 2017.
Sixty-nine subjects were included. Thirty-five (51%) remained in the household until the end of treatment or were reinserted in society. Thirty-four (49%) presented recurrence during their stay, of which 16 (47%) volunteered for treatment in a therapeutic community or psychiatric hospital, 8 (23.5%) chose to continue with outpatient treatment only, 6 (17.7%) returned to their families and continued to receive outpatient treatment, and 4 (11.8%) discontinued the treatment. Of the 35 subjects who completed the RH program, 28 (80%) were in employment and 7 (20%) received governmental support for permanent disability on medical or psychiatric grounds.
RH can be an important component of integrated care and is used in several countries. Although controversial, the use of urine tests to control relapse seems to have a positive impact on adherence to treatment and maintenance of abstinence. These preliminary findings corroborate, with clear limitations, the evidence available in the literature showing that RH programs are effective for the treatment of addictions.
圣保罗启动了康复住房（RH）项目，旨在为物质使用障碍提供治疗，并解决使用者的住房和就业问题。本研究的目的是根据该项目2016年6月在巴西启动后的前11个月的运营情况描述其模式。
我们对重启项目（Programa Recomeço）的康复住房自2016年6月创建至2017年5月期间治疗的所有受试者的记录进行了回顾性分析。
共纳入69名受试者。35名（51%）在治疗结束时仍留在该项目中或重新融入社会。34名（49%）在停留期间复发，其中16名（47%）自愿在治疗社区或精神病院接受治疗，8名（23.5%）选择仅继续接受门诊治疗，6名（17.7%）返回家中并继续接受门诊治疗，4名（11.8%）停止治疗。在完成康复住房项目的35名受试者中，28名（80%）就业，7名（20%）因医疗或精神原因获得政府的永久性残疾支持。
康复住房可以成为综合护理的重要组成部分，并且在多个国家得到应用。尽管存在争议，但使用尿液检测来控制复发似乎对坚持治疗和保持戒断有积极影响。这些初步发现虽有明显局限性，但证实了文献中的现有证据，表明康复住房项目对成瘾治疗有效。
