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Fourth-generation evaluation in an Alcohol and Drugs Psychosocial Care Centera a Article extracted from the Master’s Degree dissertation “Fourth-Generation Evaluation in an Alcohol and Drugs Psychosocial Care Center,” authored by Paula Antunes Bezerra Nacamura, supervised by Marcelle Paiano, Graduate Program in Nursing, Universidade Estadual de Maringá; year of defense: 2021.

Abstract

Objective

To qualitatively evaluate the actions provided by an Alcohol and Drugs Psychosocial Care Center from the perspective of family members and service users.

Method

This is a qualitative case study developed using the fourth-generation evaluation method from September 2019 to March 2020. Data were collected through observation and individual open interviews and analyzed by the constant comparative method; nine family members and eight service users were informants. The ATLAS.ti 9.0.18 software was used to help organize and present the data.

Results

Both focus groups highlighted positively the free treatment, reception, support, and information provided by the team through the groups, social reintegration, and providing medication. In addition, psychologists and social workers were cited as the professionals that the participants felt the closest to. Access to care was cited with ambiguity by the focus groups, and the weaknesses included the continuity of care by the points of the psychosocial network.

Final considerations and implications for practice

This study recognizes the effectiveness of the service, although it requires improving the articulation of interprofessional and intersectoral actions among the other points of care and including the family in the treatment.

Keywords:
Health Evaluation; Substance Abuse Treatment Centers; Family; Mental Health Services; Drug Users

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