THE RELEVANCE OF PSYCHOSOCIAL CARE NETWORK SERVICES FOR USERS OF ALCOHOL AND OTHER DRUGS
AN INTEGRATIVE REVIEW
DOI:
https://doi.org/10.57108/iesj.2026.6-2.1Keywords:
RAPS, Adult Shelter Unit, drugs, alcoholAbstract
In Brazil, mental health care focused on the needs arising from the use of alcohol and other drugs is one of the priority areas in providing care to the homeless population. Within the Unified Health System (SUS), health services are offered through the Psychosocial Care Network (RAPS), which includes specific services such as Psychosocial Care Centers for Alcohol and Other Drugs (CAPS-AD), Shelters, and Street Outreach Teams. This study aimed to deepen the discussion on care and reception of users of alcohol and other drugs within the services of the Psychosocial Care Network (RAPS). The methodology adopted was an integrative review, considering publications in English, Spanish, or Portuguese, published between 2019 and 2025. Articles, books, dissertations, and theses related to the topic were included. The studies included in this review were obtained through electronic searches in the PubMed/MEDLINE, Web of Science, LILACS, and SciELO databases. The keywords used were based on the Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH). A total of 20 publications dated from 2019 to 2025 were selected. It was concluded that the current scenario reveals deep contradictions: on one hand, reception and qualified listening favor psychosocial rehabilitation and harm reduction; on the other hand, structural weaknesses, stigma, and biomedical approaches persist, limiting the protagonism of the user.
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References
AGÊNCIA BRASIL. At least 11.4 million Brazilians have used cocaine or crack. 2025. Disponível em: https://agenciabrasil.ebc.com.br/en/geral/noticia/2025-07/least-114-million-brazilians-have-used-cocaine-or-crack. Acesso em: 30 jan. 2026.
ANDRADE, N. B.; GNECCO, J. R. Centro de atenção psicossocial álcool e drogas III: território de cuidado, política de vida. Revista Foco, v. 18, n. 6, e9058, 2025. Disponível em: https://doi.org/10.54751/revistafoco.v18n6-227. Acesso em: fev. 2026.
ANDRADE, L. A. et al. Alcohol- and drug-related mortality in Brazil: an ecological and population-based study on changes observed during the COVID-19 pandemic. The Lancet Regional Health – Americas, v. 55, 2026. Disponível em: https://www.sciencedirect.com/science/article/pii/S2667193X25003825. Acesso em: 01 fev. 2026.
BARROS, A. C. et al. The perception of Psychosocial Care Center users about the assistance in mental health. Medicina (Ribeirão Preto), v. 54, n. 1, e174040, jul. 2021. Disponível em: https://doi.org/10.11606/issn.2176-7262.rmrp.2021.174040. Acesso em: fev. 2026.
BASTOS, F. I. P. M. et al. (Org.). III Levantamento Nacional sobre o uso de drogas pela população brasileira. Rio de Janeiro: FIOCRUZ/ICICT, 2017. 528 p. Disponível em: https://arca.fiocruz.br/handle/icict/34614. Acesso em: 01 fev. 2026.
BITTENCOURT, M. N. et al. Consultório na rua: as práticas de cuidado com usuários de álcool e outras drogas em Macapá. Escola Anna Nery, v. 23, n. 1, 2019. Disponível em: https://doi.org/10.1590/2177-9465-EAN-2018-0261. Acesso em: 05 fev. 2026.
BOSKA, G. de A. et al. Homelessness, crack use, and length of stay as predictors of planned discharge from night care in a Psychosocial Care Center. HSJ, v. 11, n. 2, p. 66-72, 2021. Disponível em: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1113. Acesso em: 05 fev. 2026.
BRANDÃO, B. Por ora, menos que a metade: a lei de drogas brasileira. Revista Brasileira de Ciências Sociais, v. 36, n. 105, e3610516, 2021. Disponível em: https://doi.org/10.1590/3610516/2020. Acesso em: 01 fev. 2026.
BRASIL, D. D. et al. Nurse’s performance in a psychosocial care center for alcohol and other drugs and psychiatric emergency. Revista Enfermagem Atenção Saúde, v. 11, n. 2, e202253, 2022. Disponível em: https://doi.org/10.18554/reas.v11i2.5536. Acesso em: 29 jan. 2026.
BRITO, E.; BESSEL, M.; KOPS, N. L. et al. Prevalence and factors associated with alcohol and illicit drug use among Brazilian youth: a multicenter cross-sectional study. Scientific Reports, v. 16, n. 1400, 2026. Disponível em: https://doi.org/10.1038/s41598-025-31026-w. Acesso em: 02 fev. 2026.
COELHO, V. A. A. et al. Regionalization of psychosocial care: a panoramic view of the Psychosocial Care Network of Minas Gerais state, Brazil. Ciência & Saúde Coletiva, v. 27, n. 5, p. 1895-1909, 2022. Disponível em: https://doi.org/10.1590/1413-81232022275.11212021. Acesso em: 04 fev. 2026.
COSTA, M. I. S.; LOTTA, G. S. From “mentally ill” to “citizens”: historical analysis of the construction of political categories in mental health in Brazil. Ciência & Saúde Coletiva, v. 26, Suppl. 2, p. 3467-3479, 2021. Disponível em: https://doi.org/10.1590/1413-81232021269.2.22712019. Acesso em: 01 fev. 2026.
DE BRITO, P. M. C. et al. Usuários de álcool e outras drogas na Rede de Atenção Psicossocial: cuidado de enfermagem. Enfermeira: Cuidados Humanizados, v. 10, n. 2, p. 175-190, 2021. Disponível em: https://doi.org/10.22235/ech.v10i2.2546. Acesso em: 05 fev. 2026.
FRAGA, P. V. R. et al. Between the streets and the RAPS: integrative review on the access of the homeless population to Mental Health Services. Ciência & Saúde Coletiva, v. 30, e07752024, 2025. Disponível em: https://doi.org/10.1590/1413-81232025301.07752024EN. Acesso em: 04 fev. 2026.
GAMA, C. A. P. et al. Os profissionais da Atenção Primária à Saúde diante das demandas de Saúde Mental: perspectivas e desafios. Interface, v. 25, 2021. Disponível em: https://doi.org/10.1590/interface.200438. Acesso em: 30 jan. 2026.
GUIMARÃES, D. A. et al. Psychosocial Care Centers for alcohol and other drugs: an implementation overview. SMAD, Revista Eletrônica Saúde Mental Álcool Drogas., v. 20, e218260, 2024. Disponível em: https://revistas.usp.br/smad/es/article/download/218260/205692/703665. Acesso em: 03 fev. 2026.
INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA (IBGE). Pesquisa Nacional de Saúde do Escolar – PeNSE 2024. Rio de Janeiro: IBGE/Ministério da Saúde, 2024. (em andamento).
LENAD – III Levantamento Nacional sobre Álcool e Drogas. Instituto Nacional de Ciência e Tecnologia para Políticas Públicas do Álcool e Outras Drogas (INPAD). São Paulo: INPAD/UNIFESP, 2017.
LIMA, I. B. et al. Indicators for the Brazilian Psychosocial Care Network: a proposal. Revista Latino-Americana de Enfermagem, v. 30, e3599, 2022. Disponível em: https://doi.org/10.1590/1518-8345.5618.3599. Acesso em: 10 fev. 2026.
LIMA, D. K. R. R.; GUIMARÃES, J. Rede de Atenção Psicossocial sob o olhar da complexidade: quem cuida da saúde mental? Saúde e Debate, v. 43, n. 122, p. 883-896, 2019. Disponível em: https://doi.org/10.1590/0103-1104201912218. Acesso em: 05 fev. 2026.
MADRUGA, C. S.; BARRETO, K. I. de S. Open Drug Scenes Survey in Brazilian cities: main findings from São Paulo, Fortaleza and Brasília. Revista Brasileira de Epidemiologia, v. 28, 2025. Disponível em: https://doi.org/10.1590/1980-549720250008. Acesso em: 31 jan. 2026.
MELO, T. C. P. et al. Comprehensive care perspectives for the “mentally ill offender” in the Psychosocial Care Network (RAPS). Cadernos Brasileiros de Terapia Ocupacional, v. 33, e4051, 2025. Disponível em: https://doi.org/10.1590/2526-8910.cto414340512. Acesso em: 02 fev. 2026.
MINISTÉRIO DA SAÚDE (Brasil). Vigitel Brasil 2023: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde, 2023.
PAIVA, I. K. S. de; GUIMARÃES, J. População em situação de rua e Rede de Atenção Psicossocial: na corda bamba do cuidado. Physis: Revista de Saúde Coletiva, v. 32, n. 4, e320408, 2022. Disponível em: http://dx.doi.org/10.1590/S0103-73312022320408. Acesso em: 31 jan. 2026.
PIERINI, M. M. et al. The ability of Psychosocial Care Centers specialized in Alcohol and Drugs to handle crises. Revista Latino-Americana de Enfermagem, v. 31, e3848, 2023. Disponível em: https://doi.org/10.1590/1518-8345.6167.3848. Acesso em: fev. 2026.
RAMOS, A.; CASTALDELLI-MAIA, J. M. Key features and current challenges of the Brazilian Psychosocial Care Centers for alcohol and other drugs (CAPS-AD). International Review of Psychiatry, v. 37, n. 3-4, p. 322-331, 2025. Disponível em: https://doi.org/10.1080/09540261.2024.2427825. Acesso em: 09 fev. 2026.
SANCHES, L. R.; VECCHIA, M. D. Psychosocial rehabilitation and social inclusion of people with issues resulting from alcohol and drug use: deadlocks and challenges. Interface, v. 24, 2020. Disponível em: https://doi.org/10.1590/interface.200239. Acesso em: 03 fev. 2026.
SILVA, A. dos S. et al. Profile of users receiving care at a Psychosocial Care Center for alcohol and other drugs. Journal of Contemporary Nursing, Salvador, v. 14, e6026, 2025. Disponível em: http://dx.doi.org/10.17267/2317-3378rec.2025.e6026. Acesso em: 10 fev. 2026.
SILVA, J. R. F. G.; MONTEIRO, C. F. S. Alcohol and other drug use, and mental distress in the women’s universe. Revista Brasileira de Enfermagem, v. 73, n. 1, e20180268, 2020. Disponível em: http://dx.doi.org/10.1590/0034-7167-2018-0268. Acesso em: 02 fev. 2026.
TIBIRIÇA, V. A. et al. Perspectiva do usuário de drogas sobre seu tratamento e a rede de atenção psicossocial. SMAD, Revista Eletrônica Saúde Mental Álcool e Drogas, v. 15, n. 4, p. 1-9, 2019. Disponível em: https://doi.org/10.11606/issn.1806-6976.smad.2019.150890. Acesso em: 30 jan. 2026.
VIAGI, F. M. et al. Current panorama and challenges of the psychosocial care network in the context of Brazilian psychiatric reform. Revista DELOS, Curitiba, v. 18, n. 73, p. 1-25, 2025. Disponível em: https://doi.org/10.55905/rdelosv18.n73-070. Acesso em: 01 fev. 2026.
WIJK, L. B.; MÂNGIA, E. F. Atenção psicossocial e o cuidado em saúde à população em situação de rua: uma revisão integrativa. Ciência & Saúde Coletiva, v. 24, n. 9, p. 3357-3368, 2019. Disponível em: https://doi.org/10.1590/1413-81232018249.29872017. Acesso em: 05 fev. 2026.
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