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Previous issue date: 2012-02-27 / This study aims to analyze and compare the opinion of professionals, managers and users about the mental health care in the Family Health Strategy (FHS). It is characterized as an Operations Research or Health System Research with a cross-sectional design and a descriptive quantitative nature. The study was developed from the application of the Opinion Measurement Scale allied to techniques of observation and structured interview in the city of Parnamirim / RN. The sample consists of 409 subjects, 209 professionals of the Family Health Strategy, 30 of the Oral Health Strategy, 19 of the Family Health Support Center, 24 directors of Basic Health Units, plus 68 users with mental disorders and 59 caregivers, respecting the ethical parameters of Resolution 196/96 of the National Health Council, trial registration number: CAAE 0003.0.051.000-11. Quantitative data were submitted to the Epi-info 3.5.2 for analysis. The network of mental health in Parnamirim involves the flow between the FHS, Psychosocial Care Centers, clinics and hospitals, having as main barriers the fragility of the referral and counter-referral system, of the municipal health conferences, of the FHS teams by the limitations in material and human resources as well as the population?s lack of acknowledge about the organization of the mental health network, issues that affect the integral attention. Even though the FHS professionals recognize the importance of their actions, they question their role in mental health care, experiencing difficulties in accessing psychiatric services (76.5%). Although most agree that the mentally ill is best treated in the family than in hospital (65.2%), the community health workers were the predominant category in the partial or total disagreement of this statement (40.8%), who is the professional in greater contact with the family. Nevertheless the caregivers miss the support of the FHS as the main focus of attention is on revenue control. The views of professionals, mental patients and caregivers converged in several statements, showing the main weaknesses to be focused by the mental health network of the city, as the perceptions that: (a) physical strength is needed to take care of mental patients for its tendency to aggression, requiring it to stay in the sanatorium for representing danger to society, (b) only a psychiatrist can help the person with emotional problems, (c) the user of alcohol and drugs does not necessarily develop mental illness, (d) the access barriers and doubts about the quality of psychiatric services, (e) caring of a mental health patient does not bring suffering to professionals. Therefore, the commitment to consensus building, monitoring and evaluation of the network are important mechanisms for an effective management system, reflecting in the importance of strengthening the health conferences and approximating different institutions. The results reinforce the importance of strengthening primary care through programs of continuing education focusing on the actions and functions of professionals in accordance with its competences and duties what contribute to the organization and response of mental health care, favoring user?s care and the promotion of family health / O presente estudo objetiva analisar e comparar os pontos de vista de profissionais, dirigentes e usu?rios sobre a aten??o ? sa?de mental na Estrat?gia de Sa?de da Fam?lia (ESF). Nessa perspectiva, caracteriza-se como uma pesquisa operacional, ou Investiga??o em Sistemas de Sa?de (ISS), com desenho transversal de car?ter descritivo quantitativo, desenvolvida a partir da aplica??o de Escala de Medida de Opini?o - EMO no Munic?pio de Parnamirim/RN, aliada ?s t?cnicas de observa??o e entrevista estruturada. A amostra comp?e-se de 409 sujeitos, sendo 209 profissionais integrantes das equipes da Estrat?gia de Sa?de da Fam?lia, 30 da Estrat?gia de Sa?de Bucal, 19 dos N?cleos de Apoio ? Sa?de da Fam?lia, 24 diretores das Unidades B?sicas de Sa?de, acrescidos de 68 usu?rios portadores de transtorno mental e 59 acompanhantes, respeitando os par?metros ?ticos da Resolu??o 196/96 do Conselho Nacional de Sa?de, CAAE n? 0003.0.051.000-11. Os dados quantitativos foram submetidos ao Epi-info 3.5.2 para an?lise. A rede de sa?de mental de Parnamirim envolve o fluxo entre ESF, CAPS, centro cl?nico e institui??es hospitalares, possuindo como principais entraves a fragilidade do sistema de refer?ncia e contrarrefer?ncia, das confer?ncias municipais de sa?de, das equipes da ESF pelas limita??es em recursos materiais e humanos, assim como uma popula??o que desconhece a organiza??o do sistema, aspectos que prejudicam a integralidade na aten??o. Apesar de reconhecerem a import?ncia de sua atua??o, os profissionais da ESF questionam o pr?prio papel na assist?ncia em sa?de mental, sentindo dificuldade de acesso aos servi?os psiqui?tricos (76,5%). Apesar da maioria concordar que o doente mental ? mais bem tratado na fam?lia do que no hospital (65,2%), os agentes comunit?rios de sa?de foram a categoria predominante na discord?ncia parcial ou total dessa afirmativa (40,8%), justamente o profissional em maior contato com a fam?lia. Os acompanhantes, por sua vez, sentem falta do apoio da ESF, pelo atendimento focar nas receitas controladas. As opini?es de profissionais, portadores de transtorno e acompanhantes conflu?ram em v?rias afirmativas, demonstrando as principais fragilidades a serem abordadas pela rede de sa?de mental do munic?pio, como as percep??es de que: (a) h? necessidade de for?a f?sica para cuidar do portador de transtorno por sua tend?ncia ? agressividade, precisando permanecer no hosp?cio por representar perigo ? sociedade; (b) apenas o psiquiatra pode ajudar a pessoa com problemas emocionais; (c) n?o h? necessariamente desenvolvimento da doen?a mental pelo usu?rio de ?lcool e drogas; (d) entraves no acesso e questionamentos da qualidade dos servi?os psiqui?tricos; (e) n?o consideram que o cuidado ao doente mental traga sofrimento ao profissional. Logo, o empenho na forma??o de consensos, a monitora??o e avalia??o da rede s?o importantes mecanismos para uma gest?o eficaz do sistema, refletindo na import?ncia do fortalecimento das confer?ncias de sa?de e aproxima??o das diferentes institui??es. Os resultados refor?am a import?ncia do fortalecimento da aten??o prim?ria atrav?s de programas de educa??o permanente com enfoque nas a??es e fun??es dos profissionais em acordo com suas compet?ncias e atribui??es, contribuindo para a organiza??o e resposta do cuidado em sa?de mental, consequentemente favorecendo o cuidado ao usu?rio e a promo??o da sa?de familiar
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14759 |
| Date | 27 February 2012 |
| Creators | Dutra, Samia Valeria Ozorio |
| Contributors | CPF:04960360330, http://lattes.cnpq.br/9242337504601387, Simpson, Cl?lia Albino, CPF:05261856272, http://lattes.cnpq.br/3568948187738623, Torres, Gilson de Vasconcelos, CPF:51326728415, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4708368Z6&dataRevisao=null, Braga, Violante Augusta Batista, CPF:05263158300, http://lattes.cnpq.br/8261695938310519, Miranda, Francisco Arnoldo Nunes de |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Enfermagem, UFRN, BR, Assist?ncia ? Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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