Janaína Quinzen Willrich

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.

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.

Estrutura e fluxo da rede de saúde como possibilidade de mudança nos serviços de atenção psicossocial

Changes in mental health care demand changes in the structure and function of health care networks. The aim of the present study was to understand how workers assess the structure of their network and how they use it as a tool for psychosocial rehabilitation. The present qualitative study is part of a larger research project, Rehabilitating networks – assessing experiences of innovation in network development for psychosocial care . Interviews were conducted with six workers at the Therapeutic Home Service (THS) of Alegrete, and four field observation notebooks were analyzed. The results revealed the transversal nature of the investigated network, the relationships between its various components, the strategies used to make non-institutionalized care effective, the responsibilities of the network users, and the relationships between the residents and the workers in the service and at home. In conclusion, the Alegrete network facilitates exchanges between the participants, which indicates that future work should focus on the subjects of reflection and transformation.Changes in mental health care demand changes in the structure and function of health care networks. The aim of the present study was to understand how workers assess the structure of their network and how they use it as a tool for psychosocial rehabilitation. The present qualitative study is part of a larger research project, Rehabilitating networks - assessing experiences of innovation in network development for psychosocial care . Interviews were conducted with six workers at the Therapeutic Home Service (THS) of Alegrete, and four field observation notebooks were analyzed. The results revealed the transversal nature of the investigated network, the relationships between its various components, the strategies used to make non-institutionalized care effective, the responsibilities of the network users, and the relationships between the residents and the workers in the service and at home. In conclusion, the Alegrete network facilitates exchanges between the participants, which indicates that future work should focus on the subjects of reflection and transformation.

Crianças e o conhecimento de si próprias a partir de histórias infantis

Aim: to verify the self-knowledge children acquire by storytelling on specific children health themes. Method: it is a descriptive-exploratory qualitative study that utilized as instruments children’s stories with themes about disorders: childhood depression, attention deficit and hyperactivity disorder. Two meetings were held in a child mental health service, with children between 6 and 10 years old. It was used the method of storytelling and the technique of the operative group. Results: the stories appeared as mediators able to assist nursing by listening to the children’s lives and affection. Children’s self-knowledge was shown by identification of their own feelings with the characters’ feelings besides the difficulties in relationships and learning. Final remarks: those stories enabled teaching on health, as well as to promote mental health through the child identification-projection manifestation

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.