A reabilitação psicossocial nos Centros de Atenção Psicossocial: uma revisão integrativa

Abstract

We investigated the difficulties Psychosocial Care Centers face in carrying out psychosocial rehabilitation by means of an integrative review. We analyzed 35 articles from journals indexed in the LILACS, SciELO, INDEX Psi and PePSIC databases. The results reveal that the concept of psychosocial rehabilitation encompasses a multiplicity of meanings. The articles describe successful experiences, but emphasize various difficulties, such as poor articulation between Psychosocial Care Centers and primary and inter-sectoral care services, actions with a poor level of community focus, few social inclusion initiatives through working, poor support for families and lack of training for health care professionals. We conclude that there must be more debate and reflection on the part of management and professionals in order to improve this process. poucas iniciativas para a inclusão social pelo trabalho, baixo suporte às famílias e falta de capacitação dos profissionais de saúde. Conclui-se que é necessário promover o debate e a reflexão dos gestores e profissionais, a fim de melhorar tal processo.

Treatment outcome indicators of schizophrenia according to Brazilian family caregivers and outpatients

“…The need to evaluate treatment outcomes in mental health services from the perspective of users and their family members has been highlighted in the literature, with it being necessary to develop further studies on this theme. [1][2][3][4][5][6][7][8][9] In recent decades, studies on patient satisfaction regarding the treatment outcomes in mental health services have provided good feedback, since the changes perceived by the patients themselves can be considered to be one of the possible indicators of good outcomes due to the treatment received. [9] Studies focusing on the evaluation of services [10] have gained increasing relevance, given their importance in the patient care process.…”

A reabilitação psicossocial na rede oeste do município de São Paulo: potencialidades e desafios

“…In other words, the work must be committed and sympathetic to the person in psychic suffering, hoping to expand their possibilities as a being with rights. Thus, studies emphasize that mental health care based on the logic of the PR is still incipient in Brazil due to the absence of a PCN of its own or agreed upon within the municipalities (7) , disarticulation among the PCN components, absence of initiatives for the social inclusion through work, lack of training of health professionals (8) , and that overcoming these obstacles requires professionals to face political challenges and flexible positions towards users, but with clear directions within the collective work (9) . Although professionals in the context of the daily practice have different conceptual understandings, the PR can be developed at any level of mental health care, and considering how its operationalization in praxis occurs, it contributes to a critical analysis of the challenges and impasses in the care of people in mental distress.…”