Submitted by PPG Psicologia (psicologia-pg@pucrs.br) on 2018-03-21T13:59:58Z No. of bitstreams: 1 DIS_KATHARINA_PEREIRA_KAMMER.pdf: 1238149 bytes, checksum: 0eea8fba926b6b25b27827aa2beabeef (MD5) / Approved for entry into archive by Tatiana Lopes (tatiana.lopes@pucrs.br) on 2018-04-04T12:55:27Z (GMT) No. of bitstreams: 1 DIS_KATHARINA_PEREIRA_KAMMER.pdf: 1238149 bytes, checksum: 0eea8fba926b6b25b27827aa2beabeef (MD5) / Made available in DSpace on 2018-04-04T12:58:08Z (GMT). No. of bitstreams: 1 DIS_KATHARINA_PEREIRA_KAMMER.pdf: 1238149 bytes, checksum: 0eea8fba926b6b25b27827aa2beabeef (MD5) Previous issue date: 2018-01-09 / The Psychosocial Care Centers (CAPS) are devices of the mental health policy responsible for assisting users in intense psychic suffering and offer individualized and unique clinical care to population through several actions. However, despite of important advances in the formulation of public policies on mental health and the installation of the substitute network, with devices such as CAPS, the total disruption to the caregiving logic must be fulfilled. The compliance of the precepts of psychiatric reform especially regarding autonomy and deinstitutionalization of users may not be assured. This study aims to analyze the conceptions and meanings of autonomy in daily care of a Psychosocial Care Center (CAPS), based on the experiences of professionals, family members and users. It was a qualitative, cross-sectional and exploratory study carried out in a CAPS in the southern region of Rio Grande do Sul. We interviewed 6 CAPS professionals, 6 service users and 3 family members, based on a semi-structured script. The analysis was based on the analysis of thematic content from three thematic axes: 1) Sense of Autonomy from the experiences of users, family and professionals; 2) Practices of building autonomy in the daily work of CAPS; and 3) Fragilities and potentialities in the process of building autonomy. The main results refer to the diverse understandings related to the concept of autonomy, related to the management of life, independence and self-sufficiency, and as a process in movement, built from relationships, spaces and institutions. The overt understandings have a deep relationship with the life histories of the subjects and allow to demonstrate the autonomy as a power for the expansion and diversification of the relations, from the perspective of care in freedom, instigating the action of the professionals and adding this horizon to the care offered to the users of CAPS. / Os Centros de Aten??o Psicossocial (CAPS) s?o dispositivos da pol?tica de sa?de mental respons?veis pela assist?ncia aos usu?rios em intenso sofrimento ps?quico e ofertam a popula??o um cuidado cl?nico individualizado e singular, atrav?s de diversas a??es. Por?m, apesar dos importantes avan?os em rela??o ? formula??o de pol?ticas p?blicas em sa?de mental e a instala??o da rede substitutiva, o rompimento total com a l?gica de cuidado tutelar precisa ser concretizado. Do mesmo modo, o atendimento dos preceitos da Reforma Psiqui?trica, principalmente ao que refere ? autonomia e desinstitucionaliza??o dos usu?rios, pode n?o estar sendo assegurado. Este estudo tem como objetivo analisar as concep??es e sentidos de autonomia no cotidiano de aten??o de um Centro de Aten??o psicossocial (CAPS), a partir das viv?ncias de profissionais, familiares e usu?rios. Trata-se de um estudo qualitativo, transversal e de car?ter explorat?rio realizado em um CAPS da regi?o sul do Rio Grande do Sul. Foram realizadas entrevistas com 6 profissionais do CAPS, 6 usu?rios do servi?o e 3 familiares, a partir de um roteiro semiestruturado. A an?lise se deu mediante a an?lise de conte?do tem?tica a partir tr?s eixos tem?ticos: 1) Sentidos da Autonomia a partir das viv?ncias de usu?rios, familiares e profissionais; 2) Pr?ticas de constru??o de autonomia no cotidiano do CAPS; e 3) Fragilidades e potencialidades no processo de constru??o de autonomia e das entradas e sa?das do CAPS. Os principais resultados dizem respeito ?s diversas compreens?es vinculadas ao conceito de autonomia, relacionadas ao gerenciamento da vida, independ?ncia e autossufici?ncia, e enquanto processo em movimento, constru?do a partir das rela??es, espa?os e institui??es. As compreens?es manifestas t?m rela??o profunda com as hist?rias de vida dos sujeitos e permitem evidenciar a autonomia enquanto pot?ncia para a expans?o e diversifica??o das rela??es, sob a perspectiva do cuidado em liberdade, instigando a a??o dos profissionais e acrescentando esse horizonte ao cuidado oferecido aos usu?rios do CAPS.

Submitted by Jorge Silva (jorgelmsilva@ufrrj.br) on 2017-06-28T19:53:20Z No. of bitstreams: 1 2016 - Janine Lopes Carvalho.pdf: 1105457 bytes, checksum: 0ca104adc2e98838d0aab84d801f62dc (MD5) / Made available in DSpace on 2017-06-28T19:53:20Z (GMT). No. of bitstreams: 1 2016 - Janine Lopes Carvalho.pdf: 1105457 bytes, checksum: 0ca104adc2e98838d0aab84d801f62dc (MD5) Previous issue date: 2016-03-30 / The late 70 was the beginning of the current movement of Brazilian psychiatric reform. In this period several criticisms of psychiatric care appeared, such as inefficiency of attention, fraud in the financing system and especially the abandonment, abuse and violence suffered by the patients in the main hospices in the country. Progressively, the asylum psychiatric model was being replaced by the model of psychosocial care, in which the Centers for Psychosocial Care (CAPS) have assumed the roles of organizers of the care network, searching forms of singular care, to be developed in the territory of people's lives. It is important the notion of Psychosocial Rehabilitation, in order to develop the work in the new mental health services, which is not just a technical necessity, it is an ethical requirement that should involve all workers and other people that are linked to the health disease process, such as the patients themselves, their families, and finally the entire community. In this context, this research aims to discuss how the psychosocial rehabilitation practice is done, in the services of the professionals of two CAPS of Manhua?u / MG micro region. Therefore, it will be adopted a qualitative research, based on the constructivist paradigm and Hermeneutics Gadamerian. The observed aspects were: poor relation between inter and intra-sectoral network and the acts of municipal administration as a barrier to work concerning the purchase of inputs and training. In regard to psychosocial rehabilitation it was observed that professionals associate the concept of psychosocial rehabilitation to the return to the labor market and it still persists in the minds of professionals the mad stigma as being incapable. / No final da d?cada de 70 deu-se o in?cio do atual movimento pela reforma psiqui?trica brasileira. Neste per?odo surgiram v?rias cr?ticas ? assist?ncia psiqui?trica, tais como: inefici?ncia da aten??o, fraude no sistema de financiamento e, principalmente, o abandono, os maus tratos e a viol?ncia a que eram submetidos os pacientes nos principais hosp?cios do pa?s. Progressivamente, o modelo psiqui?trico manicomial foi sendo substitu?do pelo modelo da aten??o psicossocial, no qual os Centros de Aten??o Psicossocial (CAPS) assumiram a posi??o de organizadores da rede assistencial, assumindo o mandato de agenciar formas de cuidado singular, a serem desenvolvidos no territ?rio de vida das pessoas. Para trabalhar nos novos servi?os de sa?de mental uma importante no??o ? de Reabilita??o Psicossocial, esta n?o ? apenas uma necessidade t?cnica, ? uma exig?ncia ?tica que deve englobar a todos os trabalhadores e demais atores do processo de sa?de doen?a, ou seja, usu?rios, suas fam?lias e, finalmente, a comunidade inteira. Inserida neste contexto, esta pesquisa tem por objetivo discutir como os profissionais de dois CAPS da microrregi?o de sa?de de Manhua?u/MG operacionalizam as pr?ticas de reabilita??o psicossocial nos respectivos servi?os. Para tanto, adotaremos a pesquisa qualitativa, baseada no paradigma construtivista e na Hermen?utica Gadameriana. Foram observados os seguintes aspectos: articula??o prec?ria entre a rede inter e intra-setorial, a administra??o municipal funciona como um entrave para o trabalho em rela??o ? compra de insumos e capacita??o. Em rela??o ? reabilita??o psicossocial observamos que os profissionais associam o conceito de reabilita??o psicossocial como retorno ao mercado de trabalho e que ainda persiste no imagin?rio dos profissionais o estigma do louco como incapaz.

Submitted by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-11-09T17:17:12Z No. of bitstreams: 1 DIS_LARISSA_MORAES_MORO_PARCIAL.pdf: 657508 bytes, checksum: 5a627edf01b1e38c70f38f9a86884b3e (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2017-11-09T17:17:26Z (GMT) No. of bitstreams: 1 DIS_LARISSA_MORAES_MORO_PARCIAL.pdf: 657508 bytes, checksum: 5a627edf01b1e38c70f38f9a86884b3e (MD5) / Made available in DSpace on 2017-11-09T17:17:35Z (GMT). No. of bitstreams: 1 DIS_LARISSA_MORAES_MORO_PARCIAL.pdf: 657508 bytes, checksum: 5a627edf01b1e38c70f38f9a86884b3e (MD5) Previous issue date: 2017-03-08 / This study aims to explore the work processes related to practices of mental health in services of primary health care network in Porto Alegre, as well as to analyze the conceptions and perspective of professionals of Primary Care about mental health. This is a qualitative, transversal and exploratory study. Data collection was performed from August to October 2016 in eight primary health care units: 1 traditional Basic Health service and 7 services with Family Health Teams (ESF). Research participants were 16 professionals: four physicians, five community health agents and seven nurses. The tool was semi-structured interviews, with a pre-elaborated script by researchers, which addressed issues related to work processes to mental health care. The interviews lasted approximately 40 minutes, which were recorded and transcribed. For data analysis, Thematic Analysis technique was chosen, according to Braun and Clarke. This research presents two articles. The first one aims to analyze the work processes in mental health from the perspective of the professionals of Primary Health Care of Porto Alegre, establishing similarities and differences in practices developed according to the mode of Matrix Support. Results show that the services with matrix support from Family Health Support Center demonstrated greater participation and integration of primary health care teams in mental health practices, and consequently, greater effectiveness and resilience of mental health care for users. The second article aims to analyze the conceptions and meanings attributed to mental health by professionals of primary care. Results show that the perspectives about the concept of mental health approach to the expanded understanding of health. This refers to a shift in the paradigm of mental health, which shows an advance towards an extended meaning of the concept, which reverberates in the consideration of social determinants of health. / Este estudo buscou explorar os processos de trabalho relacionados ?s pr?ticas de sa?de mental nos servi?os da rede b?sica de sa?de da cidade de Porto Alegre, bem como analisar os sentidos e concep??es dos profissionais da aten??o b?sica em rela??o ? sa?de mental. Essa pesquisa ? de delineamento qualitativo, de car?ter explorat?rio e descritivo. A coleta de dados foi realizada nos meses de agosto a outubro de 2016 em oito unidades de sa?de da aten??o b?sica, sendo 1 Unidade B?sica de Sa?de (UBS) tradicional e 7 unidades com Equipes de Sa?de da Fam?lia (ESF). Os participantes do estudo totalizaram 16 profissionais: quatro m?dicos, cinco agentes comunit?rios de sa?de e sete enfermeiros. Foram utilizadas entrevistas semiestruturadas, com roteiro pr?-elaborado pelos pesquisadores, que abordou quest?es referentes aos processos de trabalho relacionados ? aten??o ? sa?de mental. As entrevistas tiveram dura??o aproximada de 40 minutos, as quais foram gravadas e transcritas na ?ntegra. Para a an?lise do material, adotou-se a t?cnica de An?lise Tem?tica, segundo Braun e Clarke. O estudo apresenta dois artigos. O primeiro teve como objetivo analisar os processos de trabalho em sa?de mental a partir da perspectiva dos profissionais da Aten??o B?sica (AB) de Porto Alegre, estabelecendo semelhan?as e diferen?as nas pr?ticas desenvolvidas de acordo com a modalidade de Apoio Matricial (AM). A partir dos resultados, os servi?os com apoio matricial do N?cleo de Apoio ? Sa?de da Fam?lia demostraram maior participa??o e integra??o das equipes da AB nas a??es de sa?de mental, e consequentemente, maior efetividade e resolutibilidade da aten??o ? sa?de mental dos usu?rios. O segundo artigo tem por objetivo analisar as concep??es e os sentidos atribu?dos a sa?de mental pelos profissionais da aten??o b?sica. Os resultados demonstram que o conceito presente nas perspectivas de sa?de mental aproxima-se ao entendimento ampliado de sa?de. Isso remete para uma mudan?a no que consiste o paradigma da sa?de mental, a qual se observa um avan?o para uma concep??o estendida do conceito, que se reverbera na considera??o de determinantes e condicionantes sociais da sa?de.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2015-12-14T21:16:06Z No. of bitstreams: 1 VictorHugoFariasDaSilva_DISSERT.pdf: 1242427 bytes, checksum: 30d10a6968b81daadf4ec6ac231b8109 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2015-12-15T20:44:28Z (GMT) No. of bitstreams: 1 VictorHugoFariasDaSilva_DISSERT.pdf: 1242427 bytes, checksum: 30d10a6968b81daadf4ec6ac231b8109 (MD5) / Made available in DSpace on 2015-12-15T20:44:28Z (GMT). No. of bitstreams: 1 VictorHugoFariasDaSilva_DISSERT.pdf: 1242427 bytes, checksum: 30d10a6968b81daadf4ec6ac231b8109 (MD5) Previous issue date: 2013-06-19 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico - CNPq / Na atual configura??o da Reforma Psiqui?trica brasileira a fam?lia tem papel fundamental no cuidado em sa?de mental: co-responsabiliza??o e participa??o ativa no processo de ressocializa??o de pessoas portadoras de transtornos mentais severos. Considera-se que o familiar que cuida pode ajudar os usu?rios tanto nos seus afazeres di?rios, quanto articulando trajet?rias, redes e caminhos que potencializam as conex?es sociais. Tal pesquisa foi motivada pelo interesse na tem?tica e pela falta de estudos sobre essa realidade nas zonas rurais. O presente estudo objetivou conhecer os modos de aten??o em sa?de mental por familiares de portadores de transtornos mentais severos residentes nas zonas rurais do alto sert?o paraibano. Metodologicamente trabalhou-se com pesquisa qualitativa estruturada em dois momentos. No primeiro, realizou-se Pesquisa Documental no CAPS II visando identificar: a) usu?rios que residiam na zona rural e que tinham hist?rico de pelo menos uma interna??o psiqui?trica; b) usu?rios que deixaram de fazer uso do servi?o de refer?ncia (CAPS II) h? pelo menos um ano. O segundo momento foi constitu?do por visitas domiciliares e entrevistas semi-estruturadas com onze fam?lias das zonas rurais. Os resultados apontaram um perfil composto por 56 usu?rios: 30 mulheres e 26 homens com idade entre 50 a 64 anos, solteiros, sem estudos, agricultores e donas de casa, residentes a dez quil?metros do CAPS II e portadores de transtornos mentais severos. As estrat?gias e recursos utilizados pelos familiares no cuidado em sa?de mental foram: a religi?o, o trabalho, a medica??o e a ajuda dos parentes, vizinhos e comunidade. Os fatores relacionados a n?o utiliza??o dos servi?os substitutivos foram: a falta de internamento no CAPS II, a falta de dinheiro e de transporte. A interna??o, a pris?o domiciliar, a ajuda policial e a religi?o foram estrat?gias usadas por familiares como suporte ?s crises psiqui?tricas. Os resultados apontaram para a n?o resolutividade de cuidado oferecido pela rede de aten??o psicossocial e a import?ncia de redirecionamento de pr?ticas alinhadas ao modelo asilar em favor de estrat?gias psicossociais que visem a ressocializa??o e a participa??o comunit?ria no cuidado em sa?de mental. / In the current configuration of the Brazilian Psychiatric Reform, family plays a key role in mental health care: shared responsibility and active participation in the process of rehabilitation of people with severe mental disorders. It?s considered that the family member who cares can help users in their daily tasks and articulating trajectories, networks and ways to potentiate social connections. This research was motivaded by interest in the subject and by the lack of research and studies about this reality in rural areas. This study aimed to identify ways of mental health care by relatives of severe mental disorder patients living in rural zone located at sert?o of Paraiba. Methodologically was made a work with qualitative research structured in two moments. In the first one, was held a Documentary Research in CAPS II in order to identify: a) users living in rural that had a history of at least one psychiatric hospitalization, b) users who no longer use the reference service (CAPS II) for at least one year. The second stage consisted by home visits and semi-structured interviews with eleven families in rural areas. Results pointed out a profile composed by 56 users: 56 women and 26 men aged between 50 and 64 years, unmarried, without study, farmers and housewives, living six miles from CAPS II and carriers with severe mental disorders. Strategies and resources used by the families for mental health care were: religion, work, medication and help from relatives, neighbors and community. Factors related to non-use of substitute services were lack of internment in CAPS II and lack of money and transportation. The hospital, the house arrest, the police aid and religion were strategies used by family members as support to psychiatric crises. The data pointed to non-solving of care offered by psychosocial support network and the importance of redirecting practices aligned to the asylum model in favor of psychosocial strategies that aimed at rehabilitation and community participation in mental health care

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-02-01T21:54:02Z No. of bitstreams: 1 FranciscoDeSalesClementino_TESE.pdf: 1510623 bytes, checksum: fdf66297c2127011707b0004cc2aa57f (MD5) / Approved for entry into archive by Elisangela Moura (lilaalves@gmail.com) on 2016-03-07T21:04:06Z (GMT) No. of bitstreams: 1 FranciscoDeSalesClementino_TESE.pdf: 1510623 bytes, checksum: fdf66297c2127011707b0004cc2aa57f (MD5) / Made available in DSpace on 2016-03-07T21:04:06Z (GMT). No. of bitstreams: 1 FranciscoDeSalesClementino_TESE.pdf: 1510623 bytes, checksum: fdf66297c2127011707b0004cc2aa57f (MD5) Previous issue date: 2014-12-11 / No Brasil, a Reforma Psiqui?trica organiza-se com base nos pressupostos da Reforma Sanit?ria e da Psiquiatria Democr?tica Italiana com vistas a eliminar o modelo hospitaloc?ntrico. Objetivo: Avaliar a estrutura e o processo de trabalho desenvolvido nos Centros de Aten??o Psicossocial (CAPS), englobando a satisfa??o, o perfil, as condi??es e a sobrecarga de trabalho dos profissionais. Aprovado pela Comiss?o de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte (UFRN), protocolo n? 719.435, de 30/05/2014. M?todos: Estudo descritivo, com abordagem quantitativa, desenvolvido em cinco Centros de Aten??o Psicossocial, a saber: 02 CAPS I, 01 CAPS II, 01 CAPS III e 01 CAPSAD, de Campina Grande-PB. A popula??o do estudo constitui-se de todos os coordenadores dos cinco CAPS, incluindo 42 profissionais de n?vel superior, 71 de n?vel m?dio (t?cnicos e auxiliares de enfermagem, e cuidadores), e os prontu?rios referentes a 2.297 usu?rios atendidos. Para assegurar a representatividade das informa??es, calculou-se uma amostra aleat?ria estratificada com partilha proporcional, considerando-se os seguintes par?metros: erro ? de 5%, n?vel de confian?a de 95%, poder do estudo de 80%, estimativa de propor??o de 10% e o ?ndice de proporcionalidade espec?fico para os profissionais de n?vel (superior e m?dio) e os prontu?rios. Coletou-se os dados atrav?s de question?rios validados, elaborados para o estudo CAPSUL (Avalia??o dos CAPS da Regi?o Sul do Brasil), entre julho e outubro de 2014. Os question?rios foram duplamente digitados e submetidos ? valida??o no sub-programa Validate do Epi Info 3.5.4, utilizado juntamente com o SPSS, 17.0 para o processamento das an?lises estat?sticas. Resultados: A partir da an?lise dos prontu?rios dos usu?rios atendidos nos CAPS, observou-se um predom?nio de mulheres na faixa et?ria adulta. Destacou-se como psicopatologia mais frequente, ? esquizofrenia. Quanto ?s interna??es antes e ap?s o ingresso nos CAPS, registrou-se para o hospital geral 14 interna??es (3,5%) antes e sete (1,7%) depois, diferen?a n?o significante (p=0,612). Ressalta-se que, em hospitais psiqui?tricos, ap?s o ingresso, houve redu??o para o m?ximo de tr?s interna??es. O n?mero total reduziu de 117 (29,1%) para apenas 11 (2,7%); redu??o estatisticamente significante (p=0,002). Quanto ?s formas de contra??o dos profissionais de sa?de, os resultados evidenciam a exist?ncia de contrato tempor?rio. A maior propor??o de insatisfa??o com todos os par?metros avaliados deu-se naqueles profissionais que se consideram sobrecarregados no trabalho. Entretanto, a ?nica diferen?a estatisticamente significante estava relacionada com o ?grau de responsabilidade? (90,9%; p=0,04). Observou-se forte associa??o da insatisfa??o dos profissionais de sa?de com fatores relacionados ao conte?do e ?s condi??es de trabalho no CAPS, relativa ?s medidas de seguran?a, conforto e apar?ncia dos CAPS, contato entre as equipes e usu?rios, e tratamento das fam?lias por parte das equipes. Chama ? aten??o que estes aspectos s?o aqueles que n?o dependem diretamente da atua??o dos profissionais. Conclui-se que o fortalecimento dos CAPS requer e exige um compromisso intersetorial, a partir do n?vel governamental, em garantir os recursos para a operacionaliza??o de suas a??es e assegurar aos usu?rios e ? sua fam?lia a oferta e o acesso aos servi?os de sa?de. / Objective: Evaluate the work structure and process in Psychos ocial Care Centers (CAPS) and the professionals profile, the satisfaction, conditions and work overload. Methods: Cross - sectional study conducted in five CAPS in Campina Grande city. The study sample consisted of five coordinators, 42 graduate professional s, 26 mid - level (technical and auxiliary nurses, and caregivers), and the medical records pertaining to 413 users followed up. Data were collected using validated questionnaires (CAPSUL - rating CAPS in southern Brazil) and adapted to the study, between July and October 2014. The questionnaires were double entered and submitted to validation in the sub - program ?Validate Epi Info 3.5.4? , used along with the ?SPSS 17.0? for processing the statistical analyzes. Measures of central tendency and dispersion were ap plied to the descriptive analyzes; ?Fisher's? exact test to check the CAPS impact on hospital admissions and the ?Bonferroni? adjusted to verify the diagnoses according to sex. 5% significance level was adopted. The study was approved by the Ethics Committ ee of the Rio Grande do Norte Federal University (UFRN), protocol 719.435, of 05.30.2014. Results: From the structure analysis were identified contextual factors that influenced the work process of CAPS professionals, such as: deficiencies with regard to h uman resources; forms of health professionals employment and qualifications; temporary contract existence. As to process dimension, it was found that the home visits performance by health professionals shows to be ineffective, given its insufficiency and i rregularity, which can be explained by the high demand, reduced staff and transportation lack. It was low coverage of items inherent to Therapeutic Individual Project, as the income generation program, insertion at work and home visit. The reference and co unter reference flow are still not satisfactorily organized. There was statistically significant difference for the diagnosis, with a predominance of mood disorders related to stress among women and those related to alcohol and other drugs among men (p <0. 05). There was an association between the degree of health professionals satisfaction and working conditions, overload and factors related to the content and working conditions, the security measures, comfort and CAPS appearance, contact between the teams and users, families treatment by the teams, temporary employment relationship. Conclusion: The data collected indicate the need for the CAPS organization through increased investments in the sector in order to enhance the infrastructure as potentiating el ement of practices with a view to changing the care model for mental health proposed by the Psychiatric Reform. It is hoped therefore that this research will contribute to better planning in CAPS unit management, with another tool to improve the dimensions involving the structure and the professional work process and improve this mental health care model.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-22T21:37:27Z No. of bitstreams: 1 MauraLimaBezerraESilva_TESE.pdf: 1883523 bytes, checksum: fa88fa571b61559f5b569d7ccebc9c5a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-22T21:50:51Z (GMT) No. of bitstreams: 1 MauraLimaBezerraESilva_TESE.pdf: 1883523 bytes, checksum: fa88fa571b61559f5b569d7ccebc9c5a (MD5) / Made available in DSpace on 2016-04-22T21:50:51Z (GMT). No. of bitstreams: 1 MauraLimaBezerraESilva_TESE.pdf: 1883523 bytes, checksum: fa88fa571b61559f5b569d7ccebc9c5a (MD5) Previous issue date: 2015-06-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / A Pol?tica Nacional de Sa?de Mental se caracteriza como uma pol?tica territorial-comunit?ria e tem a Estrat?gia Aten??o Psicossocial (Eaps) como norteadora para a proposi??o e o desenvolvimento de suas a??es. Em seu desenho, o CAPS ? um equipamento estrat?gico dentro da Rede de Aten??o Psicossocial/RAPS. O apoio matricial e a aten??o ? crise configuram frentes estrat?gicas de a??o dos CAPS em sua miss?o substitutiva e, guiados pela b?ssola da desinstitucionaliza??o, s?o essenciais para o ?xito desses servi?os. Defendemos que sustentar crises nos territ?rios existenciais de vida ? uma condi??o para a efetiva??o da Aten??o Psicossocial e, no limite, para a sustentabilidade da pr?pria Reforma. Nesta dire??o, a ferramenta do apoio matricial se revela uma apoiadora territorial, intercessora e potente na constru??o de uma Aten??o Psicossocial ? crise. Reconhecidos como grandes desafios pelo Minist?rio da Sa?de, avan?ar estas frentes se materializa para os trabalhadores em seus of?cios micropol?ticos. A nossa pesquisa se coloca como um investimento na dire??o de potencializ?-las e teve como objetivo conhecer a operacionaliza??o da aten??o ? crise e do apoio matricial em um CAPS II, na perspectiva dos seus trabalhadores, bem como analisar tais pr?ticas frente aos princ?pios e prop?sitos da Estrat?gia Aten??o Psicossocial. Inspirados na pesquisa-interven??o e no ide?rio pol?tico-social da An?lise Institucional, ofertamos um espa?o de reflex?o e troca, atrav?s de entrevistas de implica??o, possibilitando que os trabalhadores se lan?assem em an?lise das pr?ticas na perspectiva da Eaps. Fizemos consulta documental ao Projeto T?cnico do CAPS e uma etapa de restitui??o, organizada em formato de oficina e rodas de conversa. L?gicas institucionais competem no Servi?o. Operando pela l?gica do risco, dificuldades em sustentar situa??es de crises mais intensas foram identificadas, de modo que o hospital psiqui?trico termina sendo utilizado como um recurso de interna??o, principalmente diante de casos em que o elemento da agressividade se faz contundente, e quando os suportes do SAMU, dos CAPS III e dos Leitos de Aten??o Integral n?o respondem a contento. Indicam-se fragilidades de ordem macro e micro interferindo no suporte da rede. As a??es do matriciamento, mesmo identificadas como um potente recurso intercessor no cuidado ? crise, apareceram enfraquecidas, apontando pouca porosidade na rela??o Servi?o com o territ?rio. Marcadas pela l?gica do atendimento domiciliar, sem operar prioritariamente como dispositivo de troca de saberes, v?-se pontos de captura na l?gica da assist?ncia, com produ??o de ambulatoriza??o do CAPS, pr?ticas assistencialistas e de ?apaga-fogo?. Efeitos das a??es de cuidado nos usu?rios s?o identificados pelos trabalhadores sem as repercuss?es desejadas no horizonte de expans?o da vida e a Eaps, ainda que desponte como um norteador, n?o ? vista como pr?tica efetivada. Apesar de os resultados sinalizarem que a aten??o ? crise e as a??es do matriciamento s?o desenvolvidas sem conex?o tenaz com os prop?sitos da Eaps, casos exitosos s?o indicados tendo como principais fios condutores a tessitura micropol?tica da intersetorialidade das a??es, dos v?nculos potentes e da participa??o do usu?rio em seu processo de cuidado, indicando for?as insurgentes que tencionam por deslocamentos de l?gicas tradicionais. / The National Policy on Mental Health is characterized as a territorial - political community , and it has the Psychoso cial Care Strategy (Eaps) as guideline for the proposal and the development of their actions. In its design, CAPS is idealized to be a strategic equipment within the Psychoso cial Care Network/RAPS. Matricial support and at tention to the crisis constitute strategic areas of action of CAPS in its replacement mission , and as it is g uided by the scope of deinstitutionalization, those are essential to the success of these services. We argue that sustain crises in existential territories of life is a condition for the effectiveness of psychosocial care and, ultimately, to the sustainability of its Reform. In this direction, the matricial support tool reveals a territorial supporter, intercessory and powerful in building a psychosocial care to the crisis. Recognized as one of the major challenges by the Brazilian Ministry of Health, forward these fronts materializes for workers in their mi cropolitical crafts. Our research arises as an investment toward empower them , and aimed to understand the operationalization of attention to the crisis and matricial support in a CAPS II, in the view of its workers . Besides, it aims to examine such practi ces forward the principles and purposes of Psychosocial Care Strategy. Inspired by the research - intervention and by the political and social ideas of Institutiona l Analysis, we offer a space for reflection and exchange, by implicational interviews , enablin g workers to launch them in analysis of practices in the EAPs view. We have done a documentary consulting CAPS Technical Project, and a return stage to the institution, by organizing workshop and conversation groups with CAPS workers. The results have show n that there are institutional logics in competition on that service. When operating the logic risk, some difficulties in sustaining most intense crisis situations were identified, the psychiatric hospital internment is used as a facility, particularly in view of some cases, in which the aggressiveness of the person in crises becomes aggressive, and when the brackets SAMU, the CAPS III and Comprehensive Care Beds do not respond satisfactorily to their users requests. Order weaknesses were indicated in this thesis as macropolitical and micropolitical interfering in network support. The matricial actions were identified as a powerful intercessor resource in crisis care appeared weakened, and indicates little porosity in the relationship between the Service and the territory where it takes place. Noticed by the logic of home care, without operate primarily as a knowledge exchange device, we saw capture points in the logic of assistance with ambulatoriza tion production of CAPS, welfare practices and "ext empore " . T he E APs , although it emerge s as a guiding, it is not seen to workers as effective practice. On the one hand, the results signaled that the attention to the crisis and the matricial actions are developed without tenacious connection with the purposes of EA Ps, on the other hand, successful cases were indicated with the main leads to conducting wire of intersectoral actions to the powerful bonds and to the participation of user in their care process es , indicating insurgent forces tha t intend by traditional lo gic .

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-08T20:36:43Z No. of bitstreams: 1 MauricioCiriloDaCostaNeto_DISSERT.pdf: 2292457 bytes, checksum: 86e692523220efb4495247b7548e98f4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-07-11T19:08:47Z (GMT) No. of bitstreams: 1 MauricioCiriloDaCostaNeto_DISSERT.pdf: 2292457 bytes, checksum: 86e692523220efb4495247b7548e98f4 (MD5) / Made available in DSpace on 2016-07-11T19:08:47Z (GMT). No. of bitstreams: 1 MauricioCiriloDaCostaNeto_DISSERT.pdf: 2292457 bytes, checksum: 86e692523220efb4495247b7548e98f4 (MD5) Previous issue date: 2016-02-22 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / Moradores de assentamentos de reforma agr?ria t?m uma vida marcada por condi??es de vida e trabalho prec?rias, que aliadas ?s barreiras no acesso ?s pol?ticas e programas de sa?de e assist?ncia social, agravam as situa??es de vulnerabilidade psicossocial e ambiental que impactam na sa?de mental. Essa pesquisa objetiva caracterizar as ofertas de cuidado desenvolvidas pelas equipes de sa?de e assist?ncia social referente ?s demandas de transtornos mentais comuns e uso problem?tico de ?lcool de moradores de 9 assentamentos do Rio Grande do Norte. Foram entrevistados 53 profissionais de forma individual ou em grupo de diferentes categorias profissionais. Resultados indicam que os trabalhadores vivenciam condi??es prec?rias de trabalho, tra?os da heran?a patrimonial e assistencialista que ainda persiste no campo das pol?ticas sociais brasileiras e em especial nas gest?es locais no interior do pa?s. As equipes t?m pouco conhecimento do territ?rio e das necessidades de sa?de mental, o que impacta no acolhimento e cuidado ofertado. O cuidado implementado ainda corresponde ? l?gica biom?dica, caracterizada pelo etnocentrismo, tecnicismo, biologicismo, curativismo, individualismo e especialismo, com pouca participa??o dos moradores e desconsidera??o dos saberes e pr?ticas de cuidado tradicionais, n?o alcan?ando a resolutividade esperada. A aten??o psicossocial n?o funciona de forma articulada apresentando problemas quanto ao seguimento e continuidade de cuidados. O cuidado psicossocial em sa?de mental em contextos rurais tem como desafios a serem enfrentados a reorganiza??o das redes de aten??o, o estabelecimento de cuidados prim?rios pr?ximos do cotidiano das popula??es, a constru??o de pr?ticas intersetoriais tendo em vista a multidetermina??o da sa?de, e a educa??o em sa?de conectada com estes contextos espec?ficos. Em fun??o do desconhecimento das especificidades da popula??o assentada e da fragmenta??o da rede de aten??o psicossocial, essas equipes n?o conseguem acolher e responder ?s necessidades em sa?de mental de modo a interferir nas iniquidades em sa?de. / Dwellers of agrarian reform settlements have a life conditioned by poor living and work conditions, difficulties accessing health programs, social assistance and other public policies and by this exacerbating their psychosocial and environmental vulnerability, which has an impact on their mental health. This research investigates the availability of support by the health and social assistance staff, regarding the demands of common mental disorders and alcohol abuse of dwellers of nine settlements in Rio Grande do Norte. Fifty three experts from different professional categories were interviewed individually or in groups. The results indicate that the workers suffer from poor working conditions, attributes of patrimonial heritage and welfare, which still survives in Brazilian social policies and particularly at local administrations of the countryside. The staffs have little knowledge of the local conditions and of the mental health needs, which has a negative impact on the reception and offered care. The implemented health care still corresponds to the biomedical logic, characterized by ethnocentrism, technicality, biology, cure, individualism and specialization, with little participation of the dwellers and disregarding the traditional knowledge and practices of local health care and by this not achieving the expected results. The psychosocial attendance is not well coordinated, presenting problems with the follow-up and continuity of care. The psychosocial mental health care in rural context has to face the challenge of the reorganization of the health care networks, the establishment of primary health care close to the people?s everyday life, building intersectional practices considering a health multidetermination and health education connected to these specific contexts. Due to the lack of knowledge of the specifics of the life conditions of the dwellers and the fragmentation of the psychosocial health care network, these staffs do not abide and are not ready to face the mental health needs in order to interfere with these health iniquities.

Made available in DSpace on 2014-12-17T14:46:59Z (GMT). No. of bitstreams: 1 JoseERJ_DISSERT.pdf: 1457023 bytes, checksum: 208c09b56664138cc540abb5ba16a86c (MD5) Previous issue date: 2013-02-27 / This study aimed to analyze the phenomenon of abdication of monitoring/treatment of crack users in a CAPS AD in Campina Grande-PB. That s an exploratory , description approach ,whose theoretical focus was historical-dialect of public politics on alcohol and drugs. The information collected was realized by using the technique of semi-structured interviews, combined with the crack users registered in CAPS AD in Campina Grande between 2007 and 2011.The material collected was subjected to thematic analysis method, obtaining the extraction of the following categories and subcategories of analysis: CATEGORY 1: Factors of abdication of monitoring/treatment in CAPS AD in Campina Grande PB with subcategory 1.1. Abdication on their own , 1.2. To take work/employment, 1.3 . Search for more intensive treatment , 1.4. Due to relapse; CATEGORY 2 : Treatment/monitoring in CAPS AD to the subcategory, 2.1. The dependence of crack and family support as reasons that led to frequent CAPS AD. CATEGORY 3: Living with crack addiction without treatment/monitoring in CAPS AD with the subcategory, 3.1. Religiosity as a therapeutic tool .The results showed a distance between priority for community treatment and the reality where there is lack of information about this kind of treatment and the admission as a solution. The discourse about the abdication of treatment of crack users make reference to the importance of family support, to the influence for the phenomenon of relapse and the affection to religious conceptions. Although the subjects recognize the qualifications of CAPS AD treatment, they try by themselves or by family influence, another ways of hospitalization. This leads us to conclude that it is necessary reflection and assessment of the work of CAPS AD. Counting on the social changes and the need of answers that the phenomenon requires / O presente estudo teve como objetivo analizar o fen?meno de desist?ncia do acompanhamento/tratamento de usu?rios de crack em um CAPS AD no munic?pio de Campina Grande-PB. Trata-se de uma pesquisa explorat?ria, descritiva e de abordagem qualitativa, cujo marco te?rico foi o enfoque hist?rico-dial?tico das pol?ticas p?blicas de aten??o em ?lcool e drogas. A coleta das informa??es foi realizada empregando-se a t?cnica de entrevista semiestruturada, aliada ao levantamento de prontu?rios dos usu?rios de crack cadastrados no CAPS AD de Campina Grande-PB no per?odo de 2007 a 2011. O material colhido em campo foi submetido ao m?todo de an?lise tem?tica, obtendo-se a extra??o das seguintes categorias e subcategorias de an?lise: CATEGORIA 1: Fatores de desist?ncia do tratamento/acompanhamento no CAPS AD de Campina Grande-PB com as subcategorias 1.1. Desist?ncias por conta pr?pria , 1.2. Para assumir trabalho/emprego, 1.3. Em busca de tratamento mais intensivo , 1.4. Devido a reca?da; CATEGORIA 2: O tratamento/acompanhamento no CAPS AD com a subcategoria 2.1 A depend?ncia do crack e o apoio da fam?lia como motivos que levavam a frequentar o CAPS AD; CATEGORIA 3: Conv?vio com a depend?ncia de crack sem tratamento / acompanhamento no CAPS AD com a subcategoria 3.1. Religiosidade como instrumento terap?utico. Os resultados evidenciaram uma dist?ncia entre a refer?ncia de prioridade para o tratamento comunit?rio e a realidade onde ainda h? desinforma??o sobre esse tipo de tratamento e a busca da interna??o como solu??o. Os discursos acerca do abandono do tratamento de usu?rios de crack fazem larga refer?ncia ? import?ncia do apoio familiar para a perman?ncia no tratamento, a influ?ncia de amigos para o fen?meno da reca?da e o apego ? concep??es religiosas. Embora os sujeitos reconhe?am a qualifica??o do CAPS AD no tratamento, tentam por iniciativa pr?pria ou por influ?ncia da fam?lia, dispositivos de interna??o. Isso nos leva a concluir que se faz necess?rio a reflex?o e avalia??o do processo de trabalho do CAPS AD ? luz das transforma??es sociais e da necessidade de respostas que o fen?meno exige

Made available in DSpace on 2014-12-17T15:38:35Z (GMT). No. of bitstreams: 1 MarianaTCL_TESE.pdf: 1321975 bytes, checksum: 85938868e178ce96af9ba0466022512b (MD5) Previous issue date: 2011-12-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This thesis aims to discuss on articulations that have been produced on the socio-cultural field in the Psychiatric Reform process and its pertinence to the streghtening of Psychosocial Care Strategy (EAPS) in Fortaleza/CE. Such interest has been justified by the need to promote not only the production of these networks, but also interfaces to enable strategies of support and sociability from the perspective of deinstitutionalization of madness. We were inspired by the cartography perspective of Deleuze e Guattari, and determined as objectives: 1) to discuss the complexity of Psychiatric Reform process and analyze the EAPS as a model for the current Mental Health policy in the country; 2) to map socio-cultural strategies connected to the CAPS network in the city, investigating experiences that already exist or may be constituted as everyday social support networks; 3) from that mapping to start, define and discuss some aspects that converge to the accomplishment for this new mental health paradigm, drawing a cartography of the issues and movements in progress. The mapping was carried out in 2009 and consisted of semi-structured interviews with the coordinators of the 14 existent CAPS and with some people connected to the Coordination of Mental Health. Besides, during the whole development of the study, we have taken part in public events that brought us clues on the connection between mental health and culture. From the survey produced, we defined three vectors for discussion (Art, Labour and Partnership with Social Movements) which have been highlighted as effective possibilities of intervention in the socio-cultural field of Psychiatric Reform in Fortaleza and reveal important paths on the fulfillment process of a new pattern of care. For each of these axes, we chose a field of empirical research (Projeto Arte e Sa?de, COOPCAPS e MSMCBJ) in which we could better understand their strengths and difficulties, starting from open interviews with some of their actors and the production of a diary of sensations in 2010. We have seen that they are articulated with the proposal of EAPS, being part of the concerns to the National Mental Health Policy and also the municipal administration. However, we have noticed to be necessary to promote those dimensions further, focusing on its complexity at the macro and micro policies, with the purpose of leading the Psychiatric Reform process / Essa tese tem como foco discutir acerca das articula??es produzidas no campo sociocultural do processo de Reforma Psiqui?trica e sua pertin?ncia para a consolida??o da Estrat?gia de Aten??o Psicossocial (EAPS) em Fortaleza/CE. Tal interesse justificou-se pela necessidade de promover n?o apenas a produ??o de tais redes, mas tamb?m interfaces que possibilitem estrat?gias de suporte e sociabilidade sob a ?tica da desinstitucionaliza??o da loucura. Inspirados na perspectiva cartogr?fica de Deleuze e Guattari, determinamos como objetivos: 1) debater a complexidade do processo de Reforma Psiqui?trica e analisar a EAPS como modelo para pol?tica atual de sa?de mental do pa?s; 2) mapear as estrat?gias socioculturais ligadas ? rede de CAPS na cidade, examinando as experi?ncias que j? se constituem ou podem vir a se constituir como redes de suporte social cotidianas; 3) a partir deste mapeamento, definir e discutir eixos que convirjam para a concretiza??o deste novo paradigma em sa?de mental, esbo?ando uma cartografia das quest?es e movimentos em curso. O mapeamento, realizado em 2009, constituiu-se por entrevistas semiestruturadas com os coordenadores dos 14 CAPS existentes e com algumas pessoas relacionadas ao Colegiado de Sa?de Mental. Al?m disso, durante todo o desenvolvimento do estudo, participamos de eventos p?blicos, que nos dessem pistas das conex?es entre sa?de mental e cultura. A partir do levantamento produzido, definimos tr?s vetores de discuss?o (Arte, Trabalho e Parceria com Movimentos Sociais) que se sobressa?ram como possibilidades efetivas de interven??o no campo sociocultural da Reforma em Fortaleza e indicaram caminhos relevantes no processo de efetiva??o de um novo modelo de aten??o. Para cada um desses eixos, buscamos nos aproximar de um campo emp?rico de investiga??o (Projeto Arte e Sa?de, COOPCAPS e MSMCBJ) no qual pud?ssemos conhecer melhor suas potencialidades e dificuldades a partir de entrevistas abertas com alguns de seus atores e a produ??o de um di?rio de sensa??es no ano de 2010. Vimos que eles est?o articulados com a proposta da EAPS, fazendo parte das preocupa??es da Pol?tica Nacional de Sa?de Mental e tamb?m da gest?o municipal. Contudo, percebemos ser necess?rio fomentar ainda mais tais dimens?es, atentando para sua complexidade tanto no plano macro quanto micropol?tico, no intuito de continuar pondo em movimento o processo de Reforma Psiqui?trica

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-03T20:30:21Z No. of bitstreams: 1 ClarissaAndiraXavierESilva_DISSERT.pdf: 989946 bytes, checksum: af3b49e7dc7e045b144a309b03efdf2d (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-08T22:11:38Z (GMT) No. of bitstreams: 1 ClarissaAndiraXavierESilva_DISSERT.pdf: 989946 bytes, checksum: af3b49e7dc7e045b144a309b03efdf2d (MD5) / Made available in DSpace on 2016-03-08T22:11:38Z (GMT). No. of bitstreams: 1 ClarissaAndiraXavierESilva_DISSERT.pdf: 989946 bytes, checksum: af3b49e7dc7e045b144a309b03efdf2d (MD5) Previous issue date: 2014-09-26 / A reforma psiqui?trica consiste num processo que busca desconstruir a l?gica excludente provocada pelas interna??es, proporcionando aos sujeitos estrat?gias de reinser??o social. Nesse sentido, a aten??o b?sica, atrav?s da Estrat?gia de Sa?de da Fam?lia - ESF vem, progressivamente, tornando-se espa?o estrat?gico nas interven??es em sa?de mental, configurando-se como campo de pr?ticas e produ??o de novos modos de cuidado. Nesta perspectiva, em Areia Branca-RN vem ocorrendo um processo de implementa??o dessa proposta, atrav?s da articula??o da rede de Aten??o Psicossocial e da Estrat?gia Sa?de da Fam?lia/ESF. As discuss?es acerca da implementa??o da aten??o integral ? sa?de mental no munic?pio de Areia Branca avan?am significativamente. Por?m, esta discuss?o n?o tem sido capaz de provocar mudan?as na pr?tica. Ao partir da concep??o de que a articula??o entre sa?de mental e aten??o b?sica ? um desafio a ser enfrentado atualmente, que a melhoria da assist?ncia prestada e a amplia??o do acesso da popula??o aos servi?os com garantia de continuidade da aten??o dependem da efetiva??o dessa articula??o, estabeleceu-se como objetivo de pesquisa: investigar como se d? a rela??o entre as equipes de ESF e a equipe de CAPS na aten??o ? sa?de mental no munic?pio de Areia Branca ? RN a partir dos discursos dos profissionais. Para tanto, tiveram-se como objetivos espec?ficos: Conhecer a demanda em sa?de mental existente no munic?pio de Areia Branca ? RN atendida pela ESF; Identificar limites e dificuldades na rela??o entre as equipes da ESF e do CAPS; Identificar potencialidades para articula??o entre as equipes da ESF e do CAPS para a constitui??o da RAPS local. Tratou-se de um estudo descritivo-explorat?rio, com desenho metodol?gico de natureza qualitativa, cujos sujeitos foram profissionais da Estrat?gia Sa?de da Fam?lia, profissionais do Centro de Aten??o Psicossocial e o respons?vel pela condu??o/gest?o da sa?de mental no munic?pio. Como instrumentos de pesquisa foram utilizadas observa??es informais, entrevista semiestruturada e grupos focais. As informa??es obtidas foram analisadas considerando a an?lise de conte?do de Bardin, o que possibilitou discutir a pertin?ncia do referencial te?rico com os dados obtidos atrav?s da observa??o e interpreta??o da articula??o entre a Estrat?gia de Sa?de da Fam?lia e a rede de Aten??o Psicossocial no munic?pio de Areia Branca-RN. Por um lado, registrou-se intensa demanda em sa?de mental advinda de usu?rios e de seus familiares e/ou cuidadores. Por outro, verificaram-se que apesar de existir alguns avan?os com rela??o a percep??es sobre sa?de mental, existem ainda pr?ticas, hist?rica e contextualmente arraigadas, que atuam como obst?culos para a resposta efetiva a essa demanda na perspectiva da desinstitucionaliza??o. Nesse sentido, considera-se importante ressaltar que as equipes da Estrat?gia de Sa?de da Fam?lia devem ser capacitadas para garantir a pr?tica de sa?de com integralidade e a incorpora??o ? rede de sa?de mental do munic?pio. Essa capacita??o deve ocorrer atrav?s da educa??o permanente em sa?de. / The antimanicomial psychiatric reform is a process that seeks to deconstruct the exclusionary logic caused by hospitalizations, providing strategies for social reintegration of individuals. In this sense, the primary care through the Family Health Strategy - FHS comes progressively becoming strategic space in mental health interventions, configured as a field of practice and production of new modes of care. In this perspective, there has been a process of implementing this proposal in the Areia Branca City/RN, through the articulation of Psychosocial Care Network and the Family Health Strategy / ESF. However, this process has not been able to bring changes in practices. From the view that the relationship between mental health and primary care is a challenge currently being faced, that improving the care provided and the expansion of the access to services with guaranteed continuity of care depend on the effectiveness of this joint, established themselves as research objective: To investigate how is the relationship between the FHS team and CAPS team in care mental health in the town of Areia Branca - RN from the speeches of professionals. And if you had specific purposes: 1) Know the demand in existing mental health in the town of White Sand - RN served by FHS; 2) Identify limits and difficulties in the relationship between the ESF teams and CAPS; 3) Identify potential for linkages between ESF teams and CAPS for the establishment of local RAPS. This was a descriptive, exploratory study with a qualitative methodological design, whose subjects were professionals from the Family Health Strategy, professionals Psychosocial Care Center and responsible for the conduct / management of mental health in the municipality. The research tools used informal observations, semistructured interviews and focus groups were used. The data obtained were analyzed for the content analysis of Bardin, allowing discuss the relevance of the theoretical framework with data obtained through observation and interpretation of the relationship between the Family Health Strategy and the network of Psychosocial Care in Areia Branca-RN. On the one hand, there was strong demand for mental health arising from users and their families and / or caregivers. On the other, it was verified that although there is some progress with regard to perceptions of mental health, there are still practical, historical and contextually rooted, which act as barriers to effective response to this demand in view of deinstitutionalization. In this sense, it is considered important to emphasize that the teams of the Family Health Strategy should be trained to ensure the health practice with integrity and incorporating the mental health network in the municipality. This training must occur through continuing health education.