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Previous issue date: 2011-12-08 / The Brazilian Psychiatric Reform based on the desinstitucionalization of the assistance, translated to the emphasis on community/territorial treatment and in the social inclusion of the mental suffering, promoted advances in the psychiatric restructuring. In the Rio Grande do Norte (RN), we can enumerate as advances of the Brazilian Psychiatric Reform the expansion of the mental health care chain and the implementation of some strategies that, together, aims to further the psychosocial attention of the individual with psych suffering and to reduce the indices of psychiatrics readmissions in the state. In the current Brazilian‟s mental health situation we were interesting in answered the following question: what the impact of the substitutes services‟ extension in the revolving door phenomenon? This search aims to analyze the revolving door phenomenon occurrences based on the news strategies of mental health care in the Rio Grande do Norte. This is a descriptive-exploratory study with a qualitative approach, oriented by the theoretical framework of critical-dialectical approach about the Brazilian Psychiatric Reform and using the thematic oral history as method of information collects. The search was realized on the Hospital Jo?o Machado (HJM), estate reference in psychiatric treatment, and the participants was 20 professionals that work on it. The collection of information had started after the approval of the UFRN Research Ethics Committee with the opinion number 216/2011 and CAAE number 0021.0.051.000-11 and was realized using the direct observation and semi-structured interview. The study‟s results were categorized in two categories and five subcategories of analysis. CATEGORY 1) Current situation of the mental health care chain in the RN, with the subcategories: 1.1 Impact of the new services of mental health care in the revolving door phenomenon in the RN; 1.2 Implications of the new services of mental health care in assisting user to the HJM; 1.3 Issues the permeate the mental health care chain in the RN. CATEORY 2) Main causes of the revolving door phenomenon in HJM, with the categories: 2.1 Family problems; 2.2 Lack of assistance after discharge from psychiatric hospital. In summary, we conclude that the extension of the mental health care chain contributed for the reduction of the psychiatrics re-hospitalization‟s indices in RN. However, we realized that territorial services of mental health care are not the only responsible for the revolving door phenomenon. Factors as family problems and the disarticulation of the assistance after the discharge from hospital influence on the perpetuation of hospitalizations and re-hospitalizations in the local scenario. To study the revolving door phenomenon that occur in the psychiatrics‟ assistance considering the news strategies of mental health care allowed us to approach the advances and challenges brought by the RPb and by the desinstitucionatization in the state, indicating the need for further discussions and problem-solving strategies of psychosocial care. / A Reforma Psiqui?trica brasileira pautada sobre o ide?rio de desinstitucionaliza??o da assist?ncia, traduzido na ?nfase no tratamento de base comunit?ria/territorial e na inclus?o social do sofredor ps?quico, promoveu avan?os significativos na reestrutura??o da psiquiatria. No cen?rio do Estado do Rio Grande do Norte (RN), podemos enumerar como avan?os da Reforma Psiqui?trica brasileira a expans?o da rede de aten??o ? sa?de mental e a implementa??o de estrat?gias que, em conjunto, visam favorecer a aten??o psicossocial do indiv?duo em sofrimento ps?quico e reduzir os ?ndices de reinterna??es psiqui?tricas no Estado. Diante do panorama atual da sa?de mental no Brasil nos empenhamos em responder ao seguinte questionamento: qual o impacto da amplia??o dos dispositivos substitutivos no fen?meno da porta girat?ria na realidade da aten??o ? sa?de mental do Rio Grande do Norte? Assim, o presente estudo teve como objetivo analisar a ocorr?ncia do fen?meno da porta girat?ria ? luz das novas estrat?gias de aten??o ? sa?de mental no RN. Trata-se de uma pesquisa qualitativa do tipo explorat?rio-descritiva, norteada por um arcabou?o te?rico de enfoque cr?tico-dial?tico sobre a Reforma Psiqui?trica brasileira e tendo a hist?ria oral tem?tica como m?todo de coleta de informa??es. O cen?rio da pesquisa foi o Hospital Jo?o Machado (HJM), refer?ncia para o atendimento em psiquiatria no Estado do Rio Grande do Norte e os sujeitos da pesquisa foram 20 profissionais da institui??o. A coleta das informa??es foi iniciada ap?s a libera??o do Comit? de ?tica em Pesquisa da UFRN atrav?s do parecer no 216/2011 e CAAE no 0021.0.051.000-11 e realizada mediante a utiliza??o de observa??o direta e de entrevista semi-estruturada. A operacionaliza??o das informa??es suscitou o surgimento de duas categorias e cinco subcategorias de an?lise. CATEGORIA 1) A atualidade da Rede de Aten??o ? Sa?de Mental no RN, com as subcategorias: 1.1 Impacto da rede de sa?de mental no fen?meno da porta girat?ria no RN; 1.2 Implica??es dos novos servi?os de sa?de mental na assist?ncia aos usu?rios do HJM; 1.3 Problem?ticas que permeiam a rede de sa?de mental do RN. CATEGORIA 2) Principais causas da porta girat?ria no RN, com as subcategorias: 2.1 Problem?tica familiar e 2.2 desassist?ncia p?s-alta. Em s?ntese, conclu?mos que a amplia??o da rede sa?de mental contribuiu para a redu??o das reinterna??es psiqui?tricas no RN. No entanto, vimos que os dispositivos territoriais de sa?de mental n?o s?o os ?nicos respons?veis pela perpetua??o do fen?meno da porta girat?ria. Fatores como a problem?tica familiar e a desarticula??o de assist?ncia p?s-alta influenciam nas interna??es e reinterna??es psiqui?tricas na realidade estadual. Estudar a porta girat?ria da assist?ncia psiqui?trica e as novas estrat?gias de aten??o ? sa?de mental nos permitiu a aproxima??o com os avan?os e desafios trazidos pela Reforma Psiqui?trica brasileira e pela desinstitucionaliza??o no ?mbito estadual, apontando para a necessidade de novas discuss?es e estrat?gias de resolubilidade da aten??o psicossocial.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/14743 |
| Date | 08 December 2011 |
| Creators | Ramos, D?borah Karollyne Ribeiro |
| Contributors | CPF:91643902415, http://lattes.cnpq.br/8942333851163376, Macedo, Maur?cio Roberto Campelo de, CPF:43006698720, http://lattes.cnpq.br/3673586188321966, Germano, Raimunda Medeiros, CPF:00446114472, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4721938D8, Souza, Rozemere Cardoso de, CPF:58605967587, http://lattes.cnpq.br/0674828590635391, Guimar?es, Jacileide |
| 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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