Resumo

CARVALHO, Bruno  e  DIMENSTEIN, Magda. Discourse analysis about harm reduction in a CAPSad III and a therapeutic comunity. Temas psicol. [online]. 2017, vol.25, n.2, pp. 647-660. ISSN 1413-389X.  http://dx.doi.org/10.9788/TP2017.2-13.

The Harm Reduction proposal has been used for establishing health policies that aren't solely focused on abstinence from psychoactive substances. The moral prejudice and resistance presented by professionals when dealing with the proposal is a difficult in its implementation. We set to investigate the mindset and practice of Harm Reduction in a Psychosocial Care Center for alcohol and drugs (CAPSad III) and in a therapeutic community. This is a qualitative study with 21 semi-structured interviews conducted with the said professionals and 5 group talks with users. We identified in both institutions that Harm Reduction is an idea that receives low support and is not fully incorporated to the service routine. It is also seen as a less complex and cheaper strategy. Harm Reduction is not an operational part of the professionals' repertoire, and they do not inform users of many possible treatments within the health system. The users show themselves to be receptive toward Harm Reduction when it comes to facing the struggles and risks that come from abusing psychoactive substance; they also recognize the positive effects of the Harm Reduction proposal, especially when it comes to adherence to treatment and relapses.

Palavras-chave : Harm reduction; alcohol; drugs; Psychosocial Care Center; therapeutic community.

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