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Previous issue date: 2014-12-16 / No contexto de ruptura com a institui??o manicomial, a Reforma Psiqui?trica brasileira ? um processo hist?rico de reformula??o dos saberes e pr?ticas em sa?de mental. Contribuindo com o fortalecimento desse processo, os N?cleos de Apoio ? Sa?de da Fam?lia (NASF) atuam na oferta de apoio matricial em sa?de mental. Nesse sentido, a presente pesquisa objetiva analisar as a??es desenvolvidas pelo NASF referentes ao apoio matricial em sa?de mental no munic?pio de Natal/RN. Trata-se de uma pesquisa descritiva e explorat?ria com abordagem qualitativa. Para a coleta de dados, foram realizadas as t?cnicas de observa??o direta n?o participante e entrevista semiestruturada junto aos profissionais de sa?de dos NASF?s. Os dados foram tratados ? luz do m?todo de an?lise tem?tica, que consiste em investigar n?cleos de significados que comp?em a comunica??o referente ao objeto investigado. Foram organizadas tr?s categorias de an?lise, cujos t?tulos foram inspirados na perspectiva do efeito Paid?ia e da cl?nica ampliada, a saber: 1. ?Doen?a mental entre par?nteses: dimens?es de trabalho do NASF em interface com o sujeito concreto?, abordando o processo de trabalho do NASF; 2. ?Liberdade e engajamento no arranjo do apoio matricial em sa?de mental?, explorando as limita??es do matriciamento em sa?de mental em Natal/RN a partir dos profissionais entrevistados dos NASF?s; 3. ?Entre o desejo e o interesse: influ?ncia do matriciamento em sa?de mental na Rede de Aten??o Psicossocial (RAPS)?, referente ao apoio matricial em sa?de mental como um arranjo organizacional incumbido de garantir intersetorialidade e integralidade do cuidado, estrat?gias inerentes ? constitui??o da RAPS. Podemos extrair e considerar que as a??es das equipes de NASF em Natal-RN ainda n?o comp?em um elo estruturado junto ?s redes de aten??o ? sa?de, pois acontecem com car?ncia de discuss?es e escassez de profissionais empenhados no apoio matricial. Al?m disso, uma dificuldade marcante para se realizar matriciamento em sa?de mental ? a insufici?ncia de recursos humanos e de servi?os substitutivos, trazendo ? tona a discuss?o acerca da consolida??o e amplia??o da RAPS na realidade investigada. / In the context of break with psychiatric hospitals, the Brazilian Psychiatric Reform is a historical process of reformulation of knowledge and mental health practices. In this way, the Centers of Support for Family Health (NASF) have been acting in the supply of matrix support in mental health. So, the present research aims to analyze the actions which the NASF is taking for the matrix support in mental health in the city of Natal/RN. This is a kind of research descriptive, exploratory and qualitative. The data collection, was made by a direct observation of the professional pratices and semi-structured interviews with health professionals NASF's. The Data were analyzed according to thematic analysis technique, with the support of the content analysis method, which is a way to investigate clusters of meanings which make up the communication of the investigated object. Three analytical categories were organized by this method, whose titles were inspired in two theories in the health field called ?Health to Paid?ia? and ?Expanded Clinic?. The name of the categories are: 1. ?Mental illness in brackets: working dimensions of the Centers of Support for Family Health interfaces with the concrete subject?, which is about the work process of NASF; 2. ?Freedom and engagement in the arrangement of matrix support in mental health?, which explore the matrix support limitations in mental health in Natal/RN from the professionals interviewed at the NASF?s; 3. ?Between the desire and interest: influence of expert orientation in mental health in Psychosocial Care Network? (RAPS), which is related to matrix support in mental health, as an organizational arrangement responsible to ensure intersectoral and comprehensive care, strategies inside of context of the constitution of RAPS. We can extract and say that the actions of NASF teams in the brazilian city called Natal/RN, still not part of a structured link with health care networks, as happens with the absence of discussions and lack of professionals in the matrix support. In addition, there is a difficulty to do an specialized orientation in mental health because of the lack of human resources in this area and of the insufficient number of the replacement services for psychiatric hospital pratices, bringing up the discussion about the consolidation and expansion of RAPS in fact investigated.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21211 |
| Date | 16 December 2014 |
| Creators | Brito, Andiara Ara?jo Cunegundes de |
| Contributors | 91643902415, http://lattes.cnpq.br/8942333851163376, Amorim, Ana Karenina de Melo Arraes, 02126900436, http://lattes.cnpq.br/9847082748841264, Bosco Filho, Jo?o, 90467345449, http://lattes.cnpq.br/3068285662145237, Guimar?es, Jacileide |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, 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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