Relevance of social and community mediation for health, in processes of reinsertion of people with addictive behaviors and dependencies (ABD)

Abstract

Abstract Background The knowledge of the importance of intervention in the reintegration of people with addictive behaviors and dependencies (ABD), combined with the complexity of the process and the multiplicity of associated factors (SICAD, 2014), has motivated a study developed on social and community mediation, through a interinstitutional collaboration of seven public entities, linking the academy to entities that intervene in the field of health (SICAD, in press). This paper aims to explore and disseminate some of the research results, reflecting on the importance of social intervention in the global health of the citizen. Methods This research was carried out according to a mixed case study plan (multi-case and multi-perspective), which involved reinsertion professionals, people with ABD, families and other stakeholders, in a total of 18 cases, 51 interviews and 21 questionnaires. It has a national scope and combines the descriptive component with the analytical and reflective component. Results Crossing the mapping of the diagnosed problems with the results and impacts of the developed intervention, which translate into changes perceived by the interviewees in several areas, it is possible to explore axes of the effectiveness of the intervention implemented in the reinsertion process. Conclusions The results show a high level of effectiveness (individual, family and community level), which goes beyond the changes in the scope of dependencies and affects the various areas of life of the citizen. The developed intervention generated impacts felt in the health level by the interviewees as positive and allowed to modify the fragile conditions that were identified in the diagnosis.