Luciana de Almeida Colvero

Estudo exploratório sobre a utilização dos recursos de informática por alunos do curso de graduação em enfermagem

Nowdays influence of informatization in education is an irreversible reality. This situation obligate us to reconsider the tradicional teaching - learning method. Face that the Informatic Commission of EEUSP developed ari exploratory - descriptive study of undergraduate nursing students relating to knowledge of informatic resourses and habilities on it. The results revealed that there is a straight relationship between time of use and hability on using computer. The acquirement of knowlendges, until now, occurs independently of institutional policy. It permitted perceive the significance of informatization on teaching nursing and that teaching institutions need to adapt its educational methodology to the new technology.

Saúde mental na atenção básica: prática da equipe de saúde da família

The inclusion of mental health care actions in the context of the Brazilian Public Health System (SUS; Sistema Unico de Saude) contributes to the consolidation of the Brazilian Psychiatric reform and demands redirecting the practices of family health teams with users with mental health needs. The objective of this study is to identify and analyze the scientific production and actions developed by family health team professionals in mental health care. Systematic analysis originated the following themes: home visits to mentally ill patients and their relatives; attachment and welcoming; referrals; therapeutic workshops. In conclusion, the mental health actions developed in primary care are not performed consistently and depend on the professional or on the political decision of the administrator, which shows that professionals should use new practices to develop comprehensive care, and, therefore, there is a need to invest in improving the qualification of the professionals.

Reabilitação psicossocial dos usuários de álcool e outras drogas: a concepção de profissionais de saúde

Estudio exploratorio de abordaje cualitativa cuyo objetivo fue identificar las concepciones de profesionales de un Centro de Referencia para el tratamiento de problemas relacionados con alcohol y otras drogas acerca de la rehabilitacion psicosocial. Fueron entrevistados once profesionales de nivel superior, por medio de entrevistas semi-estructuradas. El analisis de los datos fue norteada por los presupuestos de la hermeneutica dialectica, la cual origino la categoria rehabilitacion psicosocial. Los resultados evidenciaron que en la concepcion de los profesionales, la rehabilitacion psicosocial se da en la realizacion de talleres terapeuticos, actividades externas y en el establecimiento de sociedades con otras instituciones. Se concluye que el concepto de rehabilitacion psicosocial que mas se evidencia en la percepcion de esos sujetos esta asociada al modelo psiquiatrico tradicional, arraigado a la logica de la normalidad social, el problema principal a ser superado en la asistencia a los usuarios de alcohol y otras drogas.Exploratory study with qualitative approach that had as its main objective to identify the conception of the health professionals about Psychosocial Rehabilitation from a reference Center for the treatment of alcohol and other drugs related problems. The sample consisted of eleven health professionals with an academic degree, submitted to semi-structured interviews. The data analysis was made according to the hermeneutic dialectic method which originated the Psychosocial Rehabilitation category. The data demonstrated that in the professionals conception, the Psychosocial Rehabilitation is given in the realization of therapeutic workshops, outdoor activities, and the estabilishment of a partnership with other foundations. It is concluded that the concept of Psychosocial Rehabilitation that was made clear in the conception of these subjects is still associated to the traditional psychiatric model, which is attached to the logic of social normality, the main challenge to the psychosocial model of assistance to the alcohol and other drugs users.Exploratory study with qualitative approach that had as its main objective to identify the conception of the health professionals about Psychosocial Rehabilitation from a reference Center for the treatment of alcohol and other drugs related problems. The sample consisted of eleven health professionals with an academic degree, submitted to semi-structured interviews. The data analysis was made according to the hermeneutic dialectic method which originated the Psychosocial Rehabilitation category. The data demonstrated that in the professionals conception, the Psychosocial Rehabilitation is given in the realization of therapeutic workshops, outdoor activities, and the estabilishment of a partnership with other foundations. It is concluded that the concept of Psychosocial Rehabilitation that was made clear in the conception of these subjects is still associated to the traditional psychiatric model, which is attached to the logic of social normality, the main challenge to the psychosocial model of assistance to the alcohol and other drugs users.

Serviços residenciais terapêuticos em saúde mental: uma proposta que busca resgatar a subjetividade dos sujeitos?

Abstract The study aims to contextualize the emergence ofhome projects for people with mental disorders inBrazil based on the implantation of the PsychiatricReform in the 1980s and on the problem of psychia-tric hospitals’ residents. The study presents the re-sults of a bibliographic research carried out in theLILACS database about the theme. Different approa-ches to the subject of homes for people with mentaldisorders were found in the period of the three diffe-rent decades covered by the research: 1980s – attemptsto humanize the asylum spaces through shelteredhomes; 1990s - construction of the parameters forsupported housing, which starts to occupy the urbanspaces; from 2000 onwards – attempts to focus on themain actor of the homes, that is, those who reside inthem. However, the construction of these spaces doesnot guarantee the change in the logic of the instituti-onal relationships with people with mental disorders.Therefore, the challenge that remains is the rescue ofthe subjectivity of the people that reside in them.Keywords: Mental Health; Supported Housing; Psy-chiatric Reform.

Os desafios da integralidade em um Centro de Atenção Psicossocial e a produção de projetos terapêuticos

The object of this study is the development of therapeutic projects by the team working in a Psychosocial Care Center (CAPS III). It takes into consideration the creation and expansion process of the Brazilian public health system (SUS) and Psychiatric Reform. In this context, workers are challenged to develop care through an individual therapeutic project that considers the true needs and life context of the people involved. The objective of the study was to analyze and describe the strengths and weaknesses of a to develop the therapeutic projects based on the cartographic model and on the focal group technique. Participants were workers from a CAPS III center from Diadema, São Paulo. By analyzing the data collected through focal groups, the authors found, above all, a rupture between the night and day teams, and a lack of systematic space for conversation to develop and discuss on the therapeutic projects.The object of this study is the development of therapeutic projects by the team working in a Psychosocial Care Center (CAPS III). It takes into consideration the creation and expansion process of the Brazilian public health system (SUS) and Psychiatric Reform. In this context, workers are challenged to develop care through an individual therapeutic project that considers the true needs and life context of the people involved. The objective of the study was to analyze and describe the strengths and weaknesses of a to develop the therapeutic projects based on the cartographic model and on the focal group technique. Participants were workers from a CAPS III center from Diadema, Sao Paulo. By analyzing the data collected through focal groups, the authors found, above all, a rupture between the night and day teams, and a lack of systematic space for conversation to develop and discuss on the therapeutic projects.

Efetividade da intervenção breve para o uso abusivo de álcool na atenção primária: revisão sistemática

The research identified clinical studies on the brief interventions for the abusive use of alcohol and analyzed the effectiveness of professional advises proposed to alcohol consumers. The systematic bibliographical study was based on articles published during the period of 1997 to 2010. Brief intervention strategy is effective in the reduction on the frequency and amount of alcohol use, with better results when the strategy is applied to the primary attention situations. All professionals obtained good results using this therapy. It was not possible to determine if the strategy is most effective when applied to harmful drinkers or to chronic drinkers, since the intervention also depends on the patients availability of motivational resources and on changes in attitude regarding the abusive use of alcohol.

A interface entre as políticas públicas de saúde mental e promoção da saúde

Este estudo tem por objetivo analisar as estrategias de producao de cuidado em saude mental de um Centro de Convivencia e Cooperativa (CECCO) - servico da rede de atencao a saude mental do municipio de Sao Paulo - na perspectiva de seu alinhamento as politicas de saude mental e promocao da saude, verificando as potencialidades da interacao entre elas, no cotidiano das praticas de saude. A analise baseou-se no material empirico obtido por meio de entrevista semiestruturada junto ao gerente do servico estudado, assim como nos achados da literatura e nos documentos oficiais do Ministerio da Saude. Verificou-se que, por meio de acoes intersetoriais, que visam ao fortalecimento da participacao social, do empoderamento de individuos e comunidade e da equidade, o CECCO articula pressupostos da saude mental e da promocao da saude, produzindo autonomia e cidadania e tornando-se um lugar que constroi sentido de vida as pessoas.

Trabalho na atenção básica: integralidade do cuidado em saúde mental

Este estudio de abordaje cualitativa tiene como objetivo cartografiar el cuidado al usuario con necessidades en lo campo de la salud mental en uma Unidad Basica de Salud, a traves de la analisis del trabajo en equipo a la luz de la integralidad de las acciones de salud. Sus partipantes son trabajadores de salud mental, de diferentes profesiones, que son parte de los procesos de trabajo en salud mental de lo servicio. La coleccion de datos fue construida mediante lo fluxograma analizador. Los resultados muestran que, en la Unidad Basica, los flujos conectivos entre los diversos trabajadores - y entre estes y los usuarios - estan a producir y proliferar varios y distintos espacios colectivos de intercâmbios, permitiendo acciones integrales de salud a traves de una comprension ampliada del proceso de salud-enfermedad mental, construida por medio de la valorizacion de las relaciones humanas y de las subjetividades involucradas en lo espacio del trabajo en salud.

The challenges of comprehensive care in a Psychosocial Care Center and the development of therapeutic projects

The object of this study is the development of therapeutic projects by the team working in a Psychosocial Care Center (CAPS III). It takes into consideration the creation and expansion process of the Brazilian public health system (SUS) and Psychiatric Reform. In this context, workers are challenged to develop care through an individual therapeutic project that considers the true needs and life context of the people involved. The objective of the study was to analyze and describe the strengths and weaknesses of a to develop the therapeutic projects based on the cartographic model and on the focal group technique. Participants were workers from a CAPS III center from Diadema, São Paulo. By analyzing the data collected through focal groups, the authors found, above all, a rupture between the night and day teams, and a lack of systematic space for conversation to develop and discuss on the therapeutic projects.The object of this study is the development of therapeutic projects by the team working in a Psychosocial Care Center (CAPS III). It takes into consideration the creation and expansion process of the Brazilian public health system (SUS) and Psychiatric Reform. In this context, workers are challenged to develop care through an individual therapeutic project that considers the true needs and life context of the people involved. The objective of the study was to analyze and describe the strengths and weaknesses of a to develop the therapeutic projects based on the cartographic model and on the focal group technique. Participants were workers from a CAPS III center from Diadema, Sao Paulo. By analyzing the data collected through focal groups, the authors found, above all, a rupture between the night and day teams, and a lack of systematic space for conversation to develop and discuss on the therapeutic projects.

O conhecimento produzido no Programa de Pós-Graduação em Enfermagem: a enfermagem psiquiátrica

Despues de casi 30 anos de creacion del Area de Concentracion de Enfermeria Psiquiatrica, en el Programa de Postgrado de la Escuela de Enfermeria de la USP, es importante mirar la produccion cientifica generada que fundamenten las reflexiones sobre esta ensenanza. En este estudio descriptivo exploratorio, se uso como fuente los registros del Servicio de Postgrado, resumenes de tesis de maestria y doctorado; memorandums y oficios; los datos recolectados fueron analizados a la luz de las transformaciones ocurridas en la estructura que graduo a 60 alumnos, de los cuales 50 cursaron maestria y 10 doctorado y que vienen reestructurando sus disciplinas, lineas de investigacion y proyectos con el objetivo de atender a las evaluaciones internas y externas y a las directivas de las agencias de fomento del Pais. La produccion cientifica, actualmente, evidencia alineamiento con las directrices de la Reforma Psiquiatrica y tendencia a producir conocimientos a partir de las practicas concretas de los trabajadores en los campos de la asistencia, la gestion y la ensenanza de Salud Mental.