Attendance of children and adolescents with psychoactive substance use disorders performed by Psychosocial Care Centers in Brazil, 2008-2012

Conceição, Déborah Santos; Andreoli, Sérgio Baxter; Esperidião, Monique Azevedo; Santos, Darci Neves dos

doi:10.5123/S1679-49742018000200002

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ORIGINAL ARTICLE • Epidemiol. Serv. Saúde 27 (2) • 2018 • https://doi.org/10.5123/S1679-49742018000200002 linkcopy

Attendance of children and adolescents with psychoactive substance use disorders performed by Psychosocial Care Centers in Brazil, 2008-2012^*

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective: to describe the profile of care for children and adolescents withpsychoactive substance use disorders performed by the Brazilian Psychosocial Care Centers (Centros de Atenção Psicossocial - CAPS) from 2008 to 2012.

Methods: a descriptive study with data from the SUS Outpatient Information System (Sistema de Informações Ambulatoriais do Sistema Único de Saúde - SIA/SUS) and the system of National Registration of Health Establishments (Cadastro Nacional de Estabelecimentos de Saúde - CNES).

Results: a total of 151.330 attendances were observed, 81.2% were males and 99.2% were in the age range of 10 to 19 years; the main causes were polydrug use (56.7%), cocaine (15.6%), marijuana (15.6%) and alcohol (9.0%); the CAPS for Alcohol and other Drugs (CAPS AD) accounted for 81.8% of the records; from 2008 to 2012, the attendance rate from 39.6 to 76.7/100 thousand inhabitants.

Conclusion: there was an increase in the attendance rates, observing the predominance of males, age range of 10 to 19 years and disorders due to polydrug use.

Keywords:
Child; Adolescents; Substance-Related Disorders; Mental Health Services

Variables	Year										Total
	2008		2009		2010		2011		2012
	n	%	n	%	n	%	n	%	n	%	n	%
Sex
Female	3,941	19.4	4,131	17.5	5,490	17.8	6,755	18.1	8,081	20.7	28,398	18.8
Male	16,501	80.7	19,531	82.5	25,412	82.2	30,580	81.9	30,908	79.3	122,932	81.2
Age group (in years)
5-9	256	1.2	201	0.8	219	0.7	298	0.8	213	0.5	1,187	0.8
10-14	3,540	17.3	3,879	16.5	4,783	15.5	5,200	13.9	5,608	14.5	23,010	15.3
15-19	16,646	81.4	19,582	2.8	25,900	83.8	31,837	85.3	33,168	5.1	127,133	4.0
Ethnicity/skin color
White	6,835	33.4	7,105	30.0	8,083	26.2	10,434	27.9	11,584	29.7	44,041	29.1
Black	1,136	5.6	1,145	4.8	1,482	4.8	1,741	4.7	1,828	4.7	7,332	4.8
Brown	4,245	20.8	4,353	18.4	5,373	17.4	7,381	19.8	8,268	21.2	29,620	19.6
Asian	274	1.3	284	1.2	264	0.8	261	0.7	448	1.1	1,531	1.0
Indigenous	9	0.0	5	0.0	3	0.0	22	0.1	30	0.1	69	0.0
No information	7,943	38.9	10,770	45.5	15,697	50.8	17,496	46.9	16,831	43.2	68,737	45.4
Cause ofattendance
F10 ^a (alcohol)	2,242	11.0	2,620	11.1	2,699	8.7	2,849	7.6	3,207	8.2	13,617	9.0
F11 ^b (opioid)	80	0.4	76	0.3	86	0.3	123	0.3	182	0.5	547	0.4
F12 ^c (cannabinoids)	2,924	14.3	3,600	15.2	4,455	14.4	5,870	15.7	6,729	17.2	23,578	15.6
F13 ^d (sedatives)	62	0.3	51	0.2	92	0.3	120	0.3	53	0.1	378	0.2
F14 ^e (cocaine)	2,511	12.3	3,284	13.9	5,145	16.6	6,721	18.0	6,026	15.5	23,687	15.6
F15 ^f (stimulants)	150	0.7	49	0.2	71	0.2	151	0.4	181	0.5	602	0.4
F16 ^g (hallucinogens)	29	0.1	50	0.2	51	0.2	226	0.6	70	0.2	426	0.3
F17 ^h (tobacco)	258	1.3	186	0.8	262	0.8	312	0.8	321	0.8	1,339	0.9
F18 ⁱ (solvents)	470	2.3	294	1.2	255	0.8	197	0.5	161	0.4	1,377	0.9
F19 ^j (multiples SPA^k)	11,716	57.3	13,452	56.8	17,786	57.6	20,766	55.6	22,059	56.6	85,779	56.7
Total	20,442	13.5	23,662	15.6	30,902	20.4	37,335	24.7	39,119	25.8	151,330	100.0

Type of CAPS	Region										Total
	North		Northeast		Southeast		South		Midwest
	n	%	n	%	n (63,165)	%	n	%	n	%	n	%
CAPS I^a	210	5.7	2,098	7.4	981	1.5	2,416	5.3	307	2.8	6,012	4.0
CAPS II^b	98	2.7	417	1.5	4,645	7.3	215	0.5	7	0.1	5,382	3.6
CAPS III^c	6	0.2	176	0.6	222	0.3	17	0.0	95	0.9	516	0.3
CAPSi^d	39	1.7	2,664	9.4	6,380	10.1	6,482	14.3	129	1.2	15,694	10.4
CAPS AD^e / CAPS AD III^f	3,322	90.4	22,973	81.1	50,937	80.6	36,245	79.9	10,249	95.0	123,726	81.8
Total	3,975	100.0	28,328	100.0	63,165	100.0	45,375	100.0	10,787	100.0	151,330	100.0

Region/FU	Year															Δ%
	2008			2009			2010			2011			2012
	Fem	Male	Total	Fem	Male	Total	Fem	Male	Total	Fem	Male	Total	Fem	Male	Total	Fem	Male	Total
North	3.6	264.7	13.0	2.2	7.6	9.2	2.7	21.5	12.3	4.5	32.0	18.5	6.7	27.7	17.4	82.7	-89.5	33.8
Rondônia	0.0	0.3	1.4	2.9	74.7	5.3	6.3	30.5	18.6	3.4	23.8	13.8	16.5	59.1	38.3		22,021.1	2,577.4
Acre	59.4	148.7	182.9	22.2	0.0	48.8	5.7	61.8	34.1	13.6	122.0	68.5	10.3	40.2	25.5	-82.6	-73.0	-86.1
Amazonas	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.2	0.1	0.0	2.3	1.1	0.2	3.7	2.0
Roraima	0.0	0.0	0.0	0.0	18.7	0.0	0.0	0.0	0.0	1.3	0.0	0.6	5.1	26.8	16.2
Pará	1.8	240.4	8.6	0.8	0.0	9.9	2.3	21.3	12.0	5.9	37.6	22.2	6.5	27.1	17.0	266.0	-88.7	98.3
Amapá	0.0	0.0	0.0	0.0	35.3	0.0	2.5	5.0	3.8	6.6	68.1	37.6	6.5	52.6	29.7
Tocantins	0.0	8.7	2.3	6.6	16.0	21.2	8.5	65.9	37.6	4.7	32.5	18.8	13.6	43.0	28.5		394.8	1,119.0
Northeast	10.7	49.0	30.1	11.9	59.0	35.8	11.9	64.8	38.8	13.1	65.7	39.8	12.1	61.9	30.1	13.2	26.3	0.1
Maranhão	5.7	37.8	22.0	3.5	33.9	18.9	5.7	45.3	25.8	9.8	86.3	48.6	8.2	85.4	47.4	43.8	126.0	116.1
Piauí	34.4	110.2	72.9	21.7	85.0	53.9	19.4	100.0	60.4	16.3	75.7	46.5	22.1	97.1	60.2	-35.7	-11.9	-17.4
Ceará	11.9	69.7	41.3	15.5	76.2	46.4	14.6	71.0	43.3	15.3	65.4	40.8	11.5	40.1	26.0	-3.2	-42.5	-36.9
Rio Grande do Norte	5.4	21.4	13.5	6.1	17.7	12.0	7.3	29.7	18.7	12.3	41.7	27.3	8.3	48.4	28.7	52.2	126.5	111.9
Paraíba	51.0	189.6	121.2	46.7	209.5	129.1	45.7	214.5	131.2	28.8	204.8	117.9	31.3	183.8	0.1	-38.7	-3.1	-99.9
Pernambuco	9.7	40.1	25.1	11.0	52.4	32.0	10.3	64.7	37.9	13.6	48.7	31.4	14.6	58.7	37.0	49.8	46.4	47.1
Alagoas	2.8	14.8	8.9	5.1	28.4	16.8	3.1	23.6	13.4	2.9	31.7	17.4	0.6	20.3	10.6	-78.4	37.2	19.0
Sergipe	2.3	64.5	33.7	6.2	53.6	30.1	9.4	68.6	39.3	16.9	91.3	54.4	12.4	79.0	46.0	441.7	22.6	36.4
Bahia	1.8	10.3	6.1	7.2	38.7	23.3	7.7	42.6	25.5	10.6	37.6	24.3	9.3	36.2	23.0	426.2	250.1	274.8
Southeast	13.4	52.1	33.1	13.0	59.3	36.5	25.7	104.0	65.6	35.2	143.2	90.2	42.2	144.1	94.2	215.6	176.8	184.8
Minas Gerais	13.8	41.1	27.7	8.9	50.3	30.0	14.5	71.9	43.8	14.6	73.8	44.8	15.2	72.7	44.5	9.9	76.8	60.6
Espírito Santo	10.4	56.9	34.1	8.7	69.6	39.7	8.0	34.3	21.4	13.3	41.6	27.7	14.4	22.5	18.6	38.7	-60.4	-45.6
Rio de Janeiro	3.1	11.4	7.3	3.6	18.6	11.2	8.8	35.3	22.3	19.4	73.9	47.1	14.0	51.8	33.3	354.7	355.6	355.8
São Paulo	17.3	72.4	45.3	18.9	78.2	49.0	39.2	152.3	96.8	53.3	213.1	134.7	68.7	225.1	148.4	296.4	211.0	227.4
South	43.5	161.3	103.6	47.5	195.4	123.0	48.7	210.7	131.4	53.1	233.8	145.3	62.3	253.9	160.1	43.4	57.4	54.6
Paraná	68.0	208.2	139.4	68.1	217.0	144.0	64.8	228.4	148.2	65.2	282.1	175.8	78.1	298.9	190.7	15.0	43.6	36.8
Santa Catarina	26.1	119.6	73.8	29.1	152.6	92.2	37.2	185.7	113.0	44.7	204.0	126.1	49.1	230.8	141.9	88.3	93.0	92.2
Rio Grande do Sul	28.3	137.4	83.9	37.0	198.7	119.5	38.8	207.5	124.9	45.3	200.9	124.8	53.7	220.3	138.8	90.1	60.4	65.4
Midwest	12.2	51.7	32.2	15.1	78.6	47.4	19.6	94.7	57.8	25.2	106.0	66.3	47.1	113.9	81.1	287.6	120.4	151.6
Mato Grosso do Sul	11.7	34.8	23.5	16.8	49.0	33.3	12.2	67.4	40.5	8.6	75.5	42.9	10.1	66.0	38.7	-13.1	89.5	64.9
Mato Grosso	11.0	41.9	26.8	20.3	129.6	76.2	37.4	109.7	74.4	79.4	189.9	135.9	146.0	260.5	204.5	1226.2	522.2	663.6
Goiás	18.0	84.1	51.7	18.1	95.5	57.5	21.5	135.1	79.4	13.8	114.1	65.0	31.3	103.8	68.2	73.5	23.5	32.1
Distrito Federal	0.0	0.3	0.2	0.0	0.0	0.0	0.6	2.1	1.4	2.1	8.8	5.4	0.0	0.0	0.0		-100.0	-100.0
Brazil	15.5	62.9	39.6	16.3	74.6	46.0	21.8	97.4	60.3	26.9	117.6	73.1	32.4	119.4	76.7	108.4	90.0	93.7

Variables	Year					Δ%^a
Variables	2008	2009	2010	2011	2012
Sex
Female	15.5	16.3	21.8	26.9	32.4	108.4
Male	62.9	74.6	97.4	117.6	119.4	90.0
Age group (in years)
5-9	1.5	1.2	1.3	1.8	1.3	-13.3
10-14	20.6	22.5	27.8	30.2	32.6	58.4
15-19	96.6	113.9	15.1	185.6	193.5	100.2
Cause ofattendance
F10 ^b (alcohol)	4.3	5.1	5.3	5.6	6.3	45.2
F11 ^c (opioid)	0.2	0.1	0.2	0.2	0.4	131.0
F12 ^d (cannabinoids)	5.7	7.0	8.7	11.5	13.2	133.7
F13 ^e (sedatives)	0.1	0.1	0.2	0.2	0.1	-13.2
F14 ^f (cocaine)	4.9	6.4	10.0	13.2	11.9	143.7
F15 ^g (stimulants)	0.3	0.1	0.1	0.3	0.4	22.5
F16 ^h (hallucinogens)	0.1	0.1	0.1	0.4	0.1	145.1
F17 ⁱ (tobacco)	0.5	0.4	0.5	0.6	0.6	26.3
F18 ^j (solvents)	0.9	0.6	0.5	0.4	0.3	-65.2
F19 ^k (multiples SPA ^l)	22.7	26.1	34.7	40.7	43.4	91.2
Total Rate ^m	39.6	46.0	60.3	73.1	76.7	93.7

Cause of attendance	Year / age
	2008			2009			2010			2011			2012			Δ%^a
	5- 9	10-14	15- 19	5- 9	10-14	15- 19	5- 9	10-14	15- 19	5- 9	10-14	15- 19	5- 9	10-14	15- 19	5- 9	10-14	15- 19
F10 ^b (alcohol)	0.5	2.7	9.8	0.5	3.2	11.6	0.3	3.3	12.1	0.0	3.1	12.9	0.5	3.0	15.3	-5.1	9.2	55.9
F11 ^c (opioid)	0.0	0.1	0.3	0.1	0.1	0.2	0.0	0.2	0.3	0.1	0.2	0.5	0.1	0.3	0.6	299.7	211.7	86.8
F12 ^d (cannabinoids)	0.0	3.6	13.3	0.0	4.6	16.3	0.0	6.0	19.8	0.1	7.2	26.9	0.1	7.6	31.5	247.5	110.2	136.4
F13 ^e (sedatives)	0.0	0.1	0.3	0.0	0.1	0.2	0.0	0.3	0.3	0.0	0.3	0.4	0.0	0.1	0.2	-100.0	69.2	-35.1
F14 ^f (cocaine)	0.1	1.7	12.7	0.1	2.4	16.7	0.1	2.6	27.3	0.0	3.8	35.3	0.0	3.2	31.9	-80.5	81.4	150.8
F15 ^g (stimulants)	0.2	0.3	0.4	0.0	0.1	0.1	0.0	0.1	0.3	0.0	0.4	0.5	0.0	0.5	0.6	-100.0	47.2	54.4
F16 ^h (hallucinogens)	0.0	0.0	0.2	0.0	0.0	0.3	0.0	0.0	0.3	0.5	0.4	0.4	0.1	0.0	0.3	838.3	300.0	104.8
F17 ⁱ (tobacco)	0.0	0.3	1.2	0.1	0.3	0.7	0.0	0.4	1.1	0.0	0.3	1.5	0.0	0.5	1.4	4.3	80.0	13.4
F18 ^j (solvents)	0.1	1.5	1.2	0.1	0.8	0.8	0.1	0.8	0.6	0.1	0.5	0.6	0.0	0.4	0.5	-90.5	-73.7	-54.6
F19 ^k (multiples SPA ^l)	0.5	10.3	57.2	0.4	10.9	66.9	0.7	14.1	88.8	0.4	14.1	106.6	0.4	17.0	111.2	-18.2	65.9	94.2
Total Rate ^m	1.5	20.6	96.6	1.2	22.5	113.9	1.3	27.8	15.1	1.8	30.2	185.6	1.3	32.6	193.5	-13.3	58.4	100.2

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Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 (61) 3315-3464 - Brasília - DF - Brazil
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[TFN53] a) F10: Mental and behavioral disorders due to use of alcohol.

[TFN54] b) F11: Mental and behavioural disorders due to use of opioids.

[TFN55] c) F12: Mental and behavioral disorders due to use of cannabinoids.

[TFN56] d) F13: Mental and behavioral disorders due to the use of sedatives and hypnotics.

[TFN57] e) F14: Mental and behavioral disorders due to use of cocaine.

[TFN58] f) F15: Mental and behavioral disorders due to use of other stimulants, including caffeine.

[TFN59] g) F16: Mental and behavioral disorders due to the use of hallucinogens.

[TFN60] h) F17: Mental and behavioral disorders due to use of tobacco.

[TFN61] i) F18: Mental and behavioral disorders due to use of volatile solvents.

[TFN62] j) F19: Mental and behavioral disorders due to use of multiple drugs and the use of other psychoactive substances.

[TFN63] k) SPA: Psychoactive Substances.

[TFN64] Sources: Authorization for outpatient procedures (APAC); International Statistical Classification of Diseases and Related Health Problems, 10^th Revision (ICD-10).

Attendance of children and adolescents with psychoactive substance use disorders performed by Psychosocial Care Centers in Brazil, 2008-2012*

Attendance of children and adolescents with psychoactive substance use disorders performed by Psychosocial Care Centers in Brazil, 2008-2012^*