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SOUL // 60 anos
They family tried to help, but I'm the one who has to help I3. I have good relationships, everyone is good to me, support me to leave the drugs I9. Many of those who were separated from their spouses used crack even before getting married. Two users reported the use of crack and other drugs with their spouses in their family environment while they also had children. He husband sold the stone crack and we'd enjoyed it together E Me, him husband and his brother smoked together E2.
In relation to current relationship of users with spouses and children, we observed relational ruptures of users with their spouses; none reported any contact with their former partners. One of the users had recently separated, about two months before the interview.
We also observed that the participants kept little contact with children and most of the participants visited them only once a week. Only one user lives with her son and she has been diagnosed with schizophrenia. Discussion The profile of crack users revealed in this study is similar to that described in the literature.
The profile of Brazilian users is a young man, with a low educational level, not formally employed The presence of young users or early young adults is a marking characteristic of the phenomenon 'crack', which presents use more associated with disruptive processes in relation to social life. A low level of schooling implies, among other aspects, less inclusion in the formal job market, lower financial availability, and consequently greater social vulnerability. Even though crack is relatively recent in the Brazilian context, some of the interviewees initiated its use only a few years after the first records of crack in the country, showing rapid aggregation and dissemination of the drug in the country.
Added to this, an increase was observed from to in the population in general of individuals who consumed crack at least once in life, which corroborate his statement The culture of crack use has changed in relation to usage patterns and even though most users consume it compulsively, some cases in this study revealed the existence of controlled use, which deserves to be better detailed, especially in relation to the strategies used to achieve it 4.
However, it is worth noting that the urge for crack can encourage users to commit illegal activities, intensifying the process of social marginalization and risk posed to their freedom, as well as their physical, psychological and moral integrity 4. Identifying the sequence of stages of drug use within the population and what influences it can be an efficient tool not only to understand this phenomenon but, moreover, to limit the increasing exposure to the risk of an escalating use of drugs The initiation into the use of drugs by means of legal substances reported by users is similar to the results found in a study whose objective was to identify, among crack users, how the use of drugs progresses and what factors influence it Two distinct phases were observed in the use of drugs.
The first is related to legal drugs. Smoking and alcohol are the most reported. The second refers to the use of illegal drugs. In these cases, the interviewees' relatives and friends were the ones encouraging the consumption, and the reason alleged for the use of these substances was the need to acquire self-confidence. According to the results, early age and the heavy use of one or more drugs determined the beginning of an escalation to illegal drugs.
The report of undertaking illegal activities to acquire crack is frequent in the social context of users. Given the urge for drugs and a lack of financial means to acquire it, users see themselves as being "forced" to participate in illegal activities such as drug traffic, burglary, or robbery, among others 2,4.
The spontaneous search on the part of users for chemical dependency treatment is worth noting, especially due to the fact that crack is considered a highly addictive drug with negative consequences for the individual and collective spheres.
It was possible to perceive in some individuals that the search for care emerged as a way to "alleviate" the long periods of drug use in the streets, without evidence that there is a real motivation to cease its use.
Considering the role of the family and family bonds in nurturing resilience in individuals to cope with hardships 9we verified that the studied group experienced various unfavorable events that may have acted as an inducement to the beginning of drug use: The family is considered one of the strongest links in the multifaceted chain that may lead to the use of alcohol and drugs, and also acts as an important protection factor This is explained by the fact that the consumption of psychoactive drugs is predominantly learned through interactions established between individuals and their primary sources of socialization, which in Western civilization includes the family, school, and group of friends.
The result of this constant interaction is the establishment of a bond that permits the communication of a set of rules The way one is raised by family is essential in one's development.
It is the responsibility of parents to protect children from risk factors related to drugs A favorable environment for the consumption of psychoactive substances is influenced by many factors, and the family is the most important one Lack of parental support, the use of drugs by the parents themselves, permissive behavior of parents in the face of consumption, and an inability of parents to control their children are factors that predispose them to initiate or continue the use of drugs In relation to an absence of a relationship with the parents, the situation worsens with increased chemical dependency generated by the use of crack, in which the rupture of character leads the user to use illegal means with the family; recurrent lies, robbery inside the home, and violence are common among dependents 2,4.
Consequently, there is a loss of family reference, with work and school; situation verified in most of the studied cases. The diversity of social configurations expressed by dependency on crack is also worth noting. There are some users with more than five years of consumption, with a pattern of use associated with other drugs in which being marginalized is not common. In these cases, the individuals manage to keep jobs and family bonds 13, In relation to the family domain and its influence on the use of psychoactive substances during adolescence, the following protection factors against the use of drugs stand out: The importance of the family's participation in the behavior of individuals in relation to the use of drugs is evidenced in this study.
However, this importance is the result of the relationships and bonds established with families over the long process of growing up and emotional maturation of these individuals. The use of drugs by the parents and other family members is certainly one of the great influences on adolescents becoming drug dependent themselves. The inter-generational transmission of behavioral patterns is frequently addressed in the literature; parents who use some kind of drug serve as models for their children's experimentation and continuity of alcohol and other drug consumption 5,7, This perspective allows us to better understand some phenomena such as when in a family composed of father, mother and children, only one of the children becomes drug dependent.
However, it is important to note that in some cases, the event 'drugs' may interfere, influence or be part of the process of one's individualization, meaning that each one adopts different behavior in relation to an apparently similar event Interfamily violence, evidenced in the studied cases, is defined as "[ ] every action or omission that harms one's well-being, physical or psychological integrity or the freedom and right to full development.
It may be committed inside or outside the home by some family member, including people who assume the parental role, even without blood ties, and in a relationship of power" Child sexual abuse reported by one user is a problem that involves issues of legal protection for the child and punishment for the aggressor, and also therapeutic care for the child's physical and mental health given the psychological consequences accruing from a situation of abuse.
Such consequences are directly related to factors such as: These factors may also be associated with deviation of behavior during adulthood and the use of drugs Conclusion The investigated cases revealed loss of relational bonds with the family and social milieu, and the use of drugs and violence within the family environment.
Further research is required to advance knowledge and practice related to the use of crack, aiming to establish ties with families in order to identify their traditions, values and customs because families play an essential role in preventing and treating drugs use.
It is also important to consider that many users do not have or never had a properly organized family context. In these cases, the work of health professionals is essential, especially in the case of those included in the primary health care sphere, in order to identify these users and refer them to appropriate health care.
Even though a topic of this nature is cross-sectional to any profession, professionals in the health field and even human sciences should appropriate from this discussion because there is an urgent need to establish a link with nursing care, which has an educational role as one of its main guiding axes.
These professionals can contribute to identifying and implementing preventive actions, especially those working in the Family Health Strategy, given their proximity to and familiarity with the families.
The Brazilian Single Health System has faced an increased number of users seeking treatment, which requires a structured network of psychiatric care ensuring continuity of care whenever necessary.
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The redefinition of the care model directed to mental health has been an advancement seeking to avoid patients being excluded from society. However, Brazil has not been able to create appropriate substitute services in a quantity compatible with the demand for these services.
Protective factors for preventing the use of drugs in the families of a Colombia locality. Manual de terapia familiar.
Profile of cocaine and crack users in Brazil. Rev Psiquiatr Rio Gd Sul. Estilos parentais e consumo de drogas entre adolescentes: A number of ages ago, toddlers infants had been permitted to travel to air with the passport of one of their parents, but now things have changed. All citizens, a newborn baby, if have an individual passport to traveling out of 1 region to another.
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