Shared decision-making of psychopharmaceutical treatment: survey with users of CAPS from four large Brazilian cities

Ciencia e Saude Coletiva

article

Colaço, Rafael Freitas¹  Onocko-Campos, Rosana Teresa¹ 

[1]Universidade Estadual de Campinas

关键词: Mental health services;    Assessment;    Psychotropic drugs;    Shared decision-making;    Mixed studies;   

DOI  :  10.1590/1413-81232022277.17162021

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

In this article we describe the characteristics of the treatment negotiation process with medications at the Centros de Atenção Psicossocial (CAPS) in four major Brazilian municipalities. A structured questionnaire was applied to 1,630 CAPS users in the cities of Campinas, Fortaleza, Porto Alegre and São Paulo. Most users undergoing treatment at the CAPS did not start using medication at the CAPS, but already in the first contact with health services. Almost all users were medicated when starting treatment at CAPS and most of them were medicated at the first visit. Between 55.2% and 40.7% (depending on the municipality) reported not having received information on the time needed to use the medication. A very high proportion of users reported having changed the dose of the medication alone (40.5% to 28.7%) or having been medicated against their will (35.7% to 15.6%), which indicates limits on building consensus among staff, users and families on the use of medication. CAPS users participate little in the medication decision process. There are problems from the provision of information to problems in building consensus involving the introduction and continued use of the drug.

【 授权许可】

CC BY