Paradoxo do cuidado: segregação e controle institucional de pessoas usuárias de álcool e outras drogas na região metropolitana de Maceió

Abstract

The provision of social and health assistance to drug users is the subject of several lawsuits. Despite this, there are few studies in the legal-criminological field on the subject. As an effort to reduce this gap, in this master's thesis I analyze the performance of public and private institutions for the treatment and reception of that public in the metropolitan region of Maceió. Guided by the concept of transcarceration, I sought to understand whether the practices carried out in the studied contexts contribute to the expansion of the prison logic, which involves punitive and institutionalizing experiences and usually affects people whose subjectivities were shaped in criminal subjection processes. For this, I carried out ethnographic interviews in three involuntary and compulsory hospitalization clinics, five therapeutic communities, a CAPS AD and in a team from the Street Clinic (Consultório na Rua). I also interviewed people under custody in four prisons in Maceió who had already been treated for drug use. These paths allowed accessing the affective and professional trajectories of the participants, which permeate the entire text. In addition, administrative reports, normative instruments and judicial decisions served as a source of documentary research, which allowed us to understand the normative guidelines and other important aspects of the services, such as their financing. The study showed that private entities play a leading role to the detriment of public mental health network in the region, which is usually justified by their shortcomings. On the other hand, it has been shown that private institutions, mostly maintained by the repass of public resources, are also unable to contemplate the plurality of users and act without sufficient state control of their practices, which expands the space for arbitrariness.