Inovação em saúde mental sob a ótica de usuários de um movimento comunitário no nordeste do Brasil

Bosi, Maria Lúcia Magalhães; Carvalho, Liliane Brandão; Ximenes, Verônica Morais; Melo, Anna Karynne; Godoy, Maria Gabriela Curubeto

doi:10.1590/s1413-81232012000300010

Cited by 16 publications

(18 citation statements)

References 13 publications

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“…A clínica praticada nos CAPS estudados está presa aos velhos referenciais e é herdeira destes, formando, também, uma subjetividade entre os trabalhadores, a qual opera por lógicas instrumentais, mais do que as que sugerem processos de trabalho acolhedores, com intervenções no campo socioafetivo. As dimensões epistemológica e técnico-assistencial, nesse contexto, resguardam características que não se limitam a mudanças nos serviços, mas propõem inovação no fazer de profissionais, reconhecendo a importância de novas bases teóricas e práticas dos sujeitos 32 . Considerando que é a partir da articulação do planejamento dos serviços com as práticas cotidianas que o projeto terapêutico ganhará concretude, reafirma-se a ideia de Franco 5 , na qual essa materialidade será influenciada pela aplicação de trabalho nas ações, participação dos usuários e utilização de novas tecnologias em saúde.…”

Section: Resultsunclassified

Projeto terapêutico em Saúde Mental: práticas e processos nas dimensões constituintes da atenção psicossocial

Vasconcelos

Jorge²,

Catrib

et al. 2016

Interface (Botucatu)

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Palavras-chave Objetivou-se compreender o cuidado psicossocial, tendo como analisador o projeto terapêutico dos usuários, a partir das narrativas de profissionais dos serviços. Trata-se de uma pesquisa qualitativa, embasada na Hermenêutica. As narrativas contextualizam um cenário marcado pelas dimensões epistemológica e técnico-assistencial da atenção psicossocial. O projeto terapêutico descaracteriza-se de sua concepção abrangente, de processo dinâmico, para ser concretizado a partir de um trabalho fragmentado pela especialização. A pesquisa provocou um movimento de reflexão dos profissionais, a partir da problematização de projetos terapêuticos, abrindo caminhos para a reformulação das ações da equipe, numa proposta de trabalho da equipe interdisciplinar. Foi evidente a escassez de discussões que considerassem o protagonismo dos usuários e da família na construção do projeto terapêutico, revelando, assim, a fragilidade das ações de cuidado psicossocial nas dimensões que consideram a participação e construção de cidadania.

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Section: Resultsunclassified

Projeto terapêutico em Saúde Mental: práticas e processos nas dimensões constituintes da atenção psicossocial

Vasconcelos

Jorge²,

Catrib

et al. 2016

Interface (Botucatu)

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“…Therefore, a new ethic of care is established, based on psychosocial rehabilitation, whose greater expression is concretized in the deconstruction of the manicomial apparatus and in the (re)invention of practices that consider alterities. Accordingly, evaluative studies in the field of psychosocial care consider the reception as an innovative practice, in that it is presented as the basis of mental health actions, respecting differences, fostering the creation of new ways to act and intervene in team [13,14,15].…”

Section: Discussionmentioning

confidence: 99%

User embracement in practices care in psychosocial care centers the perspective of local managers

Soares¹,

Guimarães²,

Araújo³

et al. 2017

int arch med

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Introduction: Psychosocial care centres (CAPS), strategic IN articulation of psychosocial care network and health system gateway, propose to the reorganization of health practices, by adopting a new ethic of care, based on respect to the singularity of the subjects and in the reception to the health needs of the users. Reception is a device for transforming practices and humanizing health care.Objective: To analyse the operation of the host users of CAPS from the perspective of local coordinators in Fortaleza, Ceará, Brazil.Method: Qualitative research with case study design, performed with CAPS coordinators of the city of Fortaleza, Ceará, Brazil. Data were collected through semi-structured interviews and observation, being submitted to the analysis of thematic content. Results:The host constituted innovative device in mental health practices, as triggered the construction of new ways of dealing with the subject in psychological distress, by incorporating technologies such as qualified listening, building autonomy, with attention focused on the user. Provided a reorientation of work and service processes, requesting the articulation for network care. In addition, it was configured as a strategy for humanization in the CAPS. Was presen- IntroductionIn the last three decades, Brazilian mental health policies have prioritized the establishment of a network of substitutive services to psychiatric hospitals, currently called the Psychosocial Care Network. Among its points of attention, the Family Health Strategy (FHS) and the Psychosocial Care Centres (CAPS) demarcate an interface between mental health and collective health, being considered strategic in the reorientation of the care model. As public health services, SUS members must act to materialize the principles that guide this system, guaranteeing universality, equity, integrity, decentralization, democratic participation of the different actors (managers, workers, users and their families) and the solubility of the assistance.According to their strategic character, they assume a central position in the articulation of the care network, constituting the gateway to the health system. Should, therefore, act to establish integration between the three health care levels, the local routing policies and mental health programs and the promotion of continuous reflections on the work of the management model, care model and clinical Operated in their daily lives [1,2,3,4].In the context of internal sector reforms, driven by the Brazilian Psychiatric Reform Movement, the CAPS propose to reorganize the mental health services network, making the implementation of substitutive services a priority on the political agenda and adopting a new ethic and aesthetic of the care, based on respect for the singularity of the subject, in the struggle for social reintegration and in the construction of the citizenship of those with mental disorders, with a view to the implementation of the psychosocial care model.At the heart of this process is the incorporation of some technol...

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“…Salienta-se também que outras publicações ligadas a esse projeto já circulam nas bases bibliográficas Carvalho, Ximenes, Bosi;, 2012;Bosi et al, 2011).…”

Section: Metodologiaunclassified

Qualidade do cuidado em dois centros de atenção psicossocial sob o olhar de usuários

Andrade

Bosi

2015

Saude soc.

Self Cite

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This research aims to understand the experiences of users in two Psychosocial Care Centers located in the city of Fortaleza, State of Ceará, Brazil, regarding the quality of care provided by professionals. The techniques used to obtain the empirical data were unstructured interview and systematic observation, using a qualitative methodology. Data were analyzed and interpreted from the perspective of Gadamer's critical hermeneutics. The results showed three analytical dimensions of the theme Quality of Care: a) formal aspects of care; b) humanization and welcoming; and c) comprehensive and extended clinic. According to users, the welcoming process, the ambience, a good interaction between professionals and users, the monitoring of medicines and humanization are the main aspects related to the quality of mental health care. We conclude that, despite some obstacles, the aspects of care pointed by users of the two Psychosocial Care Centers corroborate the ideals of the Psychiatric Reform and show that the reorientation of the mental health care model is already present in the daily care practices.

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Inovação em saúde mental sob a ótica de usuários de um movimento comunitário no nordeste do Brasil

Cited by 16 publications

References 13 publications

Projeto terapêutico em Saúde Mental: práticas e processos nas dimensões constituintes da atenção psicossocial

Projeto terapêutico em Saúde Mental: práticas e processos nas dimensões constituintes da atenção psicossocial

User embracement in practices care in psychosocial care centers the perspective of local managers

Qualidade do cuidado em dois centros de atenção psicossocial sob o olhar de usuários

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