Milena Hohmann Antonacci

Saúde mental na atenção básica: uma abordagem convergente assistencial

This study aims to comprehend the expectations and aspirations of a community about the deployment of a group of mental health in primary care. This is a qualitative study that uses the assistant convergent research approach. Data were collected through workshops with psychotropics users, accompanied by Primary Care in the South of Brazil. The first workshop aimed to reflect on and develop strategies to dealing with asylum model. The second discussed the importance of spaces that strengthen bonds of affection and act as means of prevention in mental health. The third discussed the issue of restriction of liberty imposed by mental suffering. It was found that spaces dedicated to mental health in the primary care will add to the effectiveness of the practices and to the construction of new knowledge to the users health and lifeEste estudo tem como objetivo conhecer expectativas e anseios de uma comunidade em relacao a implantacao de um grupo de saude mental na atencao basica. Trata-se de um estudo qualitativo que utiliza como abordagem de investigacao a pesquisa convergente-assistencial (PCA). Os dados foram obtidos por meio de oficinas com usuarios, em uso de psicofarmacos acompanhados por Unidade Basica da Regiao Sul do Brasil. A primeira oficina apontou para reflexao e elaboracao de estrategias no enfrentamento ao modelo asilar. A segunda discutiu a importância de espacos de convivencia que fortalecam vinculos afetivos e atuem como meio de prevencao de agravos em saude mental. A terceira discutiu a questao do cerceamento de liberdade imposto pelo sofrimento mental. Constatou-se que espacos voltados a saude mental no contexto da atencao basica contribuirao para a efetivacao de praticas e construcao de novos saberes para a producao de saude e vida no territorio existencial dos sujeitos.

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.

Grupos de ouvidores de vozes: estratégias e enfrentamentos

RESUMO O objetivo deste artigo e discutir as estrategias utilizadas por diferentes grupos de pessoas que ouvem vozes, para o enfrentamento de tal experiencia. Trata-se de um estudo etnografico realizado junto a grupos italianos de ouvidores de vozes. Os dados, que foram obtidos no periodo entre outubro de 2014 e janeiro de 2016, atraves da observacao participante, com registros em diarios de campo, demonstram que estrategias de enfrentamento em espaco grupal, tais como o dialogo com as vozes, a busca de informacao e a escrita sobre as mesmas sao importantes para a superacao das dificuldades decorrentes dessa vivencia e estimulam o protagonismo daqueles que as ouvem.

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.

Salud mental en atención primaria: un abordaje convergente-asistencial

This study aims to comprehend the expectations and aspirations of a community about the deployment of a group of mental health in primary care. This is a qualitative study that uses the assistant convergent research approach. Data were collected through workshops with psychotropics users, accompanied by Primary Care in the South of Brazil. The first workshop aimed to reflect on and develop strategies to dealing with asylum model. The second discussed the importance of spaces that strengthen bonds of affection and act as means of prevention in mental health. The third discussed the issue of restriction of liberty imposed by mental suffering. It was found that spaces dedicated to mental health in the primary care will add to the effectiveness of the practices and to the construction of new knowledge to the users health and lifeEste estudo tem como objetivo conhecer expectativas e anseios de uma comunidade em relacao a implantacao de um grupo de saude mental na atencao basica. Trata-se de um estudo qualitativo que utiliza como abordagem de investigacao a pesquisa convergente-assistencial (PCA). Os dados foram obtidos por meio de oficinas com usuarios, em uso de psicofarmacos acompanhados por Unidade Basica da Regiao Sul do Brasil. A primeira oficina apontou para reflexao e elaboracao de estrategias no enfrentamento ao modelo asilar. A segunda discutiu a importância de espacos de convivencia que fortalecam vinculos afetivos e atuem como meio de prevencao de agravos em saude mental. A terceira discutiu a questao do cerceamento de liberdade imposto pelo sofrimento mental. Constatou-se que espacos voltados a saude mental no contexto da atencao basica contribuirao para a efetivacao de praticas e construcao de novos saberes para a producao de saude e vida no territorio existencial dos sujeitos.