A capacitação e a gestão de equipes do PSF para a atenção psicossocial: um estudo de caso

Abstract

RESUMOO Programa de Saúde da Família (PSF) e a atenção psicossocial são estratégias integrantes do SUS. Ambos requerem, para a sua efetivação, além da implantação de unidades de atendimento, transformações no trabalho e cuidado realizados. Analisa-se a repercussão de uma capacitação em saúde mental realizada para equipes do PSF de Cuiabá-MT. A pesquisa, de caráter exploratório-descritivo, está fundamentada em pressupostos do materialismo histórico-dialético e estudou oito equipes por meio de análise de documentos, entrevistas e observação. A análise temática identificou as categorias: localização e composição das equipes, escolha do trabalho no PSF, capacitação para o trabalho e gestão do trabalho. Os resultados apontam que a construção de rede de atenção psicossocial que inclua o PSF é possibilitada por processos indissociáveis de trabalho e gestão e requer capacitação continuada com enfoque crítico no modelo biomédico, que deve ser responsabilidade de trabalhadores, gestores e instituições formadoras.

Intervenciones para reducir el estigma hacia personas con trastornos mentales graves en Iberoamérica: una revisión sistemática

“…We eliminated 215 studies that were conducted in countries other than Ibero-America, thereby 305 studies met the eligibility conditions. We discarded 287 studies that did not involve interventions and mainly cor- The types of studies that predominated were quantitative ones (n = 13), of which nine corresponded to quasi-experimental studies (38)(39)(40)44,(48)(49)(50)(51)54), and four to experimental studies (41,43,47,53). Out of the four studies with a qualitative approach, three corresponded to case studies using a group approach (56): The first one involved information strategies through the use of social networks (55), the second and the third used a direct contact strategy between the students and the mental health service users (45,46), and the fourth included the development of a training program for professionals (51).…”

“…reduce stigma as the central theme with specific groups such as mental health service users (52,55), undergraduate students (45,46), and mental health professionals (51). All these studies determined the coherence between the method and the proposed objective by adopting an exploratory or descriptive approach.…”

“…Some were classified as short-term, which according to Yamaguchi are those that were conducted in a period of <1 month (23); 7 of the studies fit this description (41)(42)(43)45,(48)(49)(50). Other interventions were medium-and long-term, which according to Mehta are those conducted between 1 and 6 months and >6 months, respectively (57); 8 studies were medium-term (38,40,46,47,(51)(52)(53)(54), and three were long-term (39,44,55). A total of 11 studies were performed pre-and post-tests to determine the effect of the interventions (38,39,(41)(42)(43)(44)47,49,50,52,53), and only 33.3% of the studies reviewed reported some type of follow-up after the intervention (38,40,41,43,54,55).…”

Formação de agentes comunitários de saúde para o desenvolvimento de práticas de atenção básica relativas ao consumo prejudicial de drogas

“…As políticas públicas voltadas para usuários de drogas vão majoritariamente ao encontro da lógica da saúde pública positivista, na qual a saúde é resultado de múltiplos fatores sendo responsabilidade do sujeito garantir a sua própria saúde. O modelo biomédico se mantém hegemônico nas práticas das equipes multidisciplinares e, apesar da intencionalidade de desenvolver trabalho comunitário, esse não se pauta por princípios participativos e de integração de saberes (Oliveira et al, 2008). Soares, Campos, 2009.…”

Mental Health Ambulatory: Weaknesses Pointed Out by Professionals

“…This almost always precarious articulation causes considerable delays in the implementation of mental health policy and creates dissociation in the action of the two services. 20 Therefore, it is believed that if the difficulties in the relationship with psychological distress people were minimized, and the approach/pacts with several partnerships were articulated, there would only remain problems of individual responsibility of the patients, because most of the problems attributed to patients result from the ESF limitations inserted in the healthcare network in the municipality. 21 Continuous in-service education should be encouraged by SUS, as training of health professionals is configured as a challenge, considering that most of the service coordinators continue to be trained away from the debate and the construction of health policies.…”