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Previous issue date: 2014-09-26 / A reforma psiqui?trica consiste num processo que busca desconstruir a l?gica
excludente provocada pelas interna??es, proporcionando aos sujeitos estrat?gias de reinser??o
social. Nesse sentido, a aten??o b?sica, atrav?s da Estrat?gia de Sa?de da Fam?lia - ESF vem,
progressivamente, tornando-se espa?o estrat?gico nas interven??es em sa?de mental,
configurando-se como campo de pr?ticas e produ??o de novos modos de cuidado. Nesta
perspectiva, em Areia Branca-RN vem ocorrendo um processo de implementa??o dessa
proposta, atrav?s da articula??o da rede de Aten??o Psicossocial e da Estrat?gia Sa?de da
Fam?lia/ESF. As discuss?es acerca da implementa??o da aten??o integral ? sa?de mental no
munic?pio de Areia Branca avan?am significativamente. Por?m, esta discuss?o n?o tem sido
capaz de provocar mudan?as na pr?tica. Ao partir da concep??o de que a articula??o entre
sa?de mental e aten??o b?sica ? um desafio a ser enfrentado atualmente, que a melhoria da
assist?ncia prestada e a amplia??o do acesso da popula??o aos servi?os com garantia de
continuidade da aten??o dependem da efetiva??o dessa articula??o, estabeleceu-se como
objetivo de pesquisa: investigar como se d? a rela??o entre as equipes de ESF e a equipe de
CAPS na aten??o ? sa?de mental no munic?pio de Areia Branca ? RN a partir dos discursos
dos profissionais. Para tanto, tiveram-se como objetivos espec?ficos: Conhecer a demanda em
sa?de mental existente no munic?pio de Areia Branca ? RN atendida pela ESF; Identificar
limites e dificuldades na rela??o entre as equipes da ESF e do CAPS; Identificar
potencialidades para articula??o entre as equipes da ESF e do CAPS para a constitui??o da
RAPS local. Tratou-se de um estudo descritivo-explorat?rio, com desenho metodol?gico de
natureza qualitativa, cujos sujeitos foram profissionais da Estrat?gia Sa?de da Fam?lia,
profissionais do Centro de Aten??o Psicossocial e o respons?vel pela condu??o/gest?o da
sa?de mental no munic?pio. Como instrumentos de pesquisa foram utilizadas observa??es
informais, entrevista semiestruturada e grupos focais. As informa??es obtidas foram
analisadas considerando a an?lise de conte?do de Bardin, o que possibilitou discutir a
pertin?ncia do referencial te?rico com os dados obtidos atrav?s da observa??o e interpreta??o
da articula??o entre a Estrat?gia de Sa?de da Fam?lia e a rede de Aten??o Psicossocial no
munic?pio de Areia Branca-RN. Por um lado, registrou-se intensa demanda em sa?de mental
advinda de usu?rios e de seus familiares e/ou cuidadores. Por outro, verificaram-se que apesar
de existir alguns avan?os com rela??o a percep??es sobre sa?de mental, existem ainda
pr?ticas, hist?rica e contextualmente arraigadas, que atuam como obst?culos para a resposta
efetiva a essa demanda na perspectiva da desinstitucionaliza??o. Nesse sentido, considera-se
importante ressaltar que as equipes da Estrat?gia de Sa?de da Fam?lia devem ser capacitadas
para garantir a pr?tica de sa?de com integralidade e a incorpora??o ? rede de sa?de mental do
munic?pio. Essa capacita??o deve ocorrer atrav?s da educa??o permanente em sa?de. / The antimanicomial psychiatric reform is a process that seeks to deconstruct the
exclusionary logic caused by hospitalizations, providing strategies for social reintegration of
individuals. In this sense, the primary care through the Family Health Strategy - FHS comes
progressively becoming strategic space in mental health interventions, configured as a field of
practice and production of new modes of care. In this perspective, there has been a process of
implementing this proposal in the Areia Branca City/RN, through the articulation of
Psychosocial Care Network and the Family Health Strategy / ESF. However, this process has
not been able to bring changes in practices. From the view that the relationship between
mental health and primary care is a challenge currently being faced, that improving the care
provided and the expansion of the access to services with guaranteed continuity of care
depend on the effectiveness of this joint, established themselves as research objective: To
investigate how is the relationship between the FHS team and CAPS team in care mental
health in the town of Areia Branca - RN from the speeches of professionals. And if you had
specific purposes: 1) Know the demand in existing mental health in the town of White Sand -
RN served by FHS; 2) Identify limits and difficulties in the relationship between the ESF
teams and CAPS; 3) Identify potential for linkages between ESF teams and CAPS for the
establishment of local RAPS. This was a descriptive, exploratory study with a qualitative
methodological design, whose subjects were professionals from the Family Health Strategy,
professionals Psychosocial Care Center and responsible for the conduct / management of
mental health in the municipality. The research tools used informal observations, semistructured
interviews and focus groups were used. The data obtained were analyzed for the
content analysis of Bardin, allowing discuss the relevance of the theoretical framework with
data obtained through observation and interpretation of the relationship between the Family
Health Strategy and the network of Psychosocial Care in Areia Branca-RN. On the one hand,
there was strong demand for mental health arising from users and their families and / or
caregivers. On the other, it was verified that although there is some progress with regard to
perceptions of mental health, there are still practical, historical and contextually rooted, which
act as barriers to effective response to this demand in view of deinstitutionalization. In this
sense, it is considered important to emphasize that the teams of the Family Health Strategy
should be trained to ensure the health practice with integrity and incorporating the mental
health network in the municipality. This training must occur through continuing health
education.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19991 |
| Date | 26 September 2014 |
| Creators | Silva, Clarissa Andira Xavier e |
| Contributors | 02126900436, http://lattes.cnpq.br/9847082748841264, Guimar?es, Jacileide, 91643902415, http://lattes.cnpq.br/8942333851163376, Bosco Filho, Jo?o, 90467345449, http://lattes.cnpq.br/3068285662145237, Macedo, Mauricio Roberto Campelo de, 43006698720, http://lattes.cnpq.br/3673586188321966, Silva, Georgia Sibele Nogueira da, Amorim, Ana Karenina de Melo Arraes |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE DA FAM?LIA NO NORDESTE, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| 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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