RESUMEN
Purpose: To analyze the route that transgender men take to gain access to the treatments that are available for going through the transsexualizing process at a public care and attendance center in one of the capital cities of north-eastern Brazil. Methods: A qualitative case study which used the therapeutic itinerary as a theoretical-methodological path. The research was carried out between the months of September 2019 and March 2020 in a care and attendance center for trans people. The inclusion criteria were as follows: self-recognition as transgender men, over 18 years of age, and whose transsexualizing process was being carried out in the service stage of this study. Semistructured interviews were conducted. All interviewees participated voluntarily and signed a Free and Informed Consent Form before the study. Results: This study included 18 transgender men whose average age was 26.3 years. Of these, five (27.7%) were students, with one (5.5%) of them, as well as the others (nonstudents), performing some type of paid work. Three thematic categories emerged: (i) The (self-re-) cognition of the trans world through the internet and social media; (ii) the expression of male gender identity and the (non) support network; and (iii) access to transsexualizing process in SUS (Brazilian Public Healthcare System). Conclusion: The identification of the path taken by trans men, from their self-recognition and to the therapeutic care accessed through SUS' transsexualizing process, made it possible to identify the impacts of their experiences upon the construction of their gender identities.
RESUMEN
INTRODUCTION: Approximately 5% of the global population used an illicit drug in 2013. Regarding licit drugs, alcohol is responsible for the occurrence of approximately 200 diseases, among them depression. In addition to health impairments, alcohol is also implicated in many acts of violence. This study aimed to measure the properties of the Rasch model of the Portuguese version of the Global Appraisal of Individual Needs-Short Screener based on evidence obtained during care for users of alcohol and other drugs. METHOD: To collect the data, 128 interviews were held at the Psychosocial Care Center for Alcohol and Other Drugs in the state capital, during which the scale was applied. RESULTS: The Rasch model revealed that the subscales of the instrument were appropriate, with all items having mean infit and outfit values from 0.5 to 1.5, considered optimal for measurement. There was no evidence of differential performance for gender. Substance use and crime and violence items presented redundancy for severity measures. CONCLUSION: Given the need for validated instruments for use in Brazil, it is encouraging that the Portuguese version of the scale was valid for the Rasch model. The results are consistent with studies using the other American, Brazilian, and Canadian versions of the instrument.