Análise funcional e tratamento dos comportamentos drogaditos em comunidade terapêutica

Abstract

The present study aimed to evaluate the control exerted by the antecedent events and consequent of the excesses and behavioral deficits, as well as the sensorial stimulations of three participants who were hospitalized in religious community intuition as a result of the use and abuse of chemical substances with hospital readmission history. The objective was also to treat these types of behaviors with the use of a self-management program. To evaluate the behaviors, the functional evaluation process was used, through indirect observation using interviews, direct observation of the participants' behaviors at different moments in the institution, and functional (experimental) analysis. In order to control the procedures of the functional analysis, a multiple-element design was used, with the manipulation of four sub- conditions: attention, demand escapes, alone and control, and attention condition was manipulated in four sub-conditions: attention-warning, attention -contraposition, attentionexhortation and attention-recrimination. For the control of the procedures during the selfmanagement sessions, the ABAB-type replication-replication design was used, followed by follow-up of 30, 60, 90 and 150 days. The results of the functional analysis indicated that the highest frequencies of participants' behaviors occurred in the attention condition, demand escape, followed by the control condition. In the condition alone there were no emissions of excesses and behavioral deficits, being frequent the sensorial stimulations. Regarding data from the self-management program, the results indicated high occurrences of excesses and behavioral deficits and sensorial stimulation during the baseline phase and important reductions of these behaviors during the intervention phase, which reductions were maintained at the follow-up. These results demonstrate the effectiveness of the selfmanagement program. Due to these results, the use of the functional analysis methodology to experimentally evaluate the effects of antecedent and consequent events on behaviors is justified, as well as the use of a self-management program in studies that require behavioral change for individuals with a history of use and drug abuse.