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

Made available in DSpace on 2014-12-17T15:38:39Z (GMT). No. of bitstreams: 1 EdilaneNRB.pdf: 461531 bytes, checksum: c5da09252b0d8ed8dcd729ccb9aa7745 (MD5) Previous issue date: 2008-02-27 / This study aims to analyzing the implementation of the Matrix Support proposal with professionals of Substitutive Services in Mental Health in the city of Natal/RN. The Matrix Support (MS) is an institutional arrangement which has been recently adopted by the Health Ministry, as an administrative strategy, for the construction of a wide care net in Mental Health, deviating the logic of indiscriminate follow-through changed by one of co-responsibility. In addition to this, its goal is to promote a major resolution as regards health assistance. Integral attention, as it is intended by the unique health system, may be reached by means of knowledge and practices interchange, establishing an interdisciplinary work logic, through an interconnected net of health services. For the accomplishment of this study, individual interviews of semi-structured character were used as instrument, with the coordinators and technical staff of the CAPs. The data collection was done in the following services: CAPS II ( East and West) and CAPS ad ( North and East), in the city of Natal/RN. The results point out that the CAPs to initiate of the discussion the process in the implementation of the MS aiming, to promote the reorganization and redefinition of the flow in the net, thus not acting in a fragmented way. Nevertheless, there is no effective articulation concerning the basic attention services, there is a major focus of the attention in mental health on the specialized services, little insertion in the territory and in the everyday life of the community / O objetivo deste estudo ? analisar a implementa??o da proposta do Apoio Matricial com profissionais de Servi?os Substitutivos em Sa?de Mental no munic?pio de Natal/RN. O Apoio Matricial (AM) ? um arranjo institucional recentemente incorporado pelo Minist?rio da Sa?de como estrat?gia de gest?o para a constru??o de uma rede ampla de cuidados em Sa?de Mental, desviando a l?gica de encaminhamentos indiscriminados para uma l?gica da co-responsabiliza??o. Ademais, visa produzir maior resolutividade ? assist?ncia em sa?de. Uma aten??o integral, como a pretendida pelo sistema ?nico de sa?de, poder? ser alcan?ada atrav?s da troca de saberes e de pr?ticas, instituindo uma l?gica de trabalho interdisciplinar, por meio de uma rede interligada de servi?os de sa?de. Para operacionaliza??o deste estudo, foram utilizadas como instrumento entrevistas individuais de car?ter semi-estruturado com os coordenadores e equipe t?cnica dos CAPS. A coleta de dados foi realizada nos seguintes servi?os: CAPS II (Leste e Oeste) e CAPSad (Norte e Leste), na cidade de Natal/RN. Os resultados apontam que os CAPS iniciaram o processo de discuss?o da implementa??o do AM, no intuito de promover a reorganiza??o e redefini??o do fluxo na rede, n?o atuando de forma fragmentada. Entretanto falta articula??o efetiva com os servi?os de Aten??o B?sica; h? uma centraliza??o da aten??o em Sa?de Mental nos servi?os especializados, com pouca inser??o no territ?rio e na vida cotidiana da comunidade

Made available in DSpace on 2014-12-17T15:38:43Z (GMT). No. of bitstreams: 1 AlexRA.pdf: 567074 bytes, checksum: 3a5ebacebe919f714caca1b9d3cbff94 (MD5) Previous issue date: 2004-12-20 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Psychiatric reform occurring in Brazil has progressed significantly during the last two decades, both in the transformation of the help structure and in the treatment of madness. At the same time a paralell movement is observed marked by the maintenance of the hospital centered or psychiatric ward ideology present not only in the psychiatric institutions but also in the substitute services in the cities and , above all, in the ways of contemporary subjectivation. We affirm that the idea of deinstitutionalization is intertwined with capitalistic agent both from the epistomological, assistance, and legal aspect as from the cultural one. This work aims mainly to discuss madness and subjectivity from the ethic esthetic-political perspective, specially the wishes of the psychiatric hospital, which we inhabit and who inhibits our interactions and our desired and creative productivity. We do also want to access the invisible threads that capture and modify madness, which make our cities a means for the production of pathologies, and those that, on the contrary, insinuate a process of resistance, facilitating life and health / O processo de Reforma Psiqui?trica em curso no pa?s vem avan?ando significativamente ao longo das duas ?ltimas d?cadas no que diz respeito ? transforma??o da estrutura asilar e das pr?ticas de cuidado para com a loucura. Por?m, observa-se que, paralelamente a esse movimento, h? um outro marcado pela manuten??o da l?gica hospitaloc?ntrica ou manicomial, presente n?o s? no interior das institui??es psiqui?tricas, mas nos servi?os substitutivos, nas cidades e, sobretudo, nos modos de subjetiva??o contempor?neos. Dir?amos que o ide?rio da desinstitucionaliza??o ? atravessado por um agenciamento do tipo "capital?stico" tanto do ponto de vista epistemol?gico, assistencial e jur?dico, quanto cultural. Esse trabalho visa, dentre outras coisas, discutir loucura e subjetividade numa perspectiva ?tico-est?tica-pol?tica, especialmente sobre os "desejos de manic?mio" que nos habitam e que obstruem nossa pot?ncia de agir, nossa produ??o desejante e criadora. De outro modo, queremos acessar as malhas invis?veis que capturam e mortificam a loucura, que fazem das cidades um dispositivo de produ??o de patologias e, aquelas redes que, contrariamente, insinuam processos de resist?ncia, possibilitam a inven??o da vida e da sa?de

Made available in DSpace on 2014-12-17T15:38:46Z (GMT). No. of bitstreams: 1 AnaKS.pdf: 949155 bytes, checksum: 510b8189ff7d40e57f75385d069921bc (MD5) Previous issue date: 2009-06-26 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / The research objective is explore practices to mutual help between CAPS users from the east and west regions of the city of Natal, RN, in Brazil. In the mental health field, we observe the care from substitutive services is based on technical knowledge where the person of the mental health professional is predominant. The Brazilian psychiatry reform invests in equipments and mental health care protocols, but it is necessary to invest more vigorously in new strategies and actors capable of obtaining resources to achieve this goal, such as the users. If one cornerstone of the psychiatric reform consists of changing the type of relationship established with the person with mental disorders, why this relationship, nowadays, is still dominated by technique and unevenness, where on one side we have a person who knows something and who needs take care of someone, and on other side we have another who knows nothing and thus needs to be cared for? Starting from this problematization of the traditional methods of health/mental health care, an attempt was made to investigate in what ways the mutual help practices between people with mental disorders can realize potential avenues not yet explored within the scope of psychiatric reform. The objective of this research was to map possible mutual help practices among the users, and the technical understanding of such practices. For that, we took part in the daily activities of the CAPS, mapping the experiences of mutual help among users. In addition, we accompanied the users in external activities (such as return home, trips, etc), and we had roundtables with the professionals. The research was guided by theoretical methodological references of the institutional analysis. The results pointed to a lack of behaviors of mutual help or support among users, something that can probably be explained by the service work dynamics, as well as the relationship between technicians and users, which has a tendency to create hurdles for meetings among users, as well as being non-conducive to theirempowerment / Essa pesquisa objetivou investigar pr?ticas de ajuda m?tua entre usu?rios dos CAPS leste e oeste da cidade de Natal-RN. No campo da sa?de mental, observamos que o cuidado proporcionado pelos servi?os substitutivos tende a ser pautado pelo saber t?cnico onde a figura do profissional predomina. A reforma psiqui?trica brasileira tem investido em equipamentos e pol?ticas de aten??o em sa?de mental, mas ? preciso investir mais fortemente em novas estrat?gias e atores capazes de agenciar for?as instituintes a esse movimento, tais como os usu?rios. Se um dos eixos da reforma psiqui?trica consiste em uma mudan?a no tipo de rela??o que se estabelece com o portador de transtorno mental, porque essa rela??o, nos dias de hoje, ainda se configura de maneira t?cnica e desigual, onde de um lado h? um sujeito que sabe e deve cuidar e de outro um que nada sabe, devendo, portanto, ser cuidado? Partindo dessa problematiza??o acerca dos modos tradicionais de cuidado em sa?de/sa?de mental, buscou-se investigar de que maneira as pr?ticas de ajuda m?tua entre portadores de transtorno mental podem agenciar potencialidades ainda n?o exploradas no ?mbito da reforma psiqui?trica. O objetivo da pesquisa foi mapear poss?veis pr?ticas de ajuda entre os usu?rios, bem como a concep??o dos t?cnicos sobre tais pr?ticas. Para isso, participamos cotidianamente das atividades desenvolvidas nos CAPS, mapeando as experi?ncias de ajuda entre os usu?rios. Al?m disso, acompanhamos os usu?rios nos ambientes extra-servi?os (volta para casa, passeios, etc.), e realizamos rodas de conversa com os profissionais. A pesquisa foi orientada pelo referencial te?rico-metodol?gico da an?lise institucional. Os resultados apontaram para uma falta de atitudes de ajuda ou suporte m?tuo entre usu?rios, provavelmente explicado pela din?mica de funcionamento do servi?o e pela rela??o entre t?cnicos e usu?rios, que tende a dificultar encontros entre usu?rios, al?m de n?o favorecerem o empoderamento dos mesmos.

Made available in DSpace on 2014-12-17T15:39:01Z (GMT). No. of bitstreams: 1 AriadneC.pdf: 385711 bytes, checksum: dcc828db10778b9bff5343cd3bed9087 (MD5) Previous issue date: 2006-09-22 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The purpose of this study is to discuss the therapeutic workshops function, while questioning if they constitute a mechanism for change of the traditional asylum logic. The Psychiatric Reform was materialized with the financing and regulation of alternative services that substitute the psychiatric hospital. This change was promoted by the anti asylum debate and the deinstitutionalization besides psychosocial rehabilitation paradigms. Mental health care, therefore, acquired a new form and the Centers for Psychosocial Care (CAPS) are considered the main services of the health network presently under construction. They are services that offer a variety of therapeutics and amongst them is the workshop, considered essential for the advancement of the Reform ideas. The study was conducted in a CAPS II in Natal, RN. Systematic visits were made using the Institutional Analysis perspective, futhermore were made interviews with professionals who was related to workshops. In the end, data were then discussed according to Schizoanalysis. Results denot that workshops represents, in the same time, progress and regress of Psychiatric Reform. It was observed that workshops were oftentimes reduced to strategies for the occupation of time, and as a means for the transmission of social values considered correct. The relationship between professionals and the user of the service was hierarchical and both players was seeing the workshop as a task to be met. Although users expressed intreresting about wokshops, was reported that the work was boring. Besides, except for some cases, the therapeutic workshops wasn t helping clients to create other possibilites in theirs life and stops the job inside the mental care service / Este trabalho objetivou investigar as oficinas terap?uticas num servi?o substitutivo ao hospital psiqui?trico, observando se seu funcionamento condiz ou n?o com preceitos da Reforma Psiqui?trica. Esta, tendo sido fomentada pela luta antimanicomial e embasada pela desinstitucionaliza??o e pela reabilita??o psicossocial, materializou-se com o financiamento e regulamenta??o de servi?os substitutivos ao manic?mio. Desde ent?o, novas formas de cuidado se configuram e os Centros de Aten??o Psicossocial (CAPS) s?o um dos principais servi?os da nova rede de sa?de. Os CAPS s?o servi?os abertos que oferecem uma variada gama de terap?uticas, dentre elas, destacam-se as oficinas terap?uticas: estrat?gias fundamentais por serem consideradas o baluarte dos novos servi?os. A coleta de dados ocorreu num CAPS II, em Natal-RN, onde foram realizadas visitas sistem?ticas orientadas pela An?lise Institucional, al?m de entrevistas com os funcion?rios que se encontravam ligados ao exerc?cio das oficinas. Os dados foram discutidos ? luz da Esquizoan?lise, revelando que o funcionamento das oficinas traduzem avan?os e retrocessos da Reforma. Notou-se que as oficinas eram espa?os onde alguns preconceitos eram desconstru?dos, auxiliando os usu?rios no estabelecimento de novas rela??es consigo, com outros e com o mundo. Entretanto, tamb?m foi observado que muitas vezes as oficinas se reduziam a meras estrat?gias de ocupa??o do tempo e serviam de ve?culo de transmiss?o de valores socialmente legitimados como certos. Percebeu-se que a rela??o entre profissionais e usu?rios era hierarquizada e que, por vezes, ambos viam a oficina como uma tarefa a ser cumprida. Da mesma forma, foi notado que os usu?rios, concomitantemente, mantinham um discurso de interesse pelas oficinas e expressavam que elas eram repetitivas e enfadonhas. J? a equipe t?cnica mantinha o discurso da luta antimanicomial, mas n?o conseguia sustent?-lo nas suas pr?ticas cotidianas. Al?m disso, afora exce??es, as oficinas eram espa?os que n?o possibilitam a cria??o e conservam o servi?o fechado em si mesmo

Made available in DSpace on 2014-12-17T14:52:35Z (GMT). No. of bitstreams: 1 JaideBD.pdf: 1078056 bytes, checksum: 49512b9c9d781821439a1a35147fbabe (MD5) Previous issue date: 2007-12-18 / This dissertation has as aim the praxis of co-management of the health service of CAPS II OESTE of Natal-RN, where health workers, family members got to materialize guidelines and principles of psychiatric Brazilian reform in real possibilities of subjectivity construction, whereas they changed social relations in daily life. The path chosen to record was from testimonials and contributions of those who meant their done. Redeeming this story from social representations of the majority of their builders was an instigating, delicate and rewarding task, emphasizing the living memory, rebuilt in a line of time which could not be found in simple documentary collections. Mainly, by knowing that service routine was intense and had as characteristic the singular mobility itself from a creation process and therefore not always its dynamic allowed adequate records. At the same time, from this occurred the field and bibliographic research which allowed the detailed information from the prior milestones and motivated to the practice here reported. The rereading of concepts in an interface with the reports of the interviewees enabled the verification that the model of mental health advocated by psychiatric reform was understood. Once noticed the presence of the beliefs and values of people in motivating energy for the progress of reform, it has gone to fetch theoretical subsidies of administrative order to understand how they saw this building and that uniqueness has been printed. The theoretical way and praxis have tracked here has allowed to analyze how occurred such a process of production and subjectivity and collectives that when organize enabled themselves for analysis and intervention, including in crisis situations. Therefore, it was revealed that ethical and multi-disciplinarity, the humanitarian sense, the coresponsibility, co-production and horizontal management were the key factors for spread from a changing protagonist. One can thus conclude that co-management from that collective has been multi-disciplinary weaving a cross / Esta disserta??o tem como objeto a pr?xis de co-gest?o do servi?o de sa?de CAPS II OESTE de Natal/RN, onde trabalhadores de sa?de, usu?rios e familiares conseguiram materializar diretrizes e princ?pios da reforma psiqui?trica brasileira em possibilidades reais e concretas de constru??o de subjetividades, ao passo que se transformavam as rela??es sociais num cotidiano. O caminho escolhido para registro foi a partir dos depoimentos e contribui??es daqueles que significaram seu feito. Resgatar esta hist?ria a partir das representa??es sociais da maioria dos seus construtores foi uma tarefa instigante, delicada e recompensadora, enfatizando a mem?ria viva, reconstru?da numa linha do tempo que n?o poderia ser encontrada em simples acervos documentais. Principalmente, por saber que a rotina daquele servi?o era intensa e teve como caracter?stica a mobilidade singular pr?pria de um processo em cria??o e por isso nem sempre sua din?mica permitia adequados registros. Em vista disto ocorreu, concomitantemente, a pesquisa de campo e a bibliogr?fica que permitiu o levantamento detalhado dos marcos que antecederam e motivaram a pr?tica aqui retratada. A releitura de conceitos numa interface com os depoimentos dos entrevistados possibilitou a verifica??o de que o modelo de sa?de mental preconizado pela reforma psiqui?trica fora compreendida. Uma vez percebido a presen?a das cren?as e valores das pessoas na energia motivadora para o avan?o da reforma, passou-se a buscar subs?dios te?ricos de ordem administrativa para compreender de que forma se deu tal constru??o e com que singularidade foi impressa. O caminho te?rico e pr?xis aqui percorrida permitiram analisar como se deu tal processo de produ??o de subjetividades e de coletivos que ao se organizarem capacitaram-se para an?lise e interven??o, inclusive em situa??es de crise. Revelou-se, portanto, que a ?tica e multidisciplinaridade, o sentido humanit?rio, a co-responsabiliza??o, a co-produ??o e a horizontalidade gerencial foram os fatores fundamentais para dissemina??o de um protagonismo transformador. Pode-se assim concluir que a co-gest?o daquele coletivo se deu numa tecelagem transdisciplinar

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.

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.

Made available in DSpace on 2014-12-17T15:38:44Z (GMT). No. of bitstreams: 1 DaniloCTL.pdf: 443940 bytes, checksum: d43c74f20d1acda992d023f9ea017bd8 (MD5) Previous issue date: 2009-03-13 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This study aims to map the working process in the health area starting from the meeting between the family and health teams and mental trouble carriers./MTC. The area of research was the Family Health Unit of Ozeas Sampaio, which is located in the county of Teresina-PI. As regard to the methodology procedure, we used a semi-structured interview timetable, aimed to detail the care practices, admittance and diagnostics that those teams realize with their users. Three teams of eleven workers each were interviewed. There was a doctor, a nurse and two health community agents in each team. The other tools we used were a camp logbook, in which we wrote down some informal dialogs, daily observations and feelings of the unit, and also the accompaniment of the staffs in house calls as well as the weekly meetings in the unit. Those meetings allowed us the construction of two analytic axes: 1) description of the establishment (Family Health Unit) of the organization, (municipal foundation of health and the service network), and the institutions and practice of health. 2) Analysis of the meetings between the worker and the user of Mental Trouble Carriers. In the first axis, we verified the repetition of the working logic focused on jobs in the hospital with the maintenance of the hierarchical relations between worker and the work processes which dissociate management and watchfulness in health care. We identified the lack of physical structure, the lack of self-confidence of the worker in the attention of the mental health care. At the second axis, we assess that the meetings, at the Family Health Unit (FHU) or at the dwelling of the users cause nuisance, discomfort and anxiety to the workers because they deal with issues that go beyond what is named as being the health order such as life stories, family conflicts, unemployment, hunger, sexual and psychological violence. As a matter of fact, they involve difficulties for having new relationships, reception and responsibility for this request / Esse estudo objetiva cartografar os processos de trabalho em sa?de produzidos a partir dos encontros entre trabalhadores de equipes de Sa?de da Fam?lia e usu?rios portadores de transtornos mentais/PTM s. O campo de pesquisa foi a Unidade de Sa?de da Fam?lia (USF) Ozeas Sampaio, localizada no munic?pio de Teresina-PI. No que concerne aos procedimentos metodol?gicos, utilizamos um roteiro de entrevista semi-estruturado visando cartografar as pr?ticas de cuidado, acolhimento e diagn?stico que essas equipes realizam com esses usu?rios. Foram entrevistados onze trabalhadores de tr?s equipes diferentes, dentre eles um m?dico, um enfermeiro e dois agentes comunit?rios de sa?de de cada equipe. Outras ferramentas utilizadas foram um di?rio de campo, em que registramos di?logos informais, observa??es e sensa??es ocorridas no cotidiano da unidade; e tamb?m o acompanhamento ?s equipes em visitas domiciliares e ?s reuni?es semanais na unidade. Esses encontros possibilitaram a constru??o de dois eixos anal?ticos: 1) Mapeamento do estabelecimento (USF), da organiza??o (Funda??o Municipal de Sa?de e a rede de servi?os) e das institui??es e pr?ticas em sa?de; 2) An?lise dos encontros entre trabalhador e usu?rio PTM s. No primeiro eixo, verificouse a repeti??o da l?gica de trabalho hospitaloc?ntrico, com a manuten??o de rela??es hier?rquicas entre trabalhadores e de processos de trabalhos que dissociam gest?o e aten??o em sa?de. Identificamos a falta de estrutura f?sica, de capacita??o e de empoderamento dos trabalhadores para o cuidado em sa?de mental. No segundo eixo, observamos que os encontros, sejam na USF, sejam nas resid?ncias dos usu?rios, provocam nos trabalhadores inc?modo, desconforto e ang?stia, por lidarem com quest?es que v?o para al?m do que se especifica como sendo da ordem da sa?de, como as hist?rias de vida, conflitos familiares, desemprego, fome, viol?ncia f?sica, psicol?gica e sexual. Fato esse, que implica em dificuldades para cria??o de v?nculos, acolhimento e responsabiliza??o por essa demanda

Made available in DSpace on 2014-12-17T15:38:51Z (GMT). No. of bitstreams: 1 ShyrleyBG_DISSERT.pdf: 2114425 bytes, checksum: f08a567de42af6302c6b562315cbc90d (MD5) Previous issue date: 2011-04-08 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Psychologists‟ insertion in mental healthcare ambulatory clinics occurred during the decade of 1980, in the context of the claims disseminated by sanitary and psychiatric reforms, of the formation of minimum mental healthcare teams and of the retraction of the private clinic. Historically, this migration had been accompanied by the importation of practices traditionally applied at the clinics. Furthermore, the lack of clear guidelines from the Health Ministery occasioned the opening of ambulatory clinics with diversified structures at each city. The objective of this dissertation was to study the practices of psychologists at mental healthcare ambulatory references at Aracaju-SE. Were interviewed psychologists of these services and managers of the municipal health secretary using a semi-structured interview guideline, in addition to the analysis of management reports. It was observed that the mental healthcare references had experienced substantial changes referred to its structures and operation, leading to a present framework of expansion and readjustment. It was realized that there is an effort by the psychologists to maintain individual and group assistance, using adjustments in the frequency of the sessions and in the focus of the activities. Besides the progresses, the relation with the psychiatrist still works basically through the medical record, blocking advances on joint discussions of the cases. Some advances toward the amplified clinic are notable, like the overcoming of the isolated usage of psychiatric diagnostic and the replacement of the line‟ criterion by the urgency one. Sheltering had become an interesting strategy on flux ordination, however the mismatch between offer and demand seems to be a matter which extrapolates the psychologists‟ sphere at the references. For this reason the narrow of the relation with family healthcare centers seems to be the major challenge to be faced by psychologists at mental healthcare ambulatory references / A inser??o do psic?logo nos ambulat?rios de sa?de mental ocorreu na d?cada de 1980, no contexto das reivindica??es propagadas pela reforma sanit?ria e psiqui?trica, da forma??o de equipes m?nimas de sa?de mental e da retra??o da cl?nica privada. Historicamente, essa migra??o foi acompanhada da importa??o de pr?ticas tradicionalmente aplicadas no consult?rio. Ademais, a falta de diretrizes claras por parte do Minist?rio da Sa?de ocasionou a abertura de ambulat?rios com estruturas diversificadas em cada munic?pio. O objetivo desta disserta??o foi estudar a atua??o do psic?logo nas Refer?ncias Ambulatoriais em Sa?de Mental de Aracaju-SE. Foram entrevistados psic?logos desses servi?os e gestores da secretaria municipal de sa?de a partir de roteiro semiestruturado, al?m da an?lise de relat?rios de gest?o. Observou-se que as Refer?ncias em Sa?de Mental sofreram transforma??es substanciais quanto ? sua estrutura e funcionamento, levando a um quadro atual de expans?o e de readequa??o. Percebeu-se um esfor?o por parte dos psic?logos em manter os atendimentos individuais e de grupo, a partir de ajustes na frequ?ncia nas sess?es e no foco das atividades. N?o obstante os progressos, a rela??o com o psiquiatra ainda se processa basicamente pelo prontu?rio, impedindo de avan?ar na discuss?o conjunta dos casos. S?o not?veis alguns avan?os em dire??o ? cl?nica ampliada, como a supera??o do uso do diagn?stico psiqui?trico de forma isolada e da substitui??o do crit?rio fila pelo de urg?ncia. O acolhimento tornou-se uma estrat?gia interessante de ordena??o do fluxo, por?m o descompasso entre oferta e demanda parece ser uma quest?o que extrapola o ?mbito dos psic?logos das refer?ncias. Por essa raz?o, o estreitamento da rela??o com as unidades de sa?de da fam?lia parece ser o maior desafio a ser enfrentado pelos psic?logos das Refer?ncias Ambulatoriais em Sa?de Mental