O trabalho e a saúde dos profissionais de um Centro de Atenção Psicossocial: reflexões sobre o trabalho na saúde pública

Abstract

This thesis had as object of study the work of professionals of the mental health public service. The main objective was to investigate the relationship between work and health of the professionals of a public mental health service in the interior of the state of Minas Gerais. The specific objectives were characterized by identifying how the work process of these professionals was organized; to investigate how professionals were aware of the Psychiatric Reform; to identify if their discourse existed the relation between sickness and work and if they attributed the possible health problems to working conditions; and, lastly, identify the strategies used to deal with daily work problems. The qualitative research was based on the theoretical-methodological framework of historical-dialectical materialism and made use of recorded interviews as the main technique of data collection. Ten interviews were conducted with professionals who worked for at least twelve months in the Psychosocial Care Center (CAPS) studied. The results showed that within the organization of the service it there is a fragility in the links and lack of internal integration in the work team. This lack of integration is observed among workers of the same professional category and in between the different categories, although there is the discourse of teamwork, the concrete conditions of work do not allow this to occur effectively. It was also observed problems of order of management and of material and human resources necessary for the good functioning of the service that generate concern and suffering to the professionals due to the impossibility of an adequate service to the users. Another component that also collaborates with the precarious work of these professionals is the outsourced work. Eighty per cent of the interviewees worked as outsourced workers. The situation found in the CAPS showed how health in Brazil is increasingly being scrapped and the mental health sector, being a marginalized sector within health suffers even more intensely. The feeling of disposability generated by the layoffs and contracting by another outsourced company ended up generating psychosomatic sufferings and illness in the whole work team (even in those who had a job assured by the public tender), before the dismantling of a service that counted on A structured work team. Disregarding the working and health conditions of health professionals, more specifically of mental health professionals, is disregarding the service to be offered to the population, since in this context, workers and users are harmed.

Atenção Primária À Saúde: Promoção, Prevenção, Diagnóstico E Implementação De Cuidados

“…Outro estudo realizado com estudantes de uma instituição pública federal no estado de Minas Gerais, regularmente matriculados do 1º ao 8º período do curso de medicina identificouse que apenas 25,8% dos alunos já tinham cursado disciplina ou atividade de extensão sobre o tema, mas a maioria (74,1%) acredita que as PIC devem estar presentes na grade curricular, de preferência na forma disciplina optativa (57,6%). Sendo notório que há um grande desconhecimento da presença das PICS no SUS e no sistema privado de saúde, tendo em vista que as aulas práticas e estágios são quase exclusivamente com uso de terapias convencionais, deixando uma lacuna em relação ao aprendizado prático das PICS (SANTOS et al, 2018).…”

“…Outrossim, é o contato com o tema durante o curso, por meio de disciplina ou outras atividades de ensino, que deixam os alunos mais seguros em relação ao uso das PIC pelos pacientes. De modo que, quando não ocorre o contato e não são discutidas, o conhecimento sobre PICS torna-se insuficiente para aplicabilidade no dia a dia deixando o profissional inseguro para oferecer a PIC no trabalho (SANTOS et al, 2018).…”