Valéria Cristina Christello Coimbra

Satisfação dos usuários dos centros de atenção psicossocial da região Sul do Brasil

OBJECTIVEnTo evaluate user satisfaction with psychosocial healthcare services.nnnMETHODSnQualitative and quantitative study conducted in psychosocial healthcare services in the states of Paraná, Santa Catarina and Rio Grande do Sul, Southern Brazil, in 2006. The study combined quantitative and qualitative methods. Quantitative epidemiological data from a cross-sectional study including 1,162 users of 30 psychosocial healthcare services was used. The instrument used to evaluate users satisfaction was the Brazilian version of the WHO Users Satisfaction Scale (SATIS-BR), a 1 to 5-point scale. Qualitative data was collected from five case studies using a fourth generation approach. Information was obtained from field observations and interviews (between ten and 13 users in each field, totaling 57 users) and presented to users in validation and negotiation workshops.nnnRESULTSnThe SATIS-BR scale showed that users positively evaluated all items, overall mean 4.4 (SD=0.4). Communication and relationship with psychosocial healthcare services staff had mean 4.5 (SD=0.5), and access to information through staff had mean 4.8. Satisfaction with care service was the lowest, mean 4.1, and general service infrastructure had mean 3.9. The qualitative study revealed that, according to users, the quality of treatment provided was good and the outcome was satisfactory. Their new status, better access to services, ending of their physical and social isolation, response to their demands and helping them reorganize their lives - all contributed to users satisfaction.nnnCONCLUSIONSnThe complementary results of both study approaches showed that users are satisfied with care provided at the psychosocial healthcare services studied.OBJETIVO: Avaliar a satisfacao dos usuarios com o atendimento nos centros de atencao psicossocial. METODOS: O estudo foi realizado em centros de atencao psicossocial dos estados: Parana, Santa Catarina e Rio Grande do Sul, em 2006. A estrategia de investigacao foi dividida em metodos quantitativo e qualitativo. Para avaliacao quantitativa foram utilizados dados epidemiologicos do tipo transversal de amostra 1.162 usuarios de 30 centros de atencao psicossocial. O instrumento utilizado para avaliar a satisfacao dos usuarios foi a Escala Brasileira de Avaliacao da Satisfacao (SATIS-BR), de 1 a 5 pontos. Para avaliacao qualitativa foram realizados cinco estudos de caso, utilizando-se metodologia de avaliacao de quarta geracao. Os dados foram obtidos em observacao de campo e entrevistas (entre dez e 13 usuarios em cada campo, totalizando 57 usuarios) e apresentados aos usuarios em oficinas de validacao e negociacao. RESULTADOS: A escala SATIS-BR indicou avaliacao positiva de todos os itens, com media de 4,4 (desvio-padrao, DP=0,4). A comunicacao e o relacionamento com a equipe apresentaram media 4,5 (DP=0,5); o acesso a informacoes a partir da equipe apresentou media 4,8. A satisfacao com o servico apresentou a menor media, com 4,1; as condicoes gerais de instalacao do servico apresentaram media 3,9. No estudo qualitativo, o tratamento no servico foi bom e o resultado satisfatorio. O reposicionamento do usuario contribuiu para satisfacao, assim como o acesso ao atendimento, a ruptura com o isolamento fisico e social, o acolhimento de suas demandas e ajuda para organizar a vida. CONCLUSOES: Os resultados complementares de ambas as estrategias do estudo mostram satisfacao dos usuarios com o atendimento nos centros estudados.

Avaliação qualitativa de ambiência num Centro de Atenção Psicossocial

UNLABELLEDnThis study is based on a cross-section of the study of Psychosocial Care Center (Caps) in the South of Brazil.nnnOBJECTIVEnto conduct a qualitative assessment of the structure, in terms of environment, of a Caps in the interior of the State of Rio Grande do Sul. A case study was conducted on the Caps in Alegrete (RS) based on a fourth generation, constructivist and responsive assessment using a hermeneutic-dialectic approach. The data collection instruments were semi-structured interviews with a team (26), users (11), and family members (14), defined as interest groups to make up the hermeneutic-dialectic circle and field observation (390 hours) establishing prior ethnography. The structure of the Alegrete Caps was a strong aspect in the environmental evaluation. The lack of human and material resources does not interfere directly in user satisfaction with the environment.Este estudo consiste em recorte do estudo dos Centros de Assistencia Psicossocial (Caps) do Sul do Brasil. O objetivo e avaliar qualitativamente a estrutura, atraves da ambiencia, de um Caps do interior do Rio Grande do Sul. Foi realizado um estudo de caso do Caps de Alegrete (RS), fundamentado numa avaliacao de quarta geracao, construtivista, responsiva e com abordagem hermeneutico-dialetica. Os instrumentos de coleta de dados foram entrevistas semiestruturadas com equipe (26), usuarios (11) e familiares (14), definidos como grupos de interesse para compor o circulo hermeneutico-dialetico e a observacao de campo (390 horas) configurando-se numa etnografia previa. A estrutura do Caps Alegrete foi um aspecto forte na avaliacao da ambiencia. A falta de recursos humanos e materiais nao interfere diretamente na satisfacao dos usuarios com a ambiencia.

Redes de sociabilidade: construções a partir do serviço residencial terapêutico

Home-based therapeutic services emerge in the context of psychiatric reform in Brazil, as a step forward in the policy of de-institutionalization, as well as being essential services to overcome custody practices, typical of the asylum model. These services provide spaces for care, welcome and decent housing for people whose family and social ties have been affected by internment in psychiatric hospitals. The article seeks to evaluate the sociability network of users of home-based therapeutic services in Alegrete in the State of Rio Grande do Sul, based on a case report. This study is part of the research on Networks that Rehabilitate - evaluating innovative experiments in the composition of psychosocial care networks. Data from semi-structured interviews with the six workers of the service were used. It was observed that the service provides unique and innovative experience to find solutions that bring people with long periods of psychiatric hospitalization back together with their family, the community and city life, thereby eliminating the segregation to which they were subjected. Coaching residents and workers in the creation of home-based therapeutic care services reveals the potential to reintegrate mentally handicapped patients into society.

Avaliação da satisfação dos usuários com o cuidado da saúde mental na Estratégia Saúde da Família

The objective of this study is to evaluate the satisfaction of patients with mental suffering regarding the comprehensiveness of the treatment they received from the Family Health Strategy. This case study was developed based on an evaluation study with a qualitative approach at a family health care unit in Chapecó, Santa Catarina. Subjects were 13 users with some kind of mental disorder. The following seven domains were used to evaluate satisfaction: autonomy, confidentiality, communication, respectful treatment, immediate treatment, basic facility conditions, and accessibility to social support networks. It was found that users perceived the strengths and weaknesses of service organization and of the care that was provided: the attachment, the relationship between the team and the community, care with the family, home visits, and the health professionals comprehensive view in the physical exam were reported to be reasons for the users satisfaction.The objective of this study is to evaluate the satisfaction of patients with mental suffering regarding the comprehensiveness of the treatment they received from the Family Health Strategy. This case study was developed based on an evaluation study with a qualitative approach at a family health care unit in Chapeco, Santa Catarina. Subjects were 13 users with some kind of mental disorder. The following seven domains were used to evaluate satisfaction: autonomy, confidentiality, communication, respectful treatment, immediate treatment, basic facility conditions, and accessibility to social support networks. It was found that users perceived the strengths and weaknesses of service organization and of the care that was provided: the attachment, the relationship between the team and the community, care with the family, home visits, and the health professionals comprehensive view in the physical exam were reported to be reasons for the users satisfaction.

Evaluation of users' satisfaction regarding mental health care in the Family Health Strategy

The objective of this study is to evaluate the satisfaction of patients with mental suffering regarding the comprehensiveness of the treatment they received from the Family Health Strategy. This case study was developed based on an evaluation study with a qualitative approach at a family health care unit in Chapecó, Santa Catarina. Subjects were 13 users with some kind of mental disorder. The following seven domains were used to evaluate satisfaction: autonomy, confidentiality, communication, respectful treatment, immediate treatment, basic facility conditions, and accessibility to social support networks. It was found that users perceived the strengths and weaknesses of service organization and of the care that was provided: the attachment, the relationship between the team and the community, care with the family, home visits, and the health professionals comprehensive view in the physical exam were reported to be reasons for the users satisfaction.The objective of this study is to evaluate the satisfaction of patients with mental suffering regarding the comprehensiveness of the treatment they received from the Family Health Strategy. This case study was developed based on an evaluation study with a qualitative approach at a family health care unit in Chapeco, Santa Catarina. Subjects were 13 users with some kind of mental disorder. The following seven domains were used to evaluate satisfaction: autonomy, confidentiality, communication, respectful treatment, immediate treatment, basic facility conditions, and accessibility to social support networks. It was found that users perceived the strengths and weaknesses of service organization and of the care that was provided: the attachment, the relationship between the team and the community, care with the family, home visits, and the health professionals comprehensive view in the physical exam were reported to be reasons for the users satisfaction.

User satisfaction with psychosocial healthcare services, Southern Brazil

OBJECTIVEnTo evaluate user satisfaction with psychosocial healthcare services.nnnMETHODSnQualitative and quantitative study conducted in psychosocial healthcare services in the states of Paraná, Santa Catarina and Rio Grande do Sul, Southern Brazil, in 2006. The study combined quantitative and qualitative methods. Quantitative epidemiological data from a cross-sectional study including 1,162 users of 30 psychosocial healthcare services was used. The instrument used to evaluate users satisfaction was the Brazilian version of the WHO Users Satisfaction Scale (SATIS-BR), a 1 to 5-point scale. Qualitative data was collected from five case studies using a fourth generation approach. Information was obtained from field observations and interviews (between ten and 13 users in each field, totaling 57 users) and presented to users in validation and negotiation workshops.nnnRESULTSnThe SATIS-BR scale showed that users positively evaluated all items, overall mean 4.4 (SD=0.4). Communication and relationship with psychosocial healthcare services staff had mean 4.5 (SD=0.5), and access to information through staff had mean 4.8. Satisfaction with care service was the lowest, mean 4.1, and general service infrastructure had mean 3.9. The qualitative study revealed that, according to users, the quality of treatment provided was good and the outcome was satisfactory. Their new status, better access to services, ending of their physical and social isolation, response to their demands and helping them reorganize their lives - all contributed to users satisfaction.nnnCONCLUSIONSnThe complementary results of both study approaches showed that users are satisfied with care provided at the psychosocial healthcare services studied.OBJETIVO: Avaliar a satisfacao dos usuarios com o atendimento nos centros de atencao psicossocial. METODOS: O estudo foi realizado em centros de atencao psicossocial dos estados: Parana, Santa Catarina e Rio Grande do Sul, em 2006. A estrategia de investigacao foi dividida em metodos quantitativo e qualitativo. Para avaliacao quantitativa foram utilizados dados epidemiologicos do tipo transversal de amostra 1.162 usuarios de 30 centros de atencao psicossocial. O instrumento utilizado para avaliar a satisfacao dos usuarios foi a Escala Brasileira de Avaliacao da Satisfacao (SATIS-BR), de 1 a 5 pontos. Para avaliacao qualitativa foram realizados cinco estudos de caso, utilizando-se metodologia de avaliacao de quarta geracao. Os dados foram obtidos em observacao de campo e entrevistas (entre dez e 13 usuarios em cada campo, totalizando 57 usuarios) e apresentados aos usuarios em oficinas de validacao e negociacao. RESULTADOS: A escala SATIS-BR indicou avaliacao positiva de todos os itens, com media de 4,4 (desvio-padrao, DP=0,4). A comunicacao e o relacionamento com a equipe apresentaram media 4,5 (DP=0,5); o acesso a informacoes a partir da equipe apresentou media 4,8. A satisfacao com o servico apresentou a menor media, com 4,1; as condicoes gerais de instalacao do servico apresentaram media 3,9. No estudo qualitativo, o tratamento no servico foi bom e o resultado satisfatorio. O reposicionamento do usuario contribuiu para satisfacao, assim como o acesso ao atendimento, a ruptura com o isolamento fisico e social, o acolhimento de suas demandas e ajuda para organizar a vida. CONCLUSOES: Os resultados complementares de ambas as estrategias do estudo mostram satisfacao dos usuarios com o atendimento nos centros estudados.

Rede de cuidado em saúde mental: visão dos coordenadores da estratégia saúde da família

Objective This study aimed to analyze the opinions of the coordinators of the Family Health Strategy (FHS) on the mental health care network in the city of Pelotas/RS. Method Descriptive and exploratory study with a qualitative approach, carried out with six FHS coordinators, in 2012. Semi-structured interview was used in data collection, and the results were evaluated using the thematic analysis. Results The network designed by the coordinators consists of few formal services and is focused on the Psychosocial Care Centers (CAPS). The informal network has a greater number of care units. Exchange of information related to joint responsibilities in the care is scarce, with lack of dialogue. Conclusion The coordinators have scarce knowledge on the formal care network and on care focused on the ESF and CAPS. They also recognize the importance public policies that value and expand the informal care spaces in the territory.ObjectivenThis study aimed to analyze the opinions of the coordinators of the Family Health Strategy (FHS) on the mental health care network in the city of Pelotas/RS.nnnMethodnDescriptive and exploratory study with a qualitative approach, carried out with six FHS coordinators, in 2012. Semi-structured interview was used in data collection, and the results were evaluated using the thematic analysis.nnnResultsnThe network designed by the coordinators consists of few formal services and is focused on the Psychosocial Care Centers (CAPS). The informal network has a greater number of care units. Exchange of information related to joint responsibilities in the care is scarce, with lack of dialogue.nnnConclusionnThe coordinators have scarce knowledge on the formal care network and on care focused on the ESF and CAPS. They also recognize the importance public policies that value and expand the informal care spaces in the territory.

Independent Life Skills among psychosocial care network users of Rio Grande do Sul, Brazil

This is a cross-sectional study that aims to identify the prevalence of lower independent living skills and their associations in 390 users of psychiatric community-based services in the state Rio Grande do Sul, Brazil. For tracing the outcome it was used the scale Independent Living Skills Survey, adopting a cut-off value lower than 2. The crude and adjusted analyses were conducted on binary logistic regressions and they considered a hierarchical model developed through a systematic literature review. In adjusted analysis the level of the same variables were adjusted to each other and to previous levels. The statistical significance remained as a < 0.05 p-value. The prevalence of smaller independent living skills was 33% and their associations were: younger age; no partner; lower education; resident at SRT; diagnosis of schizophrenia and younger diagnosis.

Grupo de familiares de um centro de atenção psicossocial: experiências de seus usuários

Objective: understand the different experiences of the relatives of the person in mental suffering within the family group. Methodology: a qualitative, exploratory and descriptive study, carried out in the domicile of five participants, which are engaged for a minimum period of six months in the Family Group administered by CAPS. The data collection took place in the months of November and December of the year 2009, using semi-structured surveys. Results: the participation of the family in the caring demands their co-responsibility in the formation of connections and in the expression of feelings and doubts among the familial group, building trust to obtain satisfaction with the caring practice. Conclusion: the relatives request the embracement, the listening and the helping to manage the living with the person in mental suffering, optimizing the exchanging and learning of knowledge through the group action

Ser autônomo: o que os serviços de saúde mental indicam?

OBJECTIVEnTo build qualitative outcome indicators in psychosocial care regarding autonomy from the perspective of users and their families.nnnMETHODOLOGYnThis is an evaluative case study based on the dialectical hermeneutics theoretical framework, conducted at a mental health community service, in the state of Rio Grande do Sul, Brazil. The first stage of data collection occurred between February and July 2014, and consisted of constructing indicators based on qualitative data analysis of the two evaluative studies conducted at this same service. The second stage, between August and September 2014, consisted of validating the indicators constructed through the focus groups with nine users and nine family members.nnnRESULTSnThe users and relatives stated three qualitative indicators related to their autonomy resulting from their insertion in the service. The indicators were better self-management of income, improved everyday activities, and greater bargaining power.nnnCONCLUSIONnThe methodology proved appropriate to create qualitative indicators, from the perspective of the participants, and revealed that the service helps users achieve autonomy.