Atravessamentos de gênero no acesso e permanência de usuárias junto aos centros de atenção psicossocial álcool e drogas

Abstract

The use of psychoactive substances is part of human history, being a historical-cultural phenomenon with medical, political, religious and economic implications. Considering that women represent the majority of the Brazilian population and, therefore, a fundamental social part for health policies, an important point to be discussed is the social stigmas surrounding the use/abuse of alcohol and other drugs by the female public. This work aims to identify and reflect on gender crossings in the access and permanence of women in Psychosocial Care Centers for Alcohol and Drugs. This is a study with a qualitative approach, produced from a narrative review of the literature. For data collection, research was carried out on the following data platforms: BVS, LILACS and SciELO. The following descriptors were used in the search for articles: women and CAPS and gender. Eight texts were selected for the composition of the research and, although they do not directly focus on the gender category related to access and permanence, they help to problematize how gender particularities, in a patriarchal context, permeate the vision around women who use /abuse of psychoactive substances. Based on the thematic analysis, the following axes were listed: a) gender and CAPS AD, b) sociodemographic profile of CAPS AD users, c) aspects that lead women to substance use/abuse, d) gender violence and use /abuse of alcohol and other drugs and e) gender and reception in CAPS AD. It can be seen, therefore, that the context presented is permeated by the specificities and singularities of gender regarding the access and permanence of women in the CAPS AD. Thus, in public policies in the area of mental health, it is worth investing in the qualification of health professionals in relation to gender particularities, aiming at providing care offered to PSs users in a more attentive and comprehensive way in the dimensions of “being a woman”. This is one of the main suggestions that emerge from this study: to strengthen the gender discussion in the context of CAPS AD. Understanding the effects of patriarchy is necessary to qualify the way women are served.