Made available in DSpace on 2014-12-17T14:46:45Z (GMT). No. of bitstreams: 1 DiegoB_DISSERT.pdf: 2006113 bytes, checksum: 24caddf7e16ff7f9db8fd37296acff67 (MD5) Previous issue date: 2010-11-08 / The objective of this work which is characterized as an applied research, with a qualitative exploratory approach and has case study character has been the analysis of the conceptions and dealings of health professionals of SAMU in Natal RN about the attendance of psychiatric urgencies. The information was collected between the months of March and April of 2010, by means of semi-structured interviews, performed with 24 health professionals integrating of SAMU-Natal as well as the usage of direct observation technique, performed in the institution's medical regulation room. Both the number of professionals involved in the interviews and the bringing about of the observations, were determined by saturation methods in qualitative research's information collecting. The interviews and observations were transcribed and submitted to contents analysis technique , more specifically, to thematic analysis, which made possible to reach the deepest levels, that go beyond what has simply been manifest in the speech of the interviewed, getting to the relations among the categories and social structures of the issue of the research. Keeping this in mind, three analysis categories have been built, namely: conceptions and concepts of psychiatric urgencies shared by health professionals in SAMU-Natal; attendances to psychiatric urgencies in SAMU-Natal; and the Brazilian Psychiatric Reformation under the view of the SAMU-Natal's health professionals. Reflection about the analyzed information revealed discussions pertaining to the stigma and prejudice on mental illness, and also, pointed out to some hindrances which impair the attendance to individuals in mental suffering in SAMU-Natal. The interviewed health professionals' conceptions on the individual in psychical crisis involve concepts of unpredictability, aggressiveness and risk, stigmatizing elements and historically associated to the social hazard ideology and need for mentally sicks' segregation. The predominance of these conceptions, seen in health professionals speech, had identifiable reflexes on assistance to psychiatric demands performed by SAMU-Natal, namely: indiscriminate request for military police's presence during psychic crisis intervention, neglect about occasions that involve mental health patients, as well as repetitive assisting practice directed on physical contention, and transportation to psychiatric hospital. Associated to it, the professionals have shown distorted and reductionist understanding about Brazilian Psychiatric Reformation, and, in the majority, haven't lent credibility to present model of attention to mental health, based on psycho-social treatment, pointing their speech to a need for psychiatric patient's internment. In this sense, we notice that the hospital-centered and excluding model conceived by classical psychiatry still remains alive in these health professionals' mentality as a reference to psychiatric urgency's assistance. Therefore, the research revealed a sequence of elements, that make us think about the challenges that health sector and society must face to realize Brazilian Psychiatric Reformation's principles and guidelines / O objetivo desse trabalho, caracterizado como uma pesquisa aplicada, de abordagem qualitativa, explorat?ria e do tipo estudo de caso, foi analisar as concep??es e pr?ticas dos profissionais de sa?de do SAMU de Natal-RN sobre o atendimento ?s urg?ncias psiqui?tricas. As informa??es foram coletadas entre os meses de mar?o e abril de 2010, por meio de entrevistas semi-estruturadas realizadas com 24 profissionais de sa?de lotados no SAMUNatal e da utiliza??o da t?cnica da observa??o direta, feita na sala de regula??o m?dica da institui??o. Tanto o n?mero de profissionais participantes nas entrevistas quanto o tempo de realiza??o das observa??es foram determinados pelo m?todo da satura??o na coleta de informa??es em pesquisas qualitativas. As entrevistas e observa??es foram transcritas e submetidas ? t?cnica da an?lise de conte?do, mais especificamente, da an?lise tem?tica, o que possibilitou o alcance de n?veis mais profundos, que ultrapassaram o que foi simplesmente manifesto nas falas, atingindo a rela??o entre as categorias e estruturas sociais do problema de pesquisa. Diante disso, foram constru?das tr?s categorias de an?lise, a saber: concep??es e conceitos de urg?ncia psiqui?trica dos profissionais de sa?de do SAMU Natal; a assist?ncia ?s urg?ncias psiqui?tricas no SAMU-Natal; e a Reforma Psiqui?trica brasileira sob o olhar dos profissionais de sa?de do SAMU de Natal-RN. A reflex?o sobre as informa??es analisadas revelaram discuss?es a respeito do estigma e preconceito sobre a doen?a mental, bem como, apontaram para alguns entraves que prejudicam a assist?ncia ao sujeito em sofrimento mental no SAMU-Natal. As concep??es sobre o sujeito em crise ps?quica dos profissionais de sa?de entrevistados envolvem os conceitos de imprevisibilidade, agressividade e do risco, elementos estigmatizantes e historicamente associados ? ideologia da periculosidade social e necessidade de segrega??o do doente mental. O predom?nio dessas concep??es, no discurso dos profissionais de sa?de, tem reflexos identific?veis na assist?ncia prestada pelo SAMU-Natal ?s demandas psiqui?tricas, na qual se destacam: a solicita??o indiscriminada da pol?cia militar durante as interven??es em crise ps?quica, a neglig?ncia com as ocorr?ncias que envolvem pacientes de sa?de mental, bem como, a pr?tica assistencial repetitiva e direcionada ? conten??o f?sica, medica??o e ao transporte para hospital psiqui?trico. Associado a isso, os profissionais demonstraram compreens?es deturpadas e reducionistas da Reforma Psiqui?trica brasileira e, em sua maioria, n?o deram credibilidade ao atual modelo de aten??o ? sa?de mental pautado no tratamento psicossocial, remetendo suas falas ? necessidade de internamento dos pacientes psiqui?tricos. Nesse sentido, percebemos que o modelo hospitaloc?ntrico e excludente concebido pela psiquiatria cl?ssica ainda permanece vivo no ide?rio desses profissionais como refer?ncia para a assist?ncia ?s urg?ncias psiqui?tricas. Portanto, a pesquisa revelou uma s?rie de elementos que nos fazem pensar a respeito dos desafios que o setor sa?de e a sociedade ainda precisam enfrentar para concretizar os princ?pios e diretrizes da Reforma Psiqui?trica brasileira