Factors associated with the user's perceived change in a Psychosocial Care Centers for Alcohol and Other Drugs

Authors

DOI:

https://doi.org/10.33448/rsd-v10i7.16358

Keywords:

Health evaluation; Outcome assessment, Health care; Substance-related disorders; Community mental health services; Patient satisfaction; Psychiatric nursing.

Abstract

Objective: Evaluate the perceived change and identify the factors associated with it in users of the Psychosocial Care Centers for Alcohol and Other Drugs. Method: a cross-sectional study with 330 users of 13 Psychosocial Care Centers for Alcohol and Other Drugs in the State of Minas Gerais. The perception of change resulting from the treatment was identified using the Perceived Change Scale and the adjusted analysis of the data carried out using the least-squares linear regression model. Results: the prevalence of perceived change was 86.1%, with an average score of 2.62. Factors directly associated with the degree of perception of global improvement in multiple analysis: higher schooling (high school or complete technical course), attendance at the service, participation in group activities, and satisfaction with the service. The variables female gender, alcohol consumption, history of hospitalization, and complications during treatment showed less perception of improvement in care. Conclusions: the analysis of the factors associated with the evaluated constructs indicated a strong association of socioeconomic, clinical, process, and global satisfaction variables in determining the change perceived by users, aiming at changes in care that can influence the treatment involvement of users of psychoactive substances.

References

Andrade, M. C., Bandeira, M. Perreault, M., Angelico, A. P., Oliveira, M. S. (2012). The relationship between symptomatic changes and perceived improvement among patients treated in Brazilian community mental health services. Psychiatr. Q., 83 (3), 361-70. doi: 10.1007/s11126-012-9206-6

Associação Brasileira de Psiquiatria (APA). (2012). Abuso e dependência: crack. Rev. Assoc. Med. Bras., 58 (2), 138-40. https://www.scielo.br/pdf/ramb/v58n2/v58n2a08.pdf

Baldi, B., Moore, D. S. (2013). The practice of statistics in the life sciences. 3rd ed. New York: WH Freeman.

Bandeira, M. Andrade, M. C., Costa, C. S., Silva, M. A. (2011). Patient's perception on the treatment in mental Health services: validating the Perception of Change Scale - patient version. Psicol. Reflex. Crit., 24 (2), 236-44. doi: https://doi.org/10.1590/S0102-79722011000200004

Bandeira, M., Silva, M. A. (2012). Patients' Satisfaction with Mental Health Services Scale (SATIS-BR): validation study. J Bras Psiquiatr., 61 (3), 124-32. doi: https://doi.org/10.1590/S0047-20852012000300002

Brasil. Ministério da Saúde. (2003). A Política do Ministério da Saúde para atenção integral a usuários de álcool e outras drogas. Retrieved from: http://bvsms.saude.gov.br/bvs/publicacoes/politica_atencao_alcool_drogas.pdf

Carvalho, M. F. A. A., Coelho, E. A. C., Oliveira, J. F., Medeiros, A. T., Barros, A. R. & Freire, A. K. S. (2020). Care in psychosocial care enhancing subjectivities of people who use drugs. Research, Society and Development, 9(7): 1-22, e113974002. doi: http://dx.doi.org/10.33448/rsd-v9i7.4002

Cesari, L., Bandeira, M. (2010). Assessment of quality of life and perception of change in patients with schizophrenia. J. Bras Psiquiatr. 59 (4), 293-301. doi: https://doi.org/10.1590/S0047-20852010000400005

Costa, C. S., Bandeira, M., Cavalcanti, R. L., Scalon, J. D. (2011). Perceptions by patients and families towards treatment outcomes in mental health services. Cad. Saúde Pública, 27 (5), 995-1007. doi: https://doi.org/10.1590/S0102-311X2011000500017

Donabedian, A. (1980). Explorations in Quality Assessment and Monitoring. The Definition of quality and approaches to its assessment. Ann Arbor, MI: Health Administration Press.

Franzmann, U. T., Kantorski, L. P., Jardim, V. M. da R., Treichel, C. A. dos S., Oliveira, M. M. de P., Fabiane, M. (2017). Fatores associados à percepção de melhora por usuários de Centros de Atenção Psicossocial do Sul do Brasil. Cad. Saúde Pública, 33 (7), e00085216. doi: https://doi.org/10.1590/0102-311X00085216

Hasler, G., Moergeli, H., Bachmann, R., Lambreva, E., Buddeberg, C., Schnyder, U. (2004) Patient satisfactions with outpatient psychiatric treatment: The role of diagnosis, pharmacotherapy, and perceived therapeutic change. Can. J. Psychiatry, 49 (5), 315-21. doi: 10.1177/070674370404900507.

Lapischies, S. R., Jardim, V. M., Kantorski, L. P. (2014). Factors associated with satisfaction at work in Psychosocial Care Centers. Rev Latino-Am Enfermagem, 22 (6), 950-58. doi: https://doi.org/10.1590/0104-1169.3474.2500

Lima, F. C. (2013). Avaliação da mudança percebida e da satisfação de usuários de CAPS-AD. (Dissertação de Mestrado). Centro de Filosofia e Ciências Humanas, Universidade Federal de Santa Catarina, Florianópolis, Brasil.

Mangueira, S. O., Guimarães, F. J., Mangueira, J. O., Fernandes, A. F., Lopes, M. V. (2015). Health promotion and public policies of alcohol in Brazil: integrative literature review. Psicol Soc., 27 (1), 157-68. doi: https://doi.org/10.1590/1807-03102015v27n1p157

Mercier, L., Landry, M., Corbiere, M., Perreault, M. (2004) Measuring client’s perception as outcome measurement. In: Roberts A. R., Yeager, K. R., editors. Evidence-based practice manual: research and outcome measures in health and human services. Oxford: Oxford University Press, p. 904-9

Miranda, P. O., Souza, O. F., Ferreira, T. F. (2014). Evaluation of satisfaction of patients and relatives in a mental health service in the city of Rio Branco Acre. J. Bras. Psiquiatr., 63 (4), 332-40. doi: https://doi.org/10.1590/0047-2085000000042

Perreault, M., White, N. D., Fabres, E., Landry, M., Anestin, A., Rabouin, D. (2010). Relationship between perceived improvement and treatment satisfaction among clients of a methadone maintenance program. Eval Program Plann. (33), 410-7. doi: 10.1016/j.evalprogplan.2009.12.003

Pinho, P. H., Oliveira, M. F., Claro, H. G. Pereira, M. O., Almeida., M. M. (2013). A Concepção dos profissionais de saúde acerca da reabilitação psicossocial nos eixos: morar, rede social e trabalho dos usuários de substâncias psicoativas. Revista Portuguesa de Enfermagem de Saúde Mental, (9), 29-35. http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S1647-21602013000100005&lng=pt&nrm=iso&tlng=pt

Silva, M. A., Bandeira, M., Scalon., J. D., Quaglia., M. A. (2012). Patients' satisfaction with mental health services: the perception of changes as predictor. J. Bras. Psiquiatr., 61(2):64-71. Doi: https://doi.org/10.1590/S0047-20852012000200002

World Health Organization (WHO). (2019). Global Status Report on Alcohol and Health 2018. https://www.who.int/publications/i/item/9789241565639

Published

16/06/2021

How to Cite

ABREU, R. M. D. de .; BARBOSA, G. C. .; PINHO, P. H. .; CLARO, H. G. .; PEREIRA, M. O. .; OLIVEIRA, M. A. F. de . Factors associated with the user’s perceived change in a Psychosocial Care Centers for Alcohol and Other Drugs. Research, Society and Development, [S. l.], v. 10, n. 7, p. e13210716358, 2021. DOI: 10.33448/rsd-v10i7.16358. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16358. Acesso em: 20 may. 2024.

Issue

Section

Health Sciences