Abstract
to know the expectations of family members of alcoholics living in rural areas under treatment in a Psychiatric Hospitalization Unit. qualitative research, through interviews with 15 relatives of alcoholics living in rural areas and hospitalized in a Psychiatric Unit. Information was interpreted in the light of Phenomenological Sociology. two concrete categories emerged: Expectations that the family member quits using alcohol and Projects of family members for the alcoholic after discharge. Relatives expected the alcoholic to maintain abstinence and planned post-discharge care, which involved everything from welcoming them to projects with a prospect of control or even fear of not being able to care for the alcoholic. most participants have positive expectations regarding psychiatric hospitalization, but some relatives are not confident about caring for the alcoholic and mentioned alternatives such as hiring a caregiver or nursing homes.
Highlights
According to the World Health Organization (WHO), roughly 3.3 million deaths are related to the harmful use of alcohol each year[1]
Changes in the routine of the household cause financial impacts to the family members who take on obligations that were of the alcoholic, causing sleep loss, irritability, anguish, depressed mood, among other harm[4]
For the analysis of information, the following adapted steps[13] were used: 1) Reading each speech without any attempt to interpret what is expressed; 2) Re-reading each of the statements and identifying those that present meanings considering the objective of the study; 3) Using a reflexive posture before the significant affirmations from speeches, describing the motivations of participants, grouping fragments of lines that contain similar or significant expressions or phrases; 4) Building concrete categories, being: Expectations that the family member quits using alcohol and Alcoholist’s familiar projects after discharge; and 5) Understanding the motivations of family members of alcohol users who live in rural areas, based on Alfred Schütz’s Phenomenological Sociology and the production of knowledge in the field, in order to contextualize the essence of the phenomenon studied
Summary
According to the World Health Organization (WHO), roughly 3.3 million deaths are related to the harmful use of alcohol each year[1]. In current public mental health policies in Brazil, the paradigm that currently operates with psychiatric reform emphasizes the provision of psychosocial care in a service network and in a given territory[5] In this context, among the services designed to treat individuals with needs arising from the problematic use of alcohol and other drugs, there are wards specialized in general hospitals. It is understood that research on the matter is relevant, since giving voice to these relatives and understanding their expectations as to the treatment of alcoholics can help professionals working in the area of Mental Health to reflect on their practices and propose actions for prevention, promotion and rehabilitation that meet the real needs of this population. It will stimulate reflection on the organization of mental health services in rural areas
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