Building the Barricades: Three Interdisciplinary Studies on Mental and Substance Use Disorders in the Context of Armed Violence in Brazil, 2018–2021

DOI

The data consists of one spreadsheet including data from study 1, one spreadsheet with data from study 2, two files including the sampling description (in Portuguese and English), one file with survey guidelines and one file with the description of the data calibration. Study 1 – Maré Domestic Survey: an investigation of the mental health and wellbeing of Maré residents with a focus on their mental health, patterns of drug use (legal and illegal), family and educational background, income generation and access to social, health and drug treatment programmes. Study one included a domestic survey of 1,211 Maré residents from each of the 16 communities. Study 2 – Profiles of Regular Drug Users of Maré: A quantitative survey of 200 regular drug users living on or at risk of living on the streets within and on the borders of the Maré communities. The survey investigated the existing mental health of the respondents, their knowledge and perception about MNS disorders, their access to mental health services, the possibilities of self- and community-based care, and the existence of informal care networks.This research aims to understand the impact of armed conflict on the mental health and wellbeing of people living in the context of violence in the Complex of Maré - a conglomeration of 16 peripheral communities in Rio de Janeiro with a population of over 140,000 people. By focusing on Brazil - a LMIC in which the state pursues a military-style intervention into peripheral urban territories (favelas) regulated by armed gangs trading drugs - the research seeks to locate an understanding of MNS disorders within the intensity of armed conflicts in peripheral territories that characterise many of the world's poorest and least developed countries. The research will seek to bring new understanding about the mental health and wellbeing of people living within a community subject to multiple stress factors (socio-economic exclusion, high levels of violence, limited access to cultural networks and institutions, etc) where daily lives are circumscribed by multi-faceted armed regulation and combat resulting from the so-called 'war on drugs'. While the situation of MNS disorders is acute in fragile territories on the peripheries of many major cities in LMICs, the favelas of Rio de Janeiro are characterized by a narcotic narrative of sale, consumption, conflict and abuse that makes the territorially-specific analysis at the heart of this research an appropriate means to open up new avenues for future research. In the absence of funding or state structures that can develop, evaluate and maintain complex mental health interventions in LMICs, civil society organizations that utilize existing personal and social resources that can be provided through trained lay people, volunteers, peers, and families. This proposal will learn from, and develop low-cost approaches that are found to be effective within the context of the urban battlefields of the war on drugs in Rio de Janeiro. Locating the research in Maré is significant since it allows the contextualization of the research questions in a territory where there are 15 areas used for the open dealing of crack, known locally as 'cracolandias' [http://bit.ly/2moGPC4]; a lethality rate due to police actions in Maré in 2016 (12.8:100,000 inhabitants) eight times higher than that of Brazil (1.6:) and three times that of Rio de Janeiro state (3.9:) in 2015], as well as informal care networks for people living with MNS disorders. Maré is of the scale of a small city and has an organization, Redes da Maré, which has a long experience in the field of studies on violence and public safety and in the field of care for people who use crack, alcohol and other drugs. The research proposes 3 studies: Study 1 on 200 crack-cocaine users living on or at risk of living on streets within and on the borders of the Maré communities, investigating existing mental health of the respondents, their knowledge and perception about MNS disorders, possibilities of self- and community-based care, existence of informal care networks. Study 2: an investigation of the mental health and wellbeing of people affected by high levels of violence and insecurity, with a focus on their mental health, patterns of drug use (legal and illegal), family and educational background, income generation and access to social, health and drug treatment programmes. It will include a survey of 1,200 residents of Maré with respondents from each of the 16 communities and 20 semi-structured interviews with respondents from the survey who are living with mental disorders and/or substance abuse Study 3: Arts-based practices to produce narratives and images that challenge stigma and exclusion associated with MNS disorders, resulting in of life stories and a public photographic installation. * Population data source: IBGE - Brazilian Institute of Geography and Statistics' Profile of Brazilian Municipalities 2011 http://bit.ly/2mgzu6M * RUI, Taniele. Usage of "Luz" and "cracolandia": fieldwork of spatial practices"

The survey of 1,411 Maré residents (including 200 people who regularly frequent the open-use drug sites) was applied by social science postgraduates from Maré and neighbouring favelas. Study 1 - In each of 16 the territories of Maré complex, around 400 households were randomly selected to make up a representative sample of Maré’s population. Researchers visited each home. Once in the house, a family member aged eighteen and over was randomly selected to answer the questionnaire. In all, 1211 people were interviewed. Approximately one in every forty households in Maré was visited. Respondents answered an extensive questionnaire, divided into the following sections: • Profile of the interviewee: gender, age, race, length of residence in Maré, education, income and occupation, amongst other data; • Cultural, artistic and leisure interests: internet use, sports or physical activities, religious affiliations and attendance, and community participation; • Physical and emotional health: illnesses, treatment and access to health services. This section had fifty-three questions about psychological symptoms noticed by respondents during the previous week; • Legal and illegal drug use: from alcohol to crack; • Experience of violence in the territory: with a focus on exposure to armed violence; • Well-being and quality of life: personal satisfaction with life in general, work, finances, relationships with family and friends, housing conditions, security, leisure, physical and mental health. Study 2 – The 200 respondents answered a questionnaire similar to the one administered to the general public of Maré residents, with additional questions specifically related to living on the streets, forms of violence suffered by this population and the risk of contracting infectious diseases. The similarity of the two research instruments allowed for comparisons to be made.

Identifier
DOI https://doi.org/10.5255/UKDA-SN-856536
Metadata Access https://datacatalogue.cessda.eu/oai-pmh/v0/oai?verb=GetRecord&metadataPrefix=oai_ddi25&identifier=059d6644a9c93e8b05c69b40e65f84ed66e0b63363f609ecc1cc4a4877d75108
Provenance
Creator Heritage, P, Queen Mary University of London; Silva, E, Redes de Desenvolvimento da Maré; Cruz, M, Universidade Federal do Rio de Janeiro; Krenzinger, M, Universidade Federal do Rio de Janeiro; Priebe, S, Queen Mary University of London
Publisher UK Data Service
Publication Year 2023
Funding Reference ESRC
Rights Paul Heritage, Queen Mary University of London. Eliana Souza Silva, Redes de Desenvolvimento da Maré. Marcelo Santos Cruz, Universidade Federal do Rio de Janeiro. Miriam Krenzinger, Universidade Federal do Rio de Janeiro. Stefan Priebe, Queen Mary University of London; The Data Collection is available to any user without the requirement for registration for download/access.
OpenAccess true
Representation
Resource Type Numeric; Text
Discipline Psychology; Social and Behavioural Sciences
Spatial Coverage Maré Complex, Rio de Janeiro City, Brazil; Brazil