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Estrat?gias de cuidados por familiares de portadores de transtornos mentais severos residentes na zona rural do alto sert?o paraibano / Estrategies of care by relatives of patients with severe mental illness living in rural zone located at sert?o of Paraiba

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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

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19464
Date19 June 2013
CreatorsSilva, Victor Hugo Farias da
Contributors24383481353, http://lattes.cnpq.br/9681334300604531, Macedo, Jo?o Paulo Sales, 63273764368, http://lattes.cnpq.br/6624843385034057, Vel?so, Thelma Maria Grisi, 34363858400, http://lattes.cnpq.br/1954214035034995, Leite, Jader Ferreira, Dimenstein, Magda Diniz Bezerra
PublisherUniversidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM PSICOLOGIA, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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