Revista Cubana de Salud Pública
Print version ISSN 0864-3466
FABELO ROCHE, Justo Reinaldo; IGLESIAS MORE, Serguei and DIAZ LLANES, Guillermo. Institucional and community perceptions on addictive behaviours in Guayaquil. Rev. cub. salud pública [online]. 2012, vol.38, n.1, pp.64-73. ISSN 0864-3466. http://dx.doi.org/10.1590/S0864-34662012000100007.
Introduction: In today's world, the addictive behaviors are a serious problem for the humanity. The care of patients who consume psychoactive substances in the Republic of Ecuador has mainly been given on a private basis, but at present, it is recognized that addiction is a health problem to be managed by the public policies. Objective: to identify the perception of addictive behaviours in the Center of Education and Research for the Human Development and the Good Living and neighboring communities in Guayaquil. Methods: the study was conducted in 2011 and adopted an ethnographic design in which document analysis, observation of participants, in-depth interviews and focused group interviews were included. The key informants were selected from an intentional sampling. The gathered information underwent a content analysis. Results: The study revealed perceptions limited to the clinical model in the community management, the teaching-assistance and the research dimensions. Conclusions: Both the Center and the neighboring communities have perceptions on addictive behaviors that are limited to the clinical-assistance model, which is a kind of barrier to the positioning of the public health model.
Keywords : Addictive behaviors; public health model; clinical model; ambulatory treatment; residential treatment.