Elisabete Ferreira Mângia

A sustentabilidade da vida cotidiana: um estudo das redes sociais de usuários de serviço de saúde mental no município de Santo André (SP, Brasil)

Studies into social networks show that relationships have a significant impact on peoples lives. When associated with the population suffering from mental disorders, they serve as an important protection factor and a manager of resources and social support. However, studies show that people with mental disorders have impoverished social networks and few significant relationships. In this perspective, this research sought to characterize the social networks of users of NAPS II in Santo André (SP, Brazil). Conducted in 2006, the qualitative research adopted an ethnographic approach and used interviews by topics, participant observation and field notes. The results revealed that the group studied had an impoverished social network; the life histories of the subjects is related to this impoverishment, since the disruptions caused by situations of crisis or institutionalization removed them from the network of relationships, placing them in a situation of social vulnerability. An attempt was made to address the importance of intervention in the relationships and the role of the services in this process.

Impact of conflict and violence on workers in a hospital emergency room

BACKGROUND Emergency room (ER) work includes dealing with situations of conflict and aggression. The diversity and unpredictability of these situations and the lack of pre-established procedures to guide workers in dealing with these phenomena affect and weaken their physical and mental health. OBJECTIVE The purpose of the article is to learn about conflict and aggression at work and its impact on the workers in a hospital emergency room. METHOD The method is a transversal, exploratory, descriptive and observational study, carried out from September to November 2008, using direct observation procedures and interviews. PARTICIPANTS Two hundred and eighty emergency room workers participated in the observations and eleven interviews were carried out with workers from several professional categories. RESULTS The work process is marked by overload, individualization of responsibilities, time pressures and deadlines for making decision, little space for exchange and sharing, lack of support or guidance. The strong pressure to provide care quickly causes conflict and aggression among users and the different professional teams. These situations arise from problems in work organization and users in excess of the ER service capacity. CONCLUSION The article recommends changes in the work process that can simultaneously improve both the quality of care for patients and provide protective measures for workers.

Itinerários terapêuticos de sujeitos com problemáticas decorrentes do uso prejudicial de álcool

Este estudo visou conhecer itinerarios terapeuticos de sujeitos com problematicas decorrentes do uso prejudicial de alcool em um Centro de Atencao Psicossocial para usuarios de alcool e outras drogas - CAPSad. A pesquisa, de carater qualitativo, adotou a perspectiva etnometodologica e empregou os seguintes procedimentos metodologicos: revisao bibliografica, pesquisa documental, entrevistas semiestruturadas, grupo focal, observacao participante e diario de campo. Os itinerarios terapeuticos se configuram a partir da experiencia construida, que dota de significados as vivencias relacionadas ao uso de alcool e a necessidade de ajuda. Destaca-se a importância das redes sociorrelacionais, no contexto das quais sao compartilhados sentidos, significados e suporte. O percurso da pesquisa mostrou a importância de se conhecerem os saberes e praticas dos sujeitos na proposicao de praticas de cuidado comprometidas com producao de saude e de vida.

Formal caregivers of older adults: reflection about their practice

OBJECTIVE To understand the job function of caregivers of older adults and contribute to the debate on the consolidation of this professional practice. METHODOLOGICAL PROCEDURES This is a descriptive, qualitative, and exploratory study. Four focal group sessions were performed in 2011 with 11 elderly companions, formal caregivers of older adults in the Programa Acompanhante de Idosos (Program for Caregivers of Older Adults), Sao Paulo, SP, Southeastern Brazil. These sessions, guided by a semi-structured script, were audio-recorded and fully transcribed. Data were analyzed using the Content Analysis technique, Thematic Modality. RESULTS In view of considering the caregivers of older adults as a new category of workers, it was difficult to define their duties. The elderly companions themselves as well as the care receivers, their families, and the professionals that comprised the team were unclear about their duties. The professional practice of these formal caregivers has been built on the basis of constant discussions and negotiations among them and other team members in Programa Acompanhante de Idosos during daily work. This was achieved via a recognition process of their job functions and by setting apart other workers’ exclusive responsibilities. CONCLUSIONS The delimitation of specific job functions for elderly companions is currently one of the greatest challenges faced by these workers to develop and consolidate their professional role as well as improve Programa Acompanhante de Idosos.

Therapeutic Itineraries of individuals with problems consequent to harmful use of alcohol

Este estudo visou conhecer itinerarios terapeuticos de sujeitos com problematicas decorrentes do uso prejudicial de alcool em um Centro de Atencao Psicossocial para usuarios de alcool e outras drogas - CAPSad. A pesquisa, de carater qualitativo, adotou a perspectiva etnometodologica e empregou os seguintes procedimentos metodologicos: revisao bibliografica, pesquisa documental, entrevistas semiestruturadas, grupo focal, observacao participante e diario de campo. Os itinerarios terapeuticos se configuram a partir da experiencia construida, que dota de significados as vivencias relacionadas ao uso de alcool e a necessidade de ajuda. Destaca-se a importância das redes sociorrelacionais, no contexto das quais sao compartilhados sentidos, significados e suporte. O percurso da pesquisa mostrou a importância de se conhecerem os saberes e praticas dos sujeitos na proposicao de praticas de cuidado comprometidas com producao de saude e de vida.

O cuidado a Pessoas em Situação de Rua pela Rede de Atenção Psicossocial da Sé

RESUMO Este estudo qualitativo teve como objetivos conhecer as acoes dirigidas as Pessoas em Situacao de Rua que apresentam transtorno mental, desenvolvidas por dois servicos da Rede de Atencao Psicossocial da Se; identificar obstaculos e pontos de forca presentes no cotidiano de trabalho; e conhecer a opiniao dos usuarios sobre o cuidado recebido. A maioria das acoes oferecidas pelos servicos encontra-se alinhada as diretrizes das politicas publicas, considera as caracteristicas da populacao e busca responder as suas necessidades. O vinculo entre profissionais e usuarios foi compreendido como essencial, mas ha sobrecarga e risco de adoecimento dos profissionais.

The construction of therapeutic projects in the mental health field: notes on new care technologies.

BACKGROUND Over the last three decades Brazil has developed a new community-based mental health policy. In this context it is important to reflect on the offers of care for users, and especially on how therapeutic projects are developed by professionals. OBJECTIVE This study was conducted with professionals working in community-based mental health services to investigate and understand their views on the construction of therapeutic projects and compare them with the concepts and theoretical proposals in Brazils Mental Health Policy Guidelines and a review of the literature. PARTICIPANTS Thirteen professionals who worked in mental health services located in three cities of the state of São Paulo, Brazil. METHODS Semi-structured interviews were conducted between September and November of 2009 to understand the views and mechanisms adopted by professionals in developing therapeutic projects. A bibliographical review laid the foundations for the theoretical research and for strengthening the basis of the data analysis. RESULTS The professionals views are similar to those proposed in the relevant literature and Brazils Mental Health Policy Guidelines. However, there is a need to invest in building new models to meet the needs of the population that requires mental health services. Clearer guidelines should be established to organize services and to provide adequate, sufficient training. CONCLUSIONS The study suggests that attention and resources should be directed to strengthening training of professionals, and especially to qualifying the organization and administration of services in order to consolidate the new model.

Itinerarios terapéuticos de las personas con problemas derivados del uso perjudicial del alcohol

Este estudo visou conhecer itinerarios terapeuticos de sujeitos com problematicas decorrentes do uso prejudicial de alcool em um Centro de Atencao Psicossocial para usuarios de alcool e outras drogas - CAPSad. A pesquisa, de carater qualitativo, adotou a perspectiva etnometodologica e empregou os seguintes procedimentos metodologicos: revisao bibliografica, pesquisa documental, entrevistas semiestruturadas, grupo focal, observacao participante e diario de campo. Os itinerarios terapeuticos se configuram a partir da experiencia construida, que dota de significados as vivencias relacionadas ao uso de alcool e a necessidade de ajuda. Destaca-se a importância das redes sociorrelacionais, no contexto das quais sao compartilhados sentidos, significados e suporte. O percurso da pesquisa mostrou a importância de se conhecerem os saberes e praticas dos sujeitos na proposicao de praticas de cuidado comprometidas com producao de saude e de vida.