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