Engajamento familiar na manutenção do tratamento em saúde mental após o primeiro episódio psicótico

Abstract

Most studies of the family's role in the continuity of treatment after the first epidode psychosis investigate cases of abandonment treatment and point to "negative aspects of family". Few studies have investigated the role of the family in cases of patients who remain in treatment. Objective: Understand the experience of caring of a familiar in PEP and highlight the motivations to remain in care. Method: This is a qualitative research that used the systemic family theory as the theoretical framework and the narrative as a methodological framework. 13 family caregivers of 12 patients were interviewed. To carry out the interviews with narrative approach was used the following question: We know that few families remain in mental health treatment of their sick young familiar after the first episode psychosis. Maintain the treating and taking care of the patient is called engagement. These are actions like take into consultations, administer medications, so as to relate, take care of hygiene and so on. Therefore, we would like you to tell us what motivates you to stay caring after everything you and your family are sickened by his family. For the exploration of the narratives was used the inductive content analysis technique. Results: The analysis of the narrative set the familiar engagement in three major interdependent categories. One is related to the context of feelings involved in the care called "Motivations for engagement," the other two refer to actions related to care called "The engagement actions" and "The assessment of care." Conclusion: The study contributes to the knowledge to present actively involved families in caring of the young in treatment of first episode psychosis. The theoretical-methodological possible highlight and enhance the stories, experiences and family relations involved in the care of a loved one. Care were described and contextualized in the cultural values of families. We found that family members perceive care as a responsibility of their role in the family.