Weaving the West Psychosocial Care Network of the municipality of São Paulo

Nóbrega, Maria do Perpétuo Socorro de Sousa; Domingos, Alessandra Matheus; Silveira, Ana Stella de Azevedo; Santos, Jussara Carvalho dos

doi:10.1590/0034-7167-2016-0566

Cited by 18 publications

(20 citation statements)

References 9 publications

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“…RAPS, instituted in Brazil in 2011, is based on the imperative to offer care to users with distress or mental disorder and addictions arising from the use of crack, alcohol and other drugs. In addition to EUs, Primary Health Care, strategic psychosocial care, transitional residential care, hospital care, and psychosocial rehabilitation and institutionalization strategies are RAPS components (6) .…”

Section: Introductionmentioning

confidence: 99%

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Embracement of the person with mental illness at an emergency hospital service: a qualitative research

et al. 2020

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Objectives: to understand actions of nurses who care for people person with mental illness at a Referenced Emergency Unit in a university hospital. Methods: a qualitative research based on Alfred Schütz's social phenomenology. Data collection was performed between December 2015 and January 2016 through phenomenological interviews with 13 nurses from an Emergency Unit. Results: nurses embrace according to their previous experiences. They easily identify biological complaints and, when they recognize psychiatric signs and symptoms, refer them to the psychiatrist. They raise doubts about what to do, so they expect to be qualified for such action, believing that a protocol could help as well as they need more time. Final considerations: the understanding of the lived type of nurse who embraces people with mental distress made possible in this study need recognition for research and interventions that focus on biological, psychic and social dimension articulation at embracement. RESUMOObjetivos: compreender a ação do enfermeiro que realiza acolhimento da pessoa em sofrimento mental em Unidade de Emergência Referenciada em um hospital universitário. Métodos: pesquisa qualitativa, fundamentada na fenomenologia social de Alfred Schütz. A coleta de dados foi realizada entre dezembro de 2015 e janeiro de 2016, por meio de entrevistas fenomenológicas com 13 enfermeiros de uma Unidade de Emergência. Resultados: os enfermeiros acolhem de acordo com suas experiências prévias, identificam facilmente queixas biológicas e, quando reconhecem sinais e sintomas psiquiátricos, encaminham ao psiquiatra. Apresentam dúvidas sobre o que fazer, portanto, esperam ser qualificados para tal ação, acreditam que um protocolo poderia ajudar, bem como necessitam de mais tempo. Considerações finais: a compreensão do tipo vivido do enfermeiro que acolhe a pessoa em sofrimento mental possibilitou, neste estudo, o reconhecimento da necessidade de pesquisas e intervenções que foquem na articulação da dimensão biológica, psíquica e social na ação do acolhimento. RESUMENObjetivos: comprender las acciones de las enfermeras que reciben a la persona con enfermedad mental en una Unidad de Emergencia recomendada en un hospital universitario. Métodos: investigación cualitativa, basada en la fenomenología social de Alfred Schütz. La recolección de datos se realizó entre diciembre de 2015 y enero de 2016, a través de entrevistas fenomenológicas con 13 enfermeras de una Unidad de Emergencia. Resultados: las enfermeras aceptan de acuerdo con sus experiencias anteriores, identifican fácilmente las quejas biológicas y, cuando reconocen los signos y síntomas psiquiátricos, los remiten al psiquiatra. Tienen preguntas sobre qué hacer, por lo que esperan estar calificados para tal acción, creen que un protocolo podría ayudar y necesitar más tiempo. Consideraciones finales: la comprensión del tipo vivido de la enfermera que recibe a la persona en sufrimiento mental hizo posible en este estudio el reconocimiento de la necesidad de investigación e intervenciones que se c...

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Section: Introductionmentioning

confidence: 99%

“…Although RAPS provides other care strategies to people with mental distress, demand for EU has been increasing (1,6) . This can be explained by the fact that these people, often because they feel isolated and afraid, are reluctant to seek specialized help until they feel in an emergency situation (7) .…”

Section: Introductionmentioning

confidence: 99%

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

et al. 2020

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“…Also, actions developed by professionals within the network are not recorded and may show greater RAPS weaknesses than those already existing. The articulations with devices outside the health field, such as cultural and leisure spaces, should be further explored and valued to consolidate the psychosocial rehabilitation strategy axis (1) . The articulation of networked institutions and professionals is a cornerstone of the reorientation of the mental health care model (4)(5) , and it is necessary to record to show the effective work shared through the relationship between therapeutic projects conducted simultaneously by CAPS and other services health, or other sectors (10) .…”

Section: Discussionmentioning

confidence: 99%

“…The implementation of Centros de Atenção Psicossocial (Psychosocial Care Centers-CAPS) emerged from the Brazilian Psychiatric Reform and required the development of a set of knowledge and psychosocial skills of the professionals in the area, and this service there is the complex task of articulating with other devices of a Rede de Atenção Psicossocial (Psychosocial Care Network-RAPS) to guarantee the integrality of care. Considering this premise, it will be important to assess how the psychosocial care in the Sistema Único de Saúde (Brazilian Unified Health System-SUS) has been conducted and how it has become necessary for the actions implemented in the CAPS to be monitored and evidenced to support the effectiveness and superiority of this care proposal (1)(2)(3)(4)(5) .…”

Section: Introductionmentioning

confidence: 99%

Assessment of the procedures record by professionals of Psychosocial Care Centers

2018

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Objective: To verify the use of procedures record tools as data source for monitoring and assessment of Psychosocial Care Centers (CAPS-Centros de Atenção Psicossocial). Method: A descriptive, exploratory qualitative study was carried out in seven CAPS in the state of Goiás. A total of 58 professionals participated, and the data collection was from April to May 2016 through focus groups. The data were submitted to the thematic analysis of content with the aid of the ATLAS.ti 6.2 software. Results: Three thematic categories emerged from the content analysis: Understanding about the record of Psychosocial Care Centers procedures; Management of the record tools of Psychosocial Care Centers procedures; and Intervening factors for recording Psychosocial Care Centers procedures. Final considerations: Investment in the Permanent Education of professionals will be necessary; focusing on the management of the records resulted from the actions developed in the CAPS to qualify the information and the work process of the professionals.

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“…Considering the particularities of an RAS, a recent qualitative research on the functioning of RAPS, from professionals/users' perspective, evidenced deficits in relation to communication among network points, lack of Regulatory Flows (RF) to conduct referrals, human/physical/ structural resources (5)(6) , simplifying paradigms in listening to psychic suffering. In addition, there is implementation of MH actions in primary care and in different network points, in addition to limited access by users to them, lack of articulation and effectiveness of integrated care in services, and centralization of care in specialized services (7) .…”

Section: Introductionmentioning

confidence: 99%

Resources, objectives and guidelines in a Psychosocial Care Network structure

2020

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Objective: to analyze a Psychosocial Care Network structure, based on the compromise of its resources and meeting objectives and guidelines recommended in Ordinance 3,088/2011. Method: an empirical, quantitative study with 123 primary care professionals, psychosocial and emergency care, who work at Western Network of the city of São Paulo. Questionnaires and statistical analysis were applied through the Exact Fisher’s test with 5% significance considering p= <0.05. Results: there is compromise of physical resources in the absence of mental health beds in a general hospital (p=0.047); of technological resources in the lack of discussion forums (p=0.036); of human resources in number of teams (p=0.258); and of financial resources (p=0.159). Psychosocial care is the one that most meets the objectives and guidelines. Conclusion: there are insufficient physical, technological, human, and financial resources for the work articulated in the three care modalities that are heterogeneous in terms of meeting the objectives and guidelines.

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Weaving the West Psychosocial Care Network of the municipality of São Paulo

Cited by 18 publications

References 9 publications

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

Assessment of the procedures record by professionals of Psychosocial Care Centers

Resources, objectives and guidelines in a Psychosocial Care Network structure

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