There was a CAPSad in the middle of the road: care logic and centrality of the care network for drug users

Abstract

By applying Social Network Analysis (ARS), this study seeks to evaluate the role of the Center for Psychosocial Care - Alcohol and Other Drugs (CAPSad) in the care network for drug users. It involves an exploratory, cross-sectional and quantitative approach of the Juiz de Fora city network in the state of Minas Gerais. One hundred and eighty-seven care services were identified in the city. The data gathering was made from a questionnaire with professionals of these instruments. The analysis took the cohesion and centrality metrics of the ARS into account as well as the creation of network sociograms. One centrality of the network was found in the CAPSad, in accordance with the policies and the care model advocated in the area, referred to here as “CAPSolization,” The centralization in this instrument, still in insufficient number and with structural and workflow dynamics problems, leads to low resilience power of the network indicating the need for care logic modifications, still based on specialized and emergency care, to the detriment of territorial/community and ongoing prospects.

Public health care; Substance-related disorders; Mental health; Substance abuse treatment centers; Public policies