Fernanda Barreto Mielke

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.

O trabalho do enfermeiro nos centros de atenção psicossocial

This study concerns the profile and activities carried out by nurses in the Psychosocial Care Centers (Caps). It is a qualitative study of the descriptive type. The research instrument used was the structured interview, conducted with 13 nurses of Caps I and II, belonging to the area covered by the Third Regional Health District of Rio Grande do Sul (3a CRS/RS). From the interviews, information was obtained about the clientele of the Caps, the teams composition, and the activities the nurses carried out in the Caps. The nurses listed their activities in the routine of the Caps, and they were examined in reference to psychosocial rehabilitation within the psychiatric reform.

Saúde mental na Estratégia Saúde da Família: a avaliação de apoio matricial

The objective of this article is to assess the matrix support under the perspective of 14 professionals of a family care unit, in an evaluative and qualitative study based on Fourth Generation Evaluation. The data were collected in observations and interviews, and were analyzed by the Constant Comparative Method, focusing on the inclusion of mental health actions in the Family Health Strategy. Professionals from these studied teams assessed the need for care support as well as technical orientations from teams that specialized in mental health as to carry out mental health actions in the territory, which could be implemented by the matrix support. We assessed that this form of organization is important when building mental health actions in the territory.El objetivo del articulo es evaluar el apoyo matricial en la perspectiva de 14 profesionales de una unidad de salud de la familia, en una investigacion de evaluacion cualitativa a partir de la Evaluacion de Cuarta Generacion. Los datos fueran colectados con observaciones, entrevistas, y analizados por el Metodo Comparativo Constante, hablando sobre la inclusion de salud mental en Estrategia Salud de la Familia. Los profesionales evaluaran la necesidad de retaguardia asistencial y orientaciones tecnicas de equipos especializadas en salud mental para la realizacion de acciones de salud mental en el territorio, lo que podria ser hecho con lo apoyo matricial. Evaluamos que este arreglo organizacional es importante en la construccion de acciones de salud mental en el territorio.

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.

O conselho local de saúde e a discussão das ações de saúde mental na estratégia saúde da família

The aim of this paper is to evaluate the participation of Local Health Council in the discussion about the inclusion of mental health actions in the Family Health Strategy at a Family Health Unit in Porto Alegre-RS. A qualitative assessment study was developed, based on the theoretical-methodological principles of Fourth Generation Evaluation. To collect data, observation and individual interviews with 14 workers from the health center studied were used. The data were analyzed using the Constant Comparative Method. The local health council was evaluated as a facilitator in the inclusion process of mental health actions in primary health care. Thus, according to the educative nature of the evaluation process, the data were presented to members of the local council, as this deliberative entity can permit a broader discussion on the inclusion of mental health in primary care.The aim of this paper is to evaluate the participation of Local Health Council in the discussion about the inclusion of mental health actions in the Family Health Strategy at a Family Health Unit in Porto Alegre-RS. A qualitative assessment study was developed, based on the theoretical-methodological principles of Fourth Generation Evaluation. To collect data, observation and individual interviews with 14 workers from the health center studied were used. The data were analyzed using the Constant Comparative Method. The local health council was evaluated as a facilitator in the inclusion process of mental health actions in primary health care. Thus, according to the educative nature of the evaluation process, the data were presented to members of the local council, as this deliberative entity can permit a broader discussion on the inclusion of mental health in primary care. DESCRIPTORS: Social control, formal. Health evaluation. Mental health. Family health.

Ações de saúde mental na estratégia saúde da família e as tecnologias em saúde

El presente articulo tiene el objetivo de evaluar las tecnologias en salud utilizadas por equipos de la Estrategia Salud de la Familia para el desarrollo de acciones de salud mental en el territorio. Estudio de evaluacion cualitativo, desarrollado con dos equipos de salud de la familia, por medio de la Evaluacion de Cuarta Generacion. Los datos fueran recogidos por medio de observacion y entrevista individual. Los datos fueran analizados pelo Metodo Comparativo Constante. Los resultados muestran que los profesionales utilizan diversas tecnologias para la inclusion de la salud mental en el territorio, como acogimiento, escucha, vinculo, visitas en casa, discusiones de los casos, consulta medica y grupo terapeutico. El desarrollo de esas acciones posibilitan la construccion de una nueva practica en salud mental en el territorio que valorizan el individuo en sufrimiento psiquico como protagonista de su existencia.Resumen The current article aims to assess health technologies used by Family Health Strategy teams to develop mental health actions in the territory. This is a qualitative evaluative study, carried out with two family health teams, developed with Four th Generation Evaluation. In order to collect the data, methods used were participant observation and individual interview. The data were analyzed using Constant Comparative Method. The results showed that professional used several technologies for mental health inclusion in the territory, such as receptivity, qualified listening, therapeutic bond, home visits, discussion of case, medical consultation and therapeutic group. Development of these actions has made possible to build a new mental health practice that values the individual under psychic suffering as a main actor of his own existence.

Actions of mental health in family health strategy and the health technologies

El presente articulo tiene el objetivo de evaluar las tecnologias en salud utilizadas por equipos de la Estrategia Salud de la Familia para el desarrollo de acciones de salud mental en el territorio. Estudio de evaluacion cualitativo, desarrollado con dos equipos de salud de la familia, por medio de la Evaluacion de Cuarta Generacion. Los datos fueran recogidos por medio de observacion y entrevista individual. Los datos fueran analizados pelo Metodo Comparativo Constante. Los resultados muestran que los profesionales utilizan diversas tecnologias para la inclusion de la salud mental en el territorio, como acogimiento, escucha, vinculo, visitas en casa, discusiones de los casos, consulta medica y grupo terapeutico. El desarrollo de esas acciones posibilitan la construccion de una nueva practica en salud mental en el territorio que valorizan el individuo en sufrimiento psiquico como protagonista de su existencia.Resumen The current article aims to assess health technologies used by Family Health Strategy teams to develop mental health actions in the territory. This is a qualitative evaluative study, carried out with two family health teams, developed with Four th Generation Evaluation. In order to collect the data, methods used were participant observation and individual interview. The data were analyzed using Constant Comparative Method. The results showed that professional used several technologies for mental health inclusion in the territory, such as receptivity, qualified listening, therapeutic bond, home visits, discussion of case, medical consultation and therapeutic group. Development of these actions has made possible to build a new mental health practice that values the individual under psychic suffering as a main actor of his own existence.

Qualitative assessment of the relationship of social actors with madness in a substitutive mental health service

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.

[Mental health in Family Health Strategy: evaluation of matrix support].

The objective of this article is to assess the matrix support under the perspective of 14 professionals of a family care unit, in an evaluative and qualitative study based on Fourth Generation Evaluation. The data were collected in observations and interviews, and were analyzed by the Constant Comparative Method, focusing on the inclusion of mental health actions in the Family Health Strategy. Professionals from these studied teams assessed the need for care support as well as technical orientations from teams that specialized in mental health as to carry out mental health actions in the territory, which could be implemented by the matrix support. We assessed that this form of organization is important when building mental health actions in the territory.El objetivo del articulo es evaluar el apoyo matricial en la perspectiva de 14 profesionales de una unidad de salud de la familia, en una investigacion de evaluacion cualitativa a partir de la Evaluacion de Cuarta Generacion. Los datos fueran colectados con observaciones, entrevistas, y analizados por el Metodo Comparativo Constante, hablando sobre la inclusion de salud mental en Estrategia Salud de la Familia. Los profesionales evaluaran la necesidad de retaguardia asistencial y orientaciones tecnicas de equipos especializadas en salud mental para la realizacion de acciones de salud mental en el territorio, lo que podria ser hecho con lo apoyo matricial. Evaluamos que este arreglo organizacional es importante en la construccion de acciones de salud mental en el territorio.