Agnes Olschowsky

O centro de Atenção Psicossocial e as estratégias para inserção da família

This research has the objective of identifying the mental health activities developed at Centers of Psycho-Social Attention (CAPSs) directed to the family in the care of individuals in psychological suffering. It is a descriptive, analytic survey of the case study type with a qualitative approach. Data collection was carried out through observation and semi-structured interviews with professionals of a CAPS. The results showed that the work at a CAPS becomes successful only when there is family partnership and participation. Individual sessions, family groups, active searches, home visits and workshops are strategies used at CAPSs for the effective insertion of the family. In this partnership, bonding appears as essential in the construction of less suffering and less stigmatized ways of psychical suffering.

O cuidado em saúde mental no CAPS no entendimento dos profissionais

This article deals with a subproject of the Project for Evaluation of the CAPS psychosocial care centers (CAPS) in the southern region of Brazil, whose purpose was to learn how the professionals of a substitute service feel about of the mental care delivered there. The study was conducted in a CAPS II using a qualitative approach. Data were collected in interviews. The data were classified into three thematic groups and analyzed according to the available literature. In this article we will approach the understanding of the professionals about the care services offered in the CAPS. The results show that for these professionals care involves more than the biological aspects, including the family and society. We perceive that the team is extending its perception of mental health, when considering psychosocial rehabilitation the most important aspect.

Satisfação dos usuários dos centros de atenção psicossocial da região Sul do Brasil

OBJETIVO: Avaliar a satisfacao dos usuarios com o atendimento nos centros de atencao psicossocial. METODOS: O estudo foi realizado em centros de atencao psicossocial dos estados: Parana, Santa Catarina e Rio Grande do Sul, em 2006. A estrategia de investigacao foi dividida em metodos quantitativo e qualitativo. Para avaliacao quantitativa foram utilizados dados epidemiologicos do tipo transversal de amostra 1.162 usuarios de 30 centros de atencao psicossocial. O instrumento utilizado para avaliar a satisfacao dos usuarios foi a Escala Brasileira de Avaliacao da Satisfacao (SATIS-BR), de 1 a 5 pontos. Para avaliacao qualitativa foram realizados cinco estudos de caso, utilizando-se metodologia de avaliacao de quarta geracao. Os dados foram obtidos em observacao de campo e entrevistas (entre dez e 13 usuarios em cada campo, totalizando 57 usuarios) e apresentados aos usuarios em oficinas de validacao e negociacao. RESULTADOS: A escala SATIS-BR indicou avaliacao positiva de todos os itens, com media de 4,4 (desvio-padrao, DP=0,4). A comunicacao e o relacionamento com a equipe apresentaram media 4,5 (DP=0,5); o acesso a informacoes a partir da equipe apresentou media 4,8. A satisfacao com o servico apresentou a menor media, com 4,1; as condicoes gerais de instalacao do servico apresentaram media 3,9. No estudo qualitativo, o tratamento no servico foi bom e o resultado satisfatorio. O reposicionamento do usuario contribuiu para satisfacao, assim como o acesso ao atendimento, a ruptura com o isolamento fisico e social, o acolhimento de suas demandas e ajuda para organizar a vida. CONCLUSOES: Os resultados complementares de ambas as estrategias do estudo mostram satisfacao dos usuarios com o atendimento nos centros estudados.

Avaliação de quarta geração: contribuições metodológicas para avaliação de serviços de saúde mental

This paper reports on the theoretical-methodological course of the evaluation of Psychosocial Care Centers in southern Brazil, developed starting from fourth-generation evaluation. The data collection was carried out through observations and interviews among users, family members and the team. The first stage in the analysis took place alongside data collection, thereby allowing the results to be presented to the study subjects at the end of data collection, in negotiation workshops. In the second stage, workshops were held with the researchers, with the aim of constructing a collective data analysis process. Among the contributions towards fourth-generation evaluation, we highlight its participative nature and formative dimension. This makes it possible for interest groups to have better-qualified capacity for data analysis and intervention, to improve the service. As a limitation, we highlight the great volume of data obtained in the process and the need to prioritize questions through negotiation with interest groups.Este artigo relata o percurso teorico-metodologico da avaliacao dos Centros de Atencao Psicossocial da regiao sul do Brasil, desenvolvida a partir da Avaliacao de Quarta Geracao. A coleta de dados foi realizada por meio da observacao e de entrevistas com usuarios, familiares e equipe; e a primeira etapa de analise ocorreu concomitante a coleta, permitindo que os resultados fossem apresentados ao final da mesma aos sujeitos do estudo em oficinas de negociacao. Na segunda etapa, foram realizadas oficinas com os pesquisadores, visando construir um processo coletivo de analise de dados. Como contribuicoes da Avaliacao de Quarta Geracao, destacamos o seu carater participativo e a sua dimensao formativa, possibilitando aos grupos de interesse uma capacidade de analise e de intervencao mais qualificada para a melhoria do servico. Como limite, destacamos o grande volume de dados obtidos no processo e a necessidade de priorizacao de questoes mediante a negociacao com os grupos de interesse.

A noção de tarefa nos grupos focais

The aim of this paper is to revisit the concept of task in light of Pichon-Riviéres referential and to discuss its application in research with focus groups. Focus groups are understood as a research technique which proposes to investigate a topic in depth, allowing the construction of new ideas and answers on the subject in focus. The presuppositions of operative groups were used to support the research practice with focus groups. In these, the notion of task has a key strategic position from which it seeks to intervene in society through dialogue and collective construction, unlike simple data collecting

Integração docente-assistencial: um estudo de caso

O objeto de estudo deste trabalho e o processo de integracao docente-assistencial entre a Escola de Enfermagem da Universidade Federal do Rio Grande do Sul e o Hospital de Clinicas de Porto Alegre, enfocando os atores envolvidos e a sua pratica historica concreta. Pretende-se conhecer a dinâmica das relacoes do referido processo, entendendo-o como um trabalho coletivo que resulta de transformacoes historicas e sociais. A dicotomia inter-institucional transparece como regra, desencadeando uma problematica de integracao. A IDA existente nao e harmonica, mas as relacoes de forca que a integram devem ser aproveitadas como instrumento para sua acao e transformacao, definindo a construcao/reconstrucao de novas alternativas.

O trabalho como fonte de prazer: avaliação da equipe de um Centro de Atenção Psicossocial

The objective of this study was to evaluate the pleasure at work felt by the members of a Psychosocial Care Center team. This qualitative case study used Forth Generation Evaluation. This study was performed in Foz do Iguacu, Parana, Brazil, in November and December 2006. Participants were 10 tem members. Data collection was performed through observation and individual interviews. The analysis was initiated at the same time as the data collection, and the final analysis was performed as per the following steps: data ordering, classification and final analysis. The following analysis themes were developed: work characteristics at the psychological care center, suffering and coping with suffering at work. During the evaluation, the participants showed pleasure and fulfillment with their work by expressing pride, fulfillment and appreciation of what they deliver. Pleasure occurs during the development of psychosocial care, because they always have the freedom to rearrange their manner of working, making possible to develop activities and attitudes capable of giving them pleasure.The objective of this study was to evaluate the pleasure at work felt by the members of a Psychosocial Care Center team. This qualitative case study used Forth Generation Evaluation. This study was performed in Foz do Iguaçu, Parana, Brazil, in November and December 2006. Participants were 10 tem members. Data collection was performed through observation and individual interviews. The analysis was initiated at the same time as the data collection, and the final analysis was performed as per the following steps: data ordering, classification and final analysis. The following analysis themes were developed: work characteristics at the psychological care center, suffering and coping with suffering at work. During the evaluation, the participants showed pleasure and fulfillment with their work by expressing pride, fulfillment and appreciation of what they deliver. Pleasure occurs during the development of psychosocial care, because they always have the freedom to rearrange their manner of working, making possible to develop activities and attitudes capable of giving them pleasure.

Saberes dos enfermeiros em uma unidade de internação psiquiátrica de um hospital universitário

This study aims to identify the knowledge of the nurses in a psychiatric hospitalization unit at a university hospital. It is an exploratory, descriptive research with a qualitative approach, utilizing semistructured interviews. The nurses refer to a change in the assisting care, starting from their experience in the asylum mode and making references to the concepts of the psychosocial mode: integrality, welcoming, interdisciplinarity and interpersonal relationship. Integral and individual care, knowledge of the psychiatric syndromes and their treatment as well as the consideration of the subjectivity of the subject under psychiatric suffering are part of the knowledge that guides nursing actions in mental health.This study aims to identify the knowledge of the nurses in a psychiatric hospitalization unit at a university hospital. It is an exploratory, descriptive research with a qualitative approach, utilizing semistructured interviews. The nurses refer to a change in the assisting care, starting from their experience in the asylum mode and making references to the concepts of the psychosocial mode: integrality, welcoming, interdisciplinarity and interpersonal relationship. Integral and individual care, knowledge of the psychiatric syndromes and their treatment as well as the consideration of the subjectivity of the subject under psychiatric suffering are part of the knowledge that guides nursing actions in mental health.

Avaliação qualitativa da relação de atores sociais com a loucura em um serviço substitutivo de saúde mental

This study aims to evaluate qualitatively the relationship between social actors and the madness. It was based in experiences produced in a Psychosocial Care Center in the Southern Brazilian context. This is a clipping from an evaluative and qualitative study. Was utilized the Fourth Generation Evaluation as a theoretical-philosophical framework. The methodological device applied was a adapted version of the Hermeneutic-dialectic circle. The statements haunt deinstitutionalization as a paradigm of mental health care, highlighting the need to combat the vices born of crystallized and exclusionary conduct, the typical model asylum. However, we can still see in practice a mixture of models, responsible for enhanced and innovative practices, and other crystallized and exclusive. Hopefully he can discuss the daily life of them, opening the way for understanding best madness, crazy and their relationships.Este estudo tem por objetivo avaliar qualitativamente a relacao de atores sociais com a loucura a partir das experiencias produzidas em um Centro de Atencao Psicossocial no contexto brasileiro. Trata-se de um recorte de um estudo de avaliacao qualitativa realizado em um Centro de Atencao Psicossocial do Sul do Brasil. Baseou-se na utilizacao do referencial teorico-filosofico da Avaliacao de Quarta Geracao. Como dispositivo metodologico, aplicou-se uma versao adaptada do Circulo Hermeneutico-Dialetico. Os depoimentos perseguem a desinstitucionalizacao como paradigma da atencao em saude mental, evidenciando a necessidade de combater os vicios carregados de condutas cristalizadas e excludentes, tipicas do modelo manicomial. No entanto, ainda e possivel visualizar na pratica uma mescla de modelos, responsaveis por praticas ampliadas e inovadoras, alem de outras cristalizadas e excludentes. Esperamos que ele possa problematizar o cotidiano dos mesmos, abrindo caminhos para compreender melhor a loucura, o louco e suas relacoes.

Avaliação de um Centro de Atenção Psicossocial: a realidade em Foz do Iguaçu

This is an excerpt of the study An evaluation of the Psychosocial Care Centers in Southern Brazil. The objective is to evaluate the ambience of a Level II Psychosocial Care Center (CAPS, abbreviation in Portuguese) as a place for comfort. This case-study was performed using a qualitative approach and the Fourth Generation Evaluation. The following was used for data collection: interviews with 10 professionals from the health team, 11 patients, and 11 relatives, and 297 hours of field observation. The closed door and the reduced team had repercussions on the work process at the Care Center. These critical nodes have a direct effect on the ambience, producing tension and antagonism in services such as CAPS. The presented issuesarethemesthat demonstrate the commitment to a healthy environment, which implies comfort and subjectivity in the work at CAPS.This is an excerpt of the study An evaluation of the Psychosocial Care Centers in Southern Brazil. The objective is to evaluate the ambience of a Level II Psychosocial Care Center (CAPS, abbreviation in Portuguese) as a place for comfort. This case-study was performed using a qualitative approach and the Fourth Generation Evaluation. The following was used for data collection: interviews with 10 professionals from the health team, 11 patients, and 11 relatives, and 297 hours of field observation. The closed door and the reduced team had repercussions on the work process at the Care Center. These critical nodes have a direct effect on the ambience, producing tension and antagonism in services such as CAPS. The presented issues are themes that demonstrate the commitment to a healthy environment, which implies comfort and subjectivity in the work at CAPS.