Renata Fabiana Pegoraro

Integrative review of literature on the construction of Therapeutic Projects Singles in the mental health field

We conducted an integrative review of literature on the construction and monitoring of Therapeutic Projects Singles by teams of mental health services. The survey was conducted in electronic databases Scielo, Redalyc and Pepsic between 2004 and 2014. We found 419 publications and 13 selected from the keywords: individual therapeutic projects, therapeutic projects singles, mental health, psychosocial care, reference technical center of psychosocial care, mental health services. The analysis of articles singles out four blocks of meaning: Who designs the project; Problems in the development; Relevance of the project; and their absence. The study points to difficulties in the inclusion of family members and users in the construction of therapeutic projects by the teams.

MATRICIAMENTO EM SAÚDE MENTAL SEGUNDO PROFISSIONAIS DA ESTRATÉGIA DA SAÚDE DA FAMÍLIA

El objetivo de esta investigacion fue comprender el significado del apoyo matricial en salud mental ofrecido por el equipo de un Centro de Atencion Psicosocial (CAPS) segun profesionales que actuaban en tres unidades de la Estrategia de Salud de la Familia (ESF) en Goiânia-GO. Fueron entrevistados doce profesionales mediante un guion semiestructurado, formado por preguntas abiertas y cerradas, que investigo: datos demograficos de los participantes; la formacion profesional; el tiempo de trabajo en la ESF; la comprension sobre el apoyo matricial. Los datos apuntaron la realizacion de actividades conjuntas entre los equipos del CAPS y de la Salud de la Familia, siendo el psiquiatra y el psicologo los profesionales del CAPS mas frecuentemente asociados al apoyo matricial. El estudio tambien identifico que se les pidio el apoyo matricial para los usuarios que necesitaban de revision de la medicacion y que tenian un diagnostico psiquiatrico previo o comportamientos indecuados. Segun los entrevistados, la importancia de la revision de la medicacion y la presencia del CAPS en el territorio fueron puntos positivos del apoyo matricial, lo que denota la existencia del conocimiento medico como orientador de las conductas y una atencion distante de la integralidad. Se concluye que los equipos de Salud de la Familia reconocen la contribucion de la logica del apoyo matricial, aunque esta se centra en una comprension del caracter biologicista sobre el sufrimiento psiquico.The aim of this research was to understand the meaning of the matrix support for mental health offered by the staff of a Centro de Atenção Psicossocial – CAPS (Psychosocial Care Center) under professionals working in three units of the Estatégia de Saúde da Família ESF (Family Health Strategy) in Goiânia, Goiás. Twelve professionals were interviewed from a semi-structured interview, consisting of open and closed questions, which investigated: demographic data of the participants; vocational training; working time in the ESF; understanding of the matrix support. The data pointed to joint activities among the CAPS and the family health teams, and the CAPS psychiatrist and psychologist professionals have been most often associated to the matrix support. The study also identified that was requested the matrix support for users who needed medication review and who had previous psychiatric diagnosis or inappropriate behavior. According to the interviewers, the importance of reviewing the medication and the presence of the CAPS in the territory were positives aspects related to the matrix support, which indicates the existence of the medical knowledge as a guiding behaviors and a distant care of integrality. The article concludes that the family health teams recognize the contribution of the logic of the matrix support, but that is centered on an understanding of biologicist character on psychological distress.

História de Vida, Pesquisa Narrativa e Testimonio: Perspectivas nos Estudos Biográficos

Os estudos biograficos abrangem uma importante orientacao teorico metodologica que vem sendo desenvolvida nas ciencias humanas e sociais, nos quais ha valorizacao do sentido atribuido pelo sujeito aos acontecimentos ou situacoes narradas. Este artigo tem como objetivo discutir e comparar os metodos da historia de vida, pesquisa narrativa e testimonio, por meio da analise do contexto historico de sua emergencia, da definicao de seu conceito central, dos procedimentos metodologicos, de suas principais contribuicoes, bem como das criticas mais significativas, destacando assim, suas semelhancas e diferencas.

Group work in the public health context: A proposal for training in psychology

The entry of psychologists into the public health sector in Brazil is usually connected to a traditional clinical model, and, thus, marked by a lack of training for group work. A reflection on the training of psychologists for group work is essential. Aiming at contributing to this theme, the objective of this article is to discuss the training for group work in the public health sector. In particular, we aim to introduce a proposal for training in psychology in a Brazilian public university, covering a theoretical–practical module, as well as basic and professionalizing internship programmes.

MATRIX SUPPORT IN MENTAL HEALTH ACCORDING TO THE PROFESSIONALS OF THE FAMILY HEALTH STRATEGY

El objetivo de esta investigacion fue comprender el significado del apoyo matricial en salud mental ofrecido por el equipo de un Centro de Atencion Psicosocial (CAPS) segun profesionales que actuaban en tres unidades de la Estrategia de Salud de la Familia (ESF) en Goiânia-GO. Fueron entrevistados doce profesionales mediante un guion semiestructurado, formado por preguntas abiertas y cerradas, que investigo: datos demograficos de los participantes; la formacion profesional; el tiempo de trabajo en la ESF; la comprension sobre el apoyo matricial. Los datos apuntaron la realizacion de actividades conjuntas entre los equipos del CAPS y de la Salud de la Familia, siendo el psiquiatra y el psicologo los profesionales del CAPS mas frecuentemente asociados al apoyo matricial. El estudio tambien identifico que se les pidio el apoyo matricial para los usuarios que necesitaban de revision de la medicacion y que tenian un diagnostico psiquiatrico previo o comportamientos indecuados. Segun los entrevistados, la importancia de la revision de la medicacion y la presencia del CAPS en el territorio fueron puntos positivos del apoyo matricial, lo que denota la existencia del conocimiento medico como orientador de las conductas y una atencion distante de la integralidad. Se concluye que los equipos de Salud de la Familia reconocen la contribucion de la logica del apoyo matricial, aunque esta se centra en una comprension del caracter biologicista sobre el sufrimiento psiquico.The aim of this research was to understand the meaning of the matrix support for mental health offered by the staff of a Centro de Atenção Psicossocial – CAPS (Psychosocial Care Center) under professionals working in three units of the Estatégia de Saúde da Família ESF (Family Health Strategy) in Goiânia, Goiás. Twelve professionals were interviewed from a semi-structured interview, consisting of open and closed questions, which investigated: demographic data of the participants; vocational training; working time in the ESF; understanding of the matrix support. The data pointed to joint activities among the CAPS and the family health teams, and the CAPS psychiatrist and psychologist professionals have been most often associated to the matrix support. The study also identified that was requested the matrix support for users who needed medication review and who had previous psychiatric diagnosis or inappropriate behavior. According to the interviewers, the importance of reviewing the medication and the presence of the CAPS in the territory were positives aspects related to the matrix support, which indicates the existence of the medical knowledge as a guiding behaviors and a distant care of integrality. The article concludes that the family health teams recognize the contribution of the logic of the matrix support, but that is centered on an understanding of biologicist character on psychological distress.

APOYO MATRICIAL EN SALUD MENTAL SEGÚN LOS PROFESIONALES DE LA ESTRATEGIA DE SALUD DE LA FAMILIA

El objetivo de esta investigacion fue comprender el significado del apoyo matricial en salud mental ofrecido por el equipo de un Centro de Atencion Psicosocial (CAPS) segun profesionales que actuaban en tres unidades de la Estrategia de Salud de la Familia (ESF) en Goiânia-GO. Fueron entrevistados doce profesionales mediante un guion semiestructurado, formado por preguntas abiertas y cerradas, que investigo: datos demograficos de los participantes; la formacion profesional; el tiempo de trabajo en la ESF; la comprension sobre el apoyo matricial. Los datos apuntaron la realizacion de actividades conjuntas entre los equipos del CAPS y de la Salud de la Familia, siendo el psiquiatra y el psicologo los profesionales del CAPS mas frecuentemente asociados al apoyo matricial. El estudio tambien identifico que se les pidio el apoyo matricial para los usuarios que necesitaban de revision de la medicacion y que tenian un diagnostico psiquiatrico previo o comportamientos indecuados. Segun los entrevistados, la importancia de la revision de la medicacion y la presencia del CAPS en el territorio fueron puntos positivos del apoyo matricial, lo que denota la existencia del conocimiento medico como orientador de las conductas y una atencion distante de la integralidad. Se concluye que los equipos de Salud de la Familia reconocen la contribucion de la logica del apoyo matricial, aunque esta se centra en una comprension del caracter biologicista sobre el sufrimiento psiquico.The aim of this research was to understand the meaning of the matrix support for mental health offered by the staff of a Centro de Atenção Psicossocial – CAPS (Psychosocial Care Center) under professionals working in three units of the Estatégia de Saúde da Família ESF (Family Health Strategy) in Goiânia, Goiás. Twelve professionals were interviewed from a semi-structured interview, consisting of open and closed questions, which investigated: demographic data of the participants; vocational training; working time in the ESF; understanding of the matrix support. The data pointed to joint activities among the CAPS and the family health teams, and the CAPS psychiatrist and psychologist professionals have been most often associated to the matrix support. The study also identified that was requested the matrix support for users who needed medication review and who had previous psychiatric diagnosis or inappropriate behavior. According to the interviewers, the importance of reviewing the medication and the presence of the CAPS in the territory were positives aspects related to the matrix support, which indicates the existence of the medical knowledge as a guiding behaviors and a distant care of integrality. The article concludes that the family health teams recognize the contribution of the logic of the matrix support, but that is centered on an understanding of biologicist character on psychological distress.