Fabieli Gopinger Chiavagatti

A inserção da família nos centros de atenção psicossocial sob a ótica de seus atores sociais

This paper ia cut-off of the qualitative phase of evaluation research a Psycho-social Support Centers, in southern Brazilian. It represents a case study carried out in the city of Sao Lourenco do Sul, RS, Brazil. It aims to represent the insertion of families in the Psycho-social Support Centers from the point of view of interest groups, users, relatives, and staff. Therefore, semi-structures interviews were completed in 2006, through the Dialectic Hermeneutic Circle. For data analysis, Fourth-Generation Evaluation was applied. The results have shown that of the several ways of inserting the family, the group activity emerged as a strategy which contributes to the therapeutic process. The necessity of professionals returning to family assistance was verified, considering that these families need be taken care of, given their individualities and singularities. Thus, new possibilities should be taken to action in order to review the meaning of family care, including it as a focus of professional attention.This paper ia cut-off of the qualitative phase of evaluation research a Psycho-social Support Centers, in southern Brazilian. It represents a case study carried out in the city of Sao Lourenco do Sul, RS, Brazil. It aims to represent the insertion of families in the Psycho-social Support Centers from the point of view of interest groups, users, relatives, and staff. Therefore, semi-structures interviews were completed in 2006, through the Dialectic Hermeneutic Circle. For data analysis, Fourth-Generation Evaluation was applied. The results have shown that of the several ways of inserting the family, the group activity emerged as a strategy which contributes to the therapeuticprocess.�Thenecessityofprofessionalsreturningtofamilyassistancewasverified,� consideringthatthesefamiliesneed� be taken care of, given their individualities and singularities. Thus, new possibilities should be taken to action in order to review the meaning of family care, including it as a focus of professional attention. DESCRIPTORS: Family. Mental healthy. Healthy care system. Self-help groups.

Gestão e saúde mental: percepções a partir de um centro de atenção psicosocial

This study evaluates mental health care management in a southern Brazil municipality from the points of view of its users, their families, and professionals linked to the Psychosocial Care Center. It consists of a qualitative case study, using data collected in October, 2006, through interviews with 11 users, 12 relatives, and 21 health care team professionals. Data analysis followed fourth generation evaluation through grouping by thematic nuclei. The information content was validated in respective groups and, per request of those involved, negotiated with the county administrator. Among the negotiated issues to be highlighted was the importance of the Psychosocial Care Center having its own headquarters, the physical presence of the Health Department Secretary, and the acknowledgement that county administration embraces the demands of mental health requirements. resumen: En el estudio se evalúa la gestión del servicio de salud mental a partir de la percepción de los usuarios, familiares y profesionales pertenecientes a un Centro de Atención Psicosocial, de un municipio situado al sur del Brasil. Es un estudio de caso, con enfoque cualitativo, cuyos datos fueron recolectados en el mes de octubre de 2006. Para el estudio se entrevistaron 11 usuarios, 12 familiares y 21 profesionales del equipo de salud. Al análisis de los datos se siguió con la evaluación de la cuarta generación a través de su agrupación en grupos temáticos. El contenido de esas informaciones fue validado en sus respectivos grupos, y a pedido de los participantes, fue presentado para la gestión municipal. Entre las cuestiones objeto de la negociación se pueden destacar: la importancia de un lugar adecuado para el Centro de Atención Psicosocial, la presencia del secretario de Salud en las actividades del servicio, y un reconocimiento de que la gestión municipal acoge las demandas sobre la salud mental palaVras-cHaVes: Saúde mental. Avaliação. Políticas públicas. Enfermagem. KeYWords: Mental health. Evaluation. Public policies. Nursing. palaBras claVes: Salud mental. Evaluación. Políticas públicas. Enfermería. Gestão e saúde mental: percepções a partir de um Centro de...A pesquisa avalia a gestao do servico de saude mental de um municipio da regiao sul do Brasil a partir da percepcao de usuarios, familiares e profissionais vinculados ao Centro de Atencao Psicossocial. Consiste num estudo de caso, de abordagem qualitativa, os dados foram coletados no mes de outubro de 2006, sendo entrevistados 11 usuarios, 12 familiares e 21 profissionais da equipe de saude. A analise dos dados seguiu a avaliacao de quarta geracao atraves do agrupamento por nucleos tematicos. O conteudo destas informacoes teve validacao nos respectivos grupos e a pedido dos envolvidos negociados com o gestor municipal. Entre os pontos de negociacao se destaca a importância de uma sede propria para o Centro de Atencao Psicossocial, a presenca fisica do secretario de saude nas atividades do servico e um reconhecimento de que a gestao municipal acolhe as demandas de saude mental.

Articulação entre Centros de Atenção Psicossocial e Serviços de Atenção Básica de Saúde

Objective: To analyze forms of articulation that the Centers for Psychosocial Care (CAPS) established with the Primary Health Care Services. Methods: A descriptive, qualitative study conducted using document review of 23 Therapeutic Projects of the CAPS type I and II, of 23 cities in the southern region of Brazil (PR, SC and RS). Results: It was observed that the structure of articulation occurs basically through the supervision and training of teams, and a reference and counter-reference system, often masked under the logic of the referrals. However, these actions are more suggestive, referred to in documents as objectives, than they are properly translated into actions and concrete operational logic of those in daily practice services. Conclusion: In fact, attention to the complexity of the demand for mental health is dependent on a gradualOBJECTIVE: To analyze forms of articulation that the Centers for Psychosocial Care (CAPS) established with the Primary Health Care Services. METHODS: A descriptive, qualitative study conducted using document review of 23 Therapeutic Projects of the CAPS type I and II, of 23 cities in the southern region of Brazil (PR, SC and RS). RESULTS: It was observed that the structure of articulation occurs basically through the supervision and training of teams, and a reference and counter-reference system, often masked under the logic of the referrals. However, these actions are more suggestive, referred to in documents as objectives, than they are properly translated into actions and concrete operational logic of those in daily practice services. CONCLUSION: In fact, attention to the complexity of the demand for mental health is dependent on a gradual construction of joint responsibility guided by the various services that comprise the network of care.

Periculosidade versus cidadania: os sentidos da atenção à crise nas práticas discursivas dos profissionais de um Centro de Atenção Psicossocial

A crise, considerada a expressao da doenca psiquica, refere-se a situacoes em que, no curso do desenvolvimento de vida, ocorrem vivencias conflitivas que geram rupturas com a realidade socialmente aceita e com os lacos afetivos que sustentam a pessoa. Esta pesquisa objetiva conhecer os sentidos presentes nas praticas discursivas dos profissionais acerca da atencao a crise nos Centros de Atencao Psicossocial (CAPS). Caracteriza-se por uma abordagem qualitativa que utiliza a perspectiva teorica do Construcionismo Social. Os dados utilizados fazem parte do banco de dados da pesquisa Avaliacao dos Centros de Atencao Psicossocial da Regiao Sul do Brasil (CAPSUL). No presente estudo, analisamos 27 entrevistas realizadas com profissionais do Centro de Atencao Psicossocial de Alegrete e tres diarios de campo com o registro de 390 horas de observacao. A analise dos dados identificou sentidos - periculosidade e cidadania - que foram discutidos na busca de compreender sua influencia na construcao de praticas de atencao a crise.

Os sentidos construídos na atenção à crise no território: o Centro de Atenção Psicossocial como protagonista

The attention to a crisis is a strategic point in the process of paradigm changes proposed by the Brazilian psychiatric reform, requiring changes in alternative services and in the professionals that must use new technologies of care. This study aimed to identify the actions of attention to a crisis in the territory and the meanings as they evolved, beginning from the discursive practices of the professionals. It was a qualitative study that used the theoretical perspective of social constructionism. From the database of the research, Evaluation of the Psychosocial Care Centers in Southern Brazil (CAPSUL), 27 interviews were analyzed from the professionals of Psychosocial Care Center for Alegrete, along with field diaries with 390 hours of observation. Results showed patient engagement/welcoming and accountability for care. We concluded that freedom, reciprocity, contractuality and responsibility for care were the new meanings needed for the alternative care services to overcome the asylum and sense of exclusion and dangerousness.

Da violência ao vínculo: construindo novos sentidos para a atenção à crise

This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Care’s professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identifi cation of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Diffi culties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Cares professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identification of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Difficulties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.

From violence to bonding: constructing new meanings for attention to the crisis

This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Care’s professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identifi cation of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Diffi culties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Cares professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identification of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Difficulties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.

De la violencia al vínculo: construcción de nuevos significados para la atención a la crisis

This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Care’s professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identifi cation of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Diffi culties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.This study aimed to know the meanings present in the discursive practices of the Centers for Psychosocial Cares professionals, produced by new ways to cope and relate to the subject in severe psychological crisis. This is a qualitative research, based on the theoretical perspective of social constructionism. It was analyzed 27 interviews of professionals from the identification of interpretative repertoires and construction of Association of Ideas Maps. Data were organized into themes: Difficulties of contention in service; Senses built around this practice; Professionals placements regarding that practice; Participation of the Military Police in the care of the crisis; Sense of responsibility of the nursing staff in caring for the crisis. It was demonstrated the need for discussion and construction of crisis care practices that are more collective and contract based on solid relationships that respect the uniqueness and subjectivity of the subject.

Los sentidos construidos en la atención de las crisis en campo: el centro de atención psicosocial como protagonista

The attention to a crisis is a strategic point in the process of paradigm changes proposed by the Brazilian psychiatric reform, requiring changes in alternative services and in the professionals that must use new technologies of care. This study aimed to identify the actions of attention to a crisis in the territory and the meanings as they evolved, beginning from the discursive practices of the professionals. It was a qualitative study that used the theoretical perspective of social constructionism. From the database of the research, Evaluation of the Psychosocial Care Centers in Southern Brazil (CAPSUL), 27 interviews were analyzed from the professionals of Psychosocial Care Center for Alegrete, along with field diaries with 390 hours of observation. Results showed patient engagement/welcoming and accountability for care. We concluded that freedom, reciprocity, contractuality and responsibility for care were the new meanings needed for the alternative care services to overcome the asylum and sense of exclusion and dangerousness.

[The meanings constructed in the attention to a crisis in the territory: the psychosocial care center as a protagonist].

The attention to a crisis is a strategic point in the process of paradigm changes proposed by the Brazilian psychiatric reform, requiring changes in alternative services and in the professionals that must use new technologies of care. This study aimed to identify the actions of attention to a crisis in the territory and the meanings as they evolved, beginning from the discursive practices of the professionals. It was a qualitative study that used the theoretical perspective of social constructionism. From the database of the research, Evaluation of the Psychosocial Care Centers in Southern Brazil (CAPSUL), 27 interviews were analyzed from the professionals of Psychosocial Care Center for Alegrete, along with field diaries with 390 hours of observation. Results showed patient engagement/welcoming and accountability for care. We concluded that freedom, reciprocity, contractuality and responsibility for care were the new meanings needed for the alternative care services to overcome the asylum and sense of exclusion and dangerousness.