Reforma psiquiátrica brasileira e atenção básica à saúde: desafios e possibilidades
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Data
2012-02-16
Autores
Borges, Roselania Francisconi [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
Este trabalho objetiva desvelar dificuldades e possibilidades de implantar a Política Nacional de Saúde Mental e de construir o modelo de atenção psicossocial a partir de uma experiência desenvolvida na Atenção Básica no município de Itambé - PR. Esta experiência foi estabelecida pela parceria entre esse município e a Universidade Estadual de Maringá - PR para a realização de um projeto de extensão desenvolvido entre os anos 2006 e 2008. Pautado no método da análise histórica, foi realizado um estudo de caso do município a partir de pesquisa documental, entrevistas e observações descritivas. Foi possível vislumbrar algumas possibilidades que justificam a afirmação de que a experiência foi exitosa e que a Atenção Básica deve estar na centralidade do cuidado em saúde/saúde mental. Em relação aos usuários, os vínculos de confiança construídos a partir do acolhimento e do acompanhamento contínuo e a formação de um grupo de convivência deram suporte à produção de cuidado antes, durante e depois de situações de crise. As equipes de saúde pouco a pouco passaram a se envolver nas ações voltadas a estes usuários e a buscar novas formas de cuidado, marcadas por mudanças nos processos e na dinâmica de trabalho. A família passou a ter maior envolvimento e participação no processo de cuidado. Em relação aos estagiários de Psicologia, o contato frequente com pessoas em sofrimento psíquico em instituições não manicomiais e a inserção no cotidiano do serviço da Atenção Básica (UBS) puderam proporcionar-lhes importantes subsídios para a formação, quer pelo conhecimento de uma forma diferenciada de...
This study aims at unveiling the troubles and possibilities of establishing a National Policy of Mental Health and building a model for psychosocial care on the basis of some previous experience at the Basic Health Care Service in the county of Itambé in the State of Paraná. An academic extension project was developed between 2006 and 2008. It consisted of a case study carried out in the county of Itambé based on the method of historical analysis through documental analyses, interviews and descriptive observations. It was considered a successful experience which evidenced that the Basic Health Care Service should be primarily on the center of healthcare / mental health. Regarding its patients/users, trust was firmed from their sheltering and continuous care as well as with the formation of a sharing group which supported care before, during and after their crises. Gradually the health care teams became involved in the events related to these users and sought new means of health care resulting in some changes in the processes and work dynamics. Likewise, families were more involved and took part in the health care process. With regards to the undergraduate students / trainees in psychology, their frequent contact with psycho disabled people in non-mental handicap asylums and their insertion in the routine of the Basic Health Care Service (UBS) brought them some relevant mindset for professional education, such as, knowledge of a different way of working at UBS as a psychologist and the demystification of madness... (Complete abstract click electronic access below)
This study aims at unveiling the troubles and possibilities of establishing a National Policy of Mental Health and building a model for psychosocial care on the basis of some previous experience at the Basic Health Care Service in the county of Itambé in the State of Paraná. An academic extension project was developed between 2006 and 2008. It consisted of a case study carried out in the county of Itambé based on the method of historical analysis through documental analyses, interviews and descriptive observations. It was considered a successful experience which evidenced that the Basic Health Care Service should be primarily on the center of healthcare / mental health. Regarding its patients/users, trust was firmed from their sheltering and continuous care as well as with the formation of a sharing group which supported care before, during and after their crises. Gradually the health care teams became involved in the events related to these users and sought new means of health care resulting in some changes in the processes and work dynamics. Likewise, families were more involved and took part in the health care process. With regards to the undergraduate students / trainees in psychology, their frequent contact with psycho disabled people in non-mental handicap asylums and their insertion in the routine of the Basic Health Care Service (UBS) brought them some relevant mindset for professional education, such as, knowledge of a different way of working at UBS as a psychologist and the demystification of madness... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Reforma psiquiátrica - Brasil, Saude mental, Brazilian psychiatric reform, Mental health
Como citar
BORGES, Roselania Francisconi. Reforma psiquiátrica brasileira e atenção básica à saúde: desafios e possibilidades. 2012. 212 f. Tese (doutorado) - Universidade Estadual Paulista, Faculdade de Ciências e Letras de Assis, 2012.