Made available in DSpace on 2014-12-17T15:38:48Z (GMT). No. of bitstreams: 1 FabianaLS.pdf: 655458 bytes, checksum: e94bc91d973d0c27aac0a995d1542a52 (MD5) Previous issue date: 2004-05-14 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / The model of attention to health has been suffering alterations due to the difficulty faced to put into practice its universal, democratic and institutional layout. Since the movement of Sanitary Reform, which focused in the demands of a new health context and the process of work in the area of health, one seeks uninterruptedly, to find a way which leads to the execution of the principles of SUS. Despite having tried, the model of Sanitary Vigilance centered within the work of a multi-professional team has shown fragmentation and little adequacy to the necessity of health in the population. Whilst inserting himself in the field of health, the psychology professional has taken with him his clinic way of attending to individuals being one more in the team to act in a de-contextualised and little critical way. In virtue of this framework, the Ministry of Health invests in the Family Health Program as a new guide in the health system, restructuring the basic attention at a new logic of action. In this way, the municipality of Natal-RN implants, in the year 2002, the PSF in the Northern Sanitary District, a context in which professional teams are created where there is not an inclusion of a psychologist. Consequently, this professional is excluded of his work space in the previous Basic Unities of Health. This piece of work constitutes in the investigation of the implementation and instrumentalization of the Northern Sanitary District PSF of Natal-RN, having as its objective to analyze the implications of this execution for the structuring of the health network services and more specifically the alterations that this implementation could be making to the practice of the Psychology Professionals, emphasizing its advances, obstacles and limitations. To make this work feasible it was necessary to search for data and information from the implementation and execution of the PSF in the DSN, carrying interviews from a semi-structured guide, with 21 institutional actors (members of the team, coordinators and directors of the unities and psychologists) / O modelo de aten??o ? sa?de vem sofrendo altera??es em face da dificuldade enfrentada para p?r em pr?tica seu desenho institucional universalista e democr?tico. Desde o Movimento da Reforma Sanit?ria, que p?s em pauta a exig?ncia de um novo contexto de sa?de e o pr?prio processo de trabalho em sa?de, busca-se, ininterruptamente, encontrar um caminho que leve ? efetiva??o dos princ?pios do SUS. Embora o modelo da vigil?ncia sanit?ria - centrada na atua??o de uma equipe multiprofissional - tenha tentado, mostrou-se fragmentado e pouco adequado ?s necessidade de sa?de da popula??o. Ao inserir-se no campo da sa?de, profissional de psicologia levou consigo seu modelo cl?nico de atendimento, sendo mais um - na equipe - a atuar de forma descontextualizada e pouco cr?tica. Em virtude dese quadro, o Minist?rio da Sa?de investe no Programa Sa?de da Fam?lia enquanto novo orientador do sistema de sa?de, resstruturando a aten??o b?sica sob uma nova l?gica de a??o. Nesse sentido, o munic?pio de Natal-RN, implanta, no ano de 2002, PSF no Distrito Sanit?rio Norte, contexto em que s?o criadas equipes de profissionais nas quais n?o h? inclus?o do psic?logo. Conseq?entemente, esse profissional ? exclu?do de seu espa?o de trabalho nas antigas Unidades B?sicas de Sa?de.Este trabalho constitui-se na investiga??o da implanta??o e instrumentaliza??o do PSF no Distrito Sanit?rio Norte de Natal-RN, tendo como objetivo analisar as implica??es dessa efetiva??o para a estrutura??o da rede de servi?os e mais especificamente as altera??es que essa implanta??o possa estar imprimindo ? pr?tica dos profissionais de Psicologia, destacando seus avan?os, entraves e limites. Para realizar tal estudo se fez neces?rio buscar dados e informa??es da implanta??o e efetiva??o do PSF no DSN, realizandoainda entrevistas, a partir de um roteiro semi-estruturado, com 21 atores institucionais (integrantes de equipes, coordenaodres e diretores de unidades de sa?de e psic?logos)