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Para al?m dos muros do manic?mio : a aten??o aos idosos nos Centros de Aten??o Psicossocial ? CAPS

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Previous issue date: 2015-01-28 / Population aging is a global phenomenon which has been producing needs and social demands, requiring a new look at the elderly and appropriate policy responses of the state and society. In this context, it is imperative that they be made adjustments in work processes and forms of management of health services, given the complex demands and needs of this population. This study presents the research developed during the course of the Master in Social Work in Graduate PUCRS Program, which had as main objective to analyze how the attention to the elderly with mental disorder is developed in community mental health services - PCC in the city of Porto Alegre, Rio Grande do Sul in order to contribute to the qualification of attention to this segment. The research is qualitative in nature and guided by the dialectical-critical framework, based on all categories, historicity and contradiction. The explanatory categories of reality were elected: Aging, Mental Health and Psychosocial Rehabilitation. Data collection was performed in 6 mental health services in the city of Porto Alegre, which were interviewed, six professional and five elderly users, totaling 11 participants. The sample selection criteria were: users aged 60 or older, of both sexes, in attendance at PCC and with enough cognitive ability to answer the questions, according to professional indication responsible for monitoring and professionals working the technical teams of PCC with higher education. The investigative proposal was submitted to the Scientific Committee of the School of Social Service, the Ethics Committee of the same University and the other Ethics Committees of the institutions partakers. The technique used for collecting data was the semi-structured interviews and data were subjected to content analysis. From the data analysis, it was found that the main demands of care presented by the elderly in PCC are related to depressive disorders, dementias, schizophrenia and affective disorders. None of the surveyed PCC provides training to staff of professionals, specific to the development of the work with the elderly. The study revealed difficulties in relation to the effectiveness of principles such as fairness and integrity in elder care in PCC, since none of the services investigated develops activities directed specifically to the elderly. It was evident that the Psychosocial Rehabilitation processes developed by PCC occur through Singular Therapeutic Project, which is developed according to the unique needs of each user. These processes have generated positive results in the lives of elderly's. / O envelhecimento populacional ? um fen?meno mundial que vem produzindo necessidades e demandas sociais, exigindo um novo olhar sobre os idosos e respostas pol?ticas adequadas do Estado e da sociedade. Nesse contexto, torna-se imperativo que sejam feitas adequa??es nos processos de trabalho e nas formas de gest?o dos servi?os de sa?de, tendo em vista as complexas demandas e necessidades dessa popula??o. O presente estudo apresenta a pesquisa desenvolvida durante a realiza??o do Mestrado em Servi?o Social no Programa de P?s-Gradua??o da PUCRS, que teve por objetivo central analisar de que forma a aten??o ? popula??o idosa com transtorno mental ? desenvolvida nos Centros de Aten??o Psicossocial ? CAPS, no munic?pio de Porto Alegre, Rio Grande do Sul, a fim de contribuir para a qualifica??o da aten??o a este segmento. A pesquisa ? de natureza qualitativa e norteou-se pelo referencial dial?tico-cr?tico, com base nas categorias totalidade, historicidade e contradi??o. As categorias explicativas da realidade eleitas foram: Envelhecimento, Sa?de Mental e Reabilita??o Psicossocial. A coleta de dados foi realizada em 6 Centros de Aten??o Psicossocial do munic?pio de Porto Alegre, no qual foram entrevistados, 6 profissionais e 5 usu?rios idosos, totalizando 11 participantes. Os crit?rios de sele??o da amostra foram os seguintes: usu?rios com 60 anos ou mais, de ambos os sexos, em atendimento nos CAPS e com capacidade cognitiva suficiente para responder as quest?es, de acordo com indica??o de profissional respons?vel por seu acompanhamento e profissionais que atuam nas equipes t?cnicas dos CAPS com n?vel superior de forma??o. A proposta investigativa foi submetida ? Comiss?o Cient?fica da Faculdade de Servi?o Social, ao Comit? de ?tica em Pesquisa da mesma Universidade e aos demais Comit?s de ?tica das institui??es coparticipantes. A t?cnica utilizada para a coleta de dados foi a entrevista semiestruturada e os dados foram submetidos a an?lise de conte?do. A partir da an?lise dos dados, constatou-se que as principais demandas de atendimento apresentadas pelos idosos nos CAPS s?o relacionadas aos transtornos depressivos, dem?ncias, esquizofrenia e transtornos afetivos. Nenhum dos CAPS pesquisados proporciona capacita??es aos profissionais da equipe, espec?ficas para o desenvolvimento do trabalho com os idosos. O estudo revelou dificuldades em rela??o ? efetiva??o de princ?pios como a equidade e integralidade no atendimento aos idosos nos CAPS, uma vez que nenhum dos servi?os investigados desenvolve atividades direcionadas especificamente aos idosos. Evidenciou-se que os processos de Reabilita??o Psicossocial desenvolvidos pelos CAPS ocorrem por meio do Projeto Terap?utico Singular, que ? desenvolvido de acordo com as necessidades singulares de cada usu?rio. Esses processos t?m gerado resultados positivos na vida dos idosos.

Identiferoai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6053
Date28 January 2015
CreatorsAlves, Vanessa Castro
ContributorsBulla, Leonia Capaverde
PublisherPontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Servi?o Social, PUCRS, Brasil, Faculdade de Servi?o Social
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Formatapplication/pdf
Sourcereponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS
Rightsinfo:eu-repo/semantics/openAccess
Relation-5042336829439580540, 600, 600, 600, 1550256503942391725, -8796676102858938039

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