Buscou-se compreender como o cuidado em saúde mental vem sendo produzido na Atenção Primária, com base nas experiências de profissionais, usuários e familiares. As informações obtidas foram categorizadas pelos aspectos observados na efetivação da interface entre Atenção Primária e saúde mental, descritos como: medicamentalização dos problemas de saúde mental apresentados pela população; dificuldades no acesso dos usuários do Centro de Atenção Psicossocial (CAPS) à Unidade de Saúde da Família, e formação em saúde mental para os profissionais da Atenção Primária. O processo de medicamentalização perpassa as práticas dos profissionais e configura-se como a principal demanda dos usuários do CAPS, indicando a necessidade de ações desmedicalizantes, que encontram potência na incorporação de novas relações e dinâmicas sociais no território, maior articulação das equipes e estímulo à participação social da comunidade neste processo.
The study aimed to understand how to conform the Support Matrix and Individual Therapeutic Project and its relation with the production of mental health care. This is qualitative research conducted in Fortaleza-CE, Center for Psychosocial Care and Center for Family Health. 17 people participated, between professionals and patients. It was used as for dates collecting semi-structured and systematic observation. The findings were analyzed by narrative analysis, grounded theory by Ricoeur. The results reveal themselves excessive referrals, medical-centered, dependence Health Center to support the specialized care, deficiency of physical space, network disconnection, outsourcing and professional unpreparedness of the Health Center as the production difficulties of care. The Support Matrix and Individual Therapeutic Project therefore happen in everyday services, but with difficulties that affect the organization and production of care.
This study aimed to understand how the devices of reception, bonding and co-responsibility have been used in the construction of care to patients with high blood pressure. Qualitative research conducted in Fortaleza, in a Family Health Center (FHC), which has, as participants, nine health workers and ten patients. For the collection of information it was used semi-structured interviews and systematic observation. The analysis of findings was performed through the thematic categorical analysis. The results showed that the reception is used with a way to ensure access for users with hypertension, as a step in the work process (screening) and as intercessory relationship between subjects. It was observed the construction of bonding, as well as patients reported satisfaction with the service. The clinical responsibility exists, yet there is no co-responsibility, not helping in the production of patient's autonomy in the health, disease and care. It is of mayor importance the use of these soft technologies, ensuring, monitoring and preventing possible complications.
Solvability of mental health care in the family health strategy: social representation of professionals and users RESUMENObjetivo: Asimilar las representaciones sociales acerca de la resolubilidad del cuidado en salud mental en la Estrategia Salud de la Familia de usuarios y profesionales de equipos de salud de la familia y Centro de Atención Psicosocial. Método: Estudio cualitativo con empleo de entrevista semiestructurada para recolección de las informaciones y el software Alceste para análisis. Este software utiliza la Clasificación Jerár-quica Descendente con base en el examen de las raíces lexicales, considerando la palabra como unidad y proporciona la contextualización en el corpus. Resultados: Las representaciones emergen en dos polos antagónicos: usuarios relatan satisfacción con la atención y profesionales advierten la necesidad de mejoría de las acciones de salud. Se desarrollan el matriciamiento en salud mental y la visita domiciliaria, pero persisten los óbices relacionados con la inversión en salud, la educación permanente y la organización de la asistencia. Conclusión: Las diferentes representaciones proporcionan mejoría de la atención, resolubilidad del cuidado y congregan saberes y prácticas en la perspectiva ampliada de las necesidades de salud en el contexto familiar, social y terapéutico. DESCRIPTORES ABSTRACTObjective: To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. Method: A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. Results: The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. Conclusion: The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context. DESCRIPTORS Integrality in health INTRODUCTIONThe search for solvability in mental health care requires the organization of a network of services and deepening of the subjective relationships among professionals, users and families. The key points in this search are to ensure access to quality services, in addition to establishing relationships that produce bonds and user embracement. Indeed, a resolute service should be able to address and solve the problem up to the limit of its performance (1) .Solvability is considered a dependent variable when analyzing the health care system in elements like access, u...
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