Health Profession
publicado em 27/08/2012 às 18h52:00
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Experts fear around mental hospitals to treat drug users

For professionals, "setback" gained support with the announcement of funding therapeutic communities

 
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Foto: Tânia Rêgo/ABr
Foto: Tânia Rêgo/ABr
Expert says model adopted by the government goes against the consolidated guidelines for the treatment of mental health. Inadequate treatment leads many to return to the use of crack.
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Expert says model adopted by the government goes against the consolidated guidelines for the treatment of mental health.
Inadequate treatment leads many to return to the use of crack.

The assistance provided to children and adolescents drug users has been the subject of concern among mental health experts. The fear is that you are experiencing a return to the old asylums, prohibited under the Mental Health Act (10,216), enacted in 2001. For professionals, the kicker went on to win support with the announcement last year, the government funding of so-called therapeutic communities.

A researcher at the NGO Global Justice, Isabel Lima, warning that the model adopted by the government goes against the consolidated guidelines for the treatment of mental health. Public funding for communities is funding of mental institutions, because communities work in isolation. This is contrary to the guidelines of the SUS [Health System], Psychiatric Reform and the Politics of Integral Attention to Drug User. These specialized units are designed to provide care to drug addicts, with hospitalization, eliminating the contact of the person with the environment where he lived before being housed.

To go public money to a wide range of therapeutic communities, the government decided last year to repeal the Resolution 101/2001 of the National Health Surveillance Agency (ANVISA), which established minimum standards to be followed by treatment units. At the time, Secretary National Drug Policy, Paulina Duarte, said the decision to revoke the resolution, announced by President Dilma Rousseff meeting, aimed to meet new prospective host communities and include in the list of entities financed with funds from those who had difficulties government infrastructure and technical staff.

Measure <b> Anvisa </ b>

Days later, ANVISA issued a new standard which requires the presence of a higher vocational and technical manager, he is not necessarily health care. The agency said at the time that the measure was intended to help in the organization of therapeutic communities, most of them run by volunteers.

The Psychiatric Reform movement, which began in late 1970, resulted in the approval of the Mental Health Act, which provides for ten years treating open, convivial community, not isolation.

Recently, results of surveillance in shelters reignited the debate about the treatment of drug users. The report Visits to Specialized Shelters for Children reported that children and adolescents were being doped in inadequate shelters located in Rio de Janeiro.

The report was prepared by the regional councils of Psychology and Social Work, the Center for Human Rights at PUC-Rio (Pontifical Catholic University), Grupo Tortura Nunca Mais NGO and Legal Project, in addition to the Human Rights Commission and prevention bodies and combating torture of the Legislative Assembly of Rio de Janeiro (Alerj).

The multidisciplinary group formed by 27 professionals, visited four shelters specialize in Campo Grande and Guaratiba in the west of Rio de Janeiro, in May this year. The four units are managed by NGOs Spiritist Tesloo, which is chaired by a retired military officer, according to the report.

Repeated <b> </ b>

With the visits, group members identified numerous problems such as isolation and incarceration of inmates, medicalization uncontrolled, lack of information about the effects of treatment and high number of relapses in the treatment, reported by the attendants of these institutions. The report also warns of returning to asylums.

Since May last year, the compulsory hospitalization of children and adolescents living on the streets, do drugs or not, is authorized by the city of Rio de Janeiro. Besides Rio de Janeiro, Sao Paulo and as capital Belo Horizonte also adopt the same policy.

For Alice De Marchi, psychologist Regional Council of Psychology of Rio de Janeiro and attended the inspection and reporting, the concentration of these different aspects in one place represents a setback in the policies of welfare and mental health.

This is the very logic of total institution, found in asylums, the former Febem [State Foundation for the Well-Being of Minors] in prisons, the psychologist said, in a statement released by the Federal Council of Psychology at the report's release.

The psychologist said the character of deprivation of liberty found in establishments inspected. The policy of compulsory flirts dangerously with the asylum model of institutionalization and exclusion from society, he said.

Source: AGÊNCIA BRASIL
   Palavras-chave:   Asylums    Drug users    Mental Health Act    Therapeutic communities   
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