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There is a significant increase in the use of multiple drugs. The use and abuse is a current and alarming phenomenon. The use of this substance is a challenge to public health. Objectives To describe the epidemiology and clinical care of the emergency department by use of licit and illicit drugs in 2001 and 2011. Compare if there was a change in profile over the past 10 years. Methodology Epidemiological descriptive study. We analyzed 1982 medical records in 2001 and 2465 in 2011. The study was approved by the Ethics Committee. Results Regarding sex, remained unchanged; the male is responsible for most of the medical care. Regarding age, there was no change over the last ten years, being individuals between 20-39 years old the highest rate of attendance. As the etiologic profile, there has been a change over the last 10 years. In 2001 the diagnosis of ICD-10-F10 (Mental and behavioral disorders due to use of alcohol) was predominant. In 2011 the ICD-10 and ICD-10-F19 (mental disorder and behavior due to multiple drug use and use of other psychoactive substances). As for the number of attendances, in 2001 there was a large concentration in the first quarter, while in 2011 it was better distributed throughout the year. There was an increase in the number of visits in 2011 compared to 2001. Conclusion We believe educational and preventive actions are necessary to minimize the increase in drug use. It is also necessary to have measures to reduce damage.

The “Programa de Educacao pelo Trabalho - PET” (Education through Work Program) is one of the intersectoral actions designed to strengthen strategic areas of the “Sistema Unico de Saude - SUS” (Unified Health System) in Brazil. This program's goal is to prepare undergraduates to real local necessities so they will be fully prepared professionals when they graduate. Brazilian Ministry of Health has funded 80 PETs nationwide, focusing alcohol, crack and other drugs issues. Each PET team had a tutor, mentors and students, all of them receiving scholarships. The program lasted one year (with the possibility of being extended for one more). FAMEMA - Medicine School of Marilia, was one of the 80 institutions selected nationwide for the development of this program. The program consists of weekly meetings, tutorial-based learning, study questions, discussions, analytical summaries, field practice and literature. All knowledge acquired during tutorial activity allowed students and mentors to approach the drugs topic, learn the related national policies and know local, Brazilian and global realities. From this experience several scientific searches were developed such as the “Waiting Room Program” at the Psychosocial Care Center - Alcohol and Drugs. As patients tend to be more spontaneous while waiting in a non-therapeutic room they could reveal service flaws such as inefficient reception, bond, patient-therapist relationship. The Waiting Room Project aims to turn downtime into a moment of awareness, acceptance, strengthen ties and improve treatment adherence. We emphasize that the project was discussed between service professionals and they are responsible for its implementation.