Psychosocial care network: managers’ perception and tensions of the field

Abstract

Objective: to analyze the perception of workers and managers about the psychosocial care network in a medium-sized municipality in the inlands of the state of Minas Gerais. Method: qualitative, descriptive and exploratory study involving twelve participants from different points of the network. The semi-structured interviews were analyzed in the light of Pierre Bourdieu’s framework of constructionist structuralism. Results: the actions offered by the services were based on the perspectives of resocialization, user embracement, group and multiprofessional care, and on approaches to harm reduction, recreation and daily organization. These were configured as the network resources/capital. Tensions were identified in family embracement and in relationships between families and users, as well as in the prejudice towards people with mental disorders. Final considerations: the social agents were willing to contribute to processes of change in order to overcome the focus on specialties, the lack of training of some teams, lack of infrastructure and of some components, especially those related to leisure and community life.

Clinical and epidemiological profile of patients with mental disorders in a specialized outpatient clinic and its role in the psychosocial care network

“…The challenge for improving this model is to identify which populations are most in need and strengthen intersectoral coordination ( 13 , 52 , 53 ). Diagnostic practices need to establish mechanisms that encompass symptom profiles that are widely shared across populations and disorders (with regard to psychopathology), but others are more specific to one or a set of forms of psychopathology ( 53 – 55 ). The severity of symptoms and treatment time in certain regions may indicate the need for specific services for certain locations ( 54 – 56 ).…”

“…The moderate depressive episode at 9.96 years persisted for the shortest time. These characteristics represent more difficult sectoral demands as they are directly related to international nosologies ( 53 – 57 ).…”

Expansion of Psychosocial Care Centers and their relationship with health and human rights

“…The direction of a satisfactory Psychosocial Care Network (RAPS -Rede de Atenção Psicossocial) management permeates, among other factors, the investment that municipalities have made in the different points of care of the health network. Aspects such as network resources and texture, positioning of managers and professionals, as well as elements that are promising or barriers to the fulfillment of RAPS objectives and guidelines (1)(2)(3) have been widely emphasized in discussions on the right to health and access to mental health care in Brazil. In this regard, the Psychosocial Care Centers (CAPS -Centros de Atenção Psicossocial), pioneers as extra-hospital devices in Brazilian mental health policies and the focus of the main investments regarding the psychosocial network implementation in the country in the years after Law 10,216/2001, stand out (4) .…”

Expansão dos Centros de Atenção Psicossocial e sua relação com a saúde e direitos humanos

“…O direcionamento de uma gestão satisfatória da Rede de Atenção Psicossocial (RAPS) perpassa, dentre outros fatores, pelo investimento que os municípios têm feito nos diferentes pontos de atenção da rede de saúde. Aspectos como os recursos e a tessitura da rede, o posicionamento dos gestores e profissionais, bem como os elementos que se constituem como promissores ou barreiras para o cumprimento dos objetivos e diretrizes da RAPS (1)(2)(3) , tendo sido amplamente enfatizados nas discussões sobre o direito à saúde e o acesso aos cuidados de saúde mental no Brasil. Neste sentido, destacam-se os Centros de Atenção Psicossocial (CAPS), pioneiros enquanto dispositivos extra-hospitalares nas políticas de saúde mental brasileiras e foco dos principais investimentos no que tange à implantação da rede psicossocial no país nos anos posteriores à Lei 10.216/2001 (4) .…”