Or507 Management Of Alcohol And Illicit Drug Misuse By Primary Care Teams In Rio De Janeiro, Brazil

Conference: 
Author(s): 
Leonardo Graever1 e Letícia de Oliveira Cardoso2
1CF Felippe Cardoso; 2Escola Nacional de Saúde Pública Sérgio Arouca - Fundação Oswaldo Cruz - Rio de Janeiro
Text: 
INTRODUCTION: Substance misuse figures as an important and complex issue, with major impact on health for the individual, their families and communities. The involvement of primary health care services in substance misusers’ assistance is known to improve its quality, leading to increased levels of detection, access and compliance to treatment, and better care coordination. There is, therefore, overt recommendation to address and manage substance misuse in primary care, with support from specialized services and shared management. Nevertheless, several studies report sub-optimal approach to this condition in primary care setting.
OBJECTIVE: to describe the performance of primary care teams from Rio de Janeiro, Brazil, in substance misuse assistance, including screening, treatment and reference to specialized services. METHODS: Thirty-one primary care teams from the city of Rio de Janeiro, covering 106.950 people, were included in the study. A search for alcohol and drug misuse related terms was performed in electronic patient and family profiles, medical and nurse records, from a two years period of assistance. The data collected were submitted to statistical analysis.
RESULTS: a hundred and twenty-nine individuals assigned as alcohol or illicit drug misusers were identified. The prevalence of alcohol and drug misuse altogether was 0.14% among individuals over ten years old. There was a low frequency of care by primary care professionals, with no report in consultation records in 68.2% of cases, and low use of validated tools and health care network resources (10% of cases).
CONCLUSIONS: The results indicate a significantly lower prevalence of alcohol and drug misuse in the studied population than previous prevalence studies performed in Brazil (12,3% for alcohol or illicit drug misuse), suggesting both low rate of detection and suboptimal data recording. The study indicates need for improvement in several areas of primary health care teams work on substance misusers’ assistance, including better recording, implementation of validated screening techniques, management of selected cases and adequate reference for treatment, with shared care with specialized services, care coordination and monitoring, according to primary health care principles.
Literature: 
OR507 MANAGEMENT OF ALCOHOL AND ILLICIT DRUG MISUSE BY PRIMARY CARE TEAMS IN RIO DE JANEIRO, BRAZIL
Keywords: 
Primary Care; Family Practice ; Substance-Related Disorders