Rede de Atenção Psicossocial: avaliação da estrutura e do processo de articulação do cuidado em saúde mental

Sampaio, Mariá Lanzotti; Júnior, José Patrício Bispo

doi:10.1590/0102-311x00042620

Cited by 18 publications

(9 citation statements)

References 16 publications

(13 reference statements)

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“…This nding is consistent with those found in other Brazilian regions 12,[24][25][26] and international reports 2,27 , re ecting the challenges of changing a logic limited to assistance to a users' emancipatory scenario, which is necessary for community care in mental health 2,23,28 . In this sense, a paradigm change, making it possible to break with the positivist principles and traditional psychiatry and nd new ways of providing psychosocial care, would require changes in the normal way health professionals work.…”

Section: Discussionsupporting

confidence: 89%

Community mental health network care: an evaluative approach in a Brazilian state

Coelho

Gama

Andrade

et al. 2022

Preprint

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In recent decades, public policies of the Unified Health System (SUS) in Brazil have structured a mental health care network (RAPS) based on various community actions and services. This study carried out evaluative research on the implementation of the structure and process dimensions of the RAPS in Minas Gerais (MG), the second most populous state of Brazil, generating indicators that can enhance the strategic management of the SUS in the strengthening the psychosocial care in the state. The application of a multidimensional instrument, previously validated (IMAI-RAPS), in 795 of the 853 municipalities in Minas was carried out between June and August 2020. Regarding the structural dimension, we noticed an adequate implementation of ‘Family Health Strategy (ESF),’ ‘Expanded Family Health Center (NASF),’ and ‘Psychosocial Care Centers (CAPS)’ but a lack of ‘Beds in General Hospitals (LHG),’ ‘Unified Electronic Medical Records’ and ‘Mental Health Training Activities for Professionals’. In the process dimension, adequate implementation of actions such as ‘Multidisciplinary and Joint Care,’ ‘Assistance to Common Mental Disorders by Primary Health Care,’ ‘Management of Psychiatric Crises in CAPS,’ ‘Offer of Health Promotion Actions,’ and ‘Discussion of Cases by Mental Health Teams’ point to a form of work consistent with the guidelines. However, we detected difficulties in the implementation of ‘Psychosocial Rehabilitation Actions,’ ‘Productive Inclusion,’ ‘User Protagonism,’ ‘Network Integration,’ and practical activities for the effectiveness of collaborative care. We found a better implementation of RAPS in more populous, demographically dense, and socioeconomically developed cities, which shows the importance of regional sharing of services that are not possible for small cities. The evaluation practices of RAPS are scarce throughout the Brazilian territory, a fact also found in MG, highlighting the need for its expansion not only in the scientific sphere but also in the daily life of the various levels of management.

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Section: Discussionsupporting

confidence: 89%

Community mental health network care: an evaluative approach in a Brazilian state

Coelho

Gama

Andrade

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…It is noteworthy that the lack of knowledge about the current situation of the functioning of the RAPs in the country is, in fact, a reality and, with regard to the emergency network, there are even greater difficulties in the recognition of these services as its constituents (9) . In this context, it can be observed that such social reality is formed from the unfamiliar incorporated into the consensus universes of the research participants from the construction of the experienced reality (15) .…”

Section: Discussionmentioning

confidence: 99%

“…Professionals dispute about the responsibility of emergency departments in attending people with mental disorders (5)(6)(7) , even claiming that the psychiatric hospital is the best direction for this type of demand (8) . There is a significant lack of knowledge about the flows and components of the RAPs and the non-recognition of urgency and emergency services as an integral part of this network (9) .…”

Section: Introductionmentioning

confidence: 99%

Social representations of nurses of the Emergency Care Unit towards people with mental disorder

Sabeh¹,

Cecílio²,

Campos³

et al. 2023

Rev. esc. enferm. USP

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Objective: To understand the Social Representations of nurses from an Emergency Care Unit about the care provided to people with mental disorders. Method: Qualitative exploratory study, supported by the theoretical and methodological framework of the Theory of Social Representations. Interviews were conducted from July to August 2021. The data were processed using the IRaMuTeQ software. Results: 22 nurses were interviewed. From the processed data, three discursive categories were constructed: the tortuousness of the Psycho-Social Care Network (RAPs): in search of a path; the abyss between the health professional and the person with mental disorder; and unveiling the care of nurses in the Mental Health Emergency Care Unit. Conclusion: We identified a lack of knowledge about the Psychosocial Care Network, anchoring elements associated with previous negative experiences that influence the professional-patient relationship, and nursing care permeated by cognitive barriers. Such findings are unprecedented in the locality studied and relevant to promote the qualification of the work of nurses in mental health in the Emergency Care Unit.

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“…Seu objetivo era a integração do cuidado de forma ordenada, a partir da articulação de serviços de base territorial, nos diversos níveis e pontos de atenção do SUS. A implementação da RAPS, no Brasil, demonstrou avanços substanciais, em uma lógica que investe recursos na expansão dos serviços comunitários, no desenvolvimento de práticas de cuidado inovadoras e na participação ativa dos usuários (Sampaio;Bispo, 2021).…”

Section: Possibilidades De Ações E Intervenções De Posvenção Do Suicí...unclassified

Sobreviventes enlutados por suicídio e as possibilidades para posvenção no contexto da saúde pública brasileira

2022

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Resumo Após um suicídio, diversas pessoas são afetadas negativamente. Muitos dos denominados sobreviventes enlutados, em algum momento, precisarão de cuidados e apoio, a conhecida posvenção do suicídio. O objetivo deste estudo é discutir as suas possibilidades no contexto da saúde pública brasileira. Metodologicamente, o texto configura-se como um ensaio teórico apoiado na literatura da área, assim como em documentos institucionais e marcos legais. No cenário internacional, a posvenção do suicídio está mais bem estruturada do que no Brasil que, atualmente, tem o enfoque em grupos de apoio aos sobreviventes enlutados centrados em organizações não governamentais. É preciso lançar o olhar para os serviços de saúde de base territorial e comunitária, a exemplo dos Centros de Atenção Psicossocial, e vislumbrar ações de posvenção acessíveis e resolutivas, como as linhas telefônicas gratuitas de acolhimento, as visitas domiciliares precoces, as escutas terapêuticas e o aconselhamento para o luto.

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Rede de Atenção Psicossocial: avaliação da estrutura e do processo de articulação do cuidado em saúde mental

Cited by 18 publications

References 16 publications

Community mental health network care: an evaluative approach in a Brazilian state

Community mental health network care: an evaluative approach in a Brazilian state

Social representations of nurses of the Emergency Care Unit towards people with mental disorder

Sobreviventes enlutados por suicídio e as possibilidades para posvenção no contexto da saúde pública brasileira

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