A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial
The National Policy on Mental Health is characterized as a territorial - political community , and it has the Psychoso cial Care Strategy (Eaps) as guideline for the proposal and the development of their actions. In its design, CAPS is idealized to be a...
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| Formato: | doctoralThesis |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/20258 |
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| Resumo: | The National Policy on Mental Health is characterized as a territorial
-
political
community
,
and it has the Psychoso
cial Care Strategy (Eaps) as
guideline for the proposal and the
development of their actions. In its design, CAPS is
idealized to be
a strategic equipment
within the Psychoso
cial Care Network/RAPS. Matricial
support and at
tention to the crisis
constitute strategic areas of action of CAPS in
its
replacement mission
, and as it is g
uided by
the scope of deinstitutionalization,
those
are essential to the success of these services. We
argue that sustain crises in existential territories of life is a condition for the effectiveness of
psychosocial care and, ultimately, to the sustainability of
its
Reform. In this direction, the
matricial
support tool reveals a territorial supporter, intercessory and powerful in building a
psychosocial care to the crisis. Recognized as
one of the
major challenges by the
Brazilian
Ministry of Health, forward these fronts materializes for workers in their mi
cropolitical
crafts. Our research
arises
as an investment toward empower them
,
and aimed to
understand
the operationalization of attention to the crisis and
matricial
support in a CAPS II, in
the
view
of
its
workers
. Besides, it aims to
examine such practi
ces forward the principles and purposes
of Psychosocial Care Strategy. Inspired by the research
-
intervention and
by the
political and
social ideas of Institutiona
l Analysis, we offer a space for reflection and exchange, by
implicational interviews
, enablin
g workers to launch them in analysis of practices in the
EAPs view. We have done a documentary consulting CAPS Technical Project, and a return
stage to the institution, by organizing workshop and conversation groups with CAPS
workers. The results have show
n that there are institutional logics in competition on that
service. When operating the logic risk, some difficulties in sustaining most intense crisis
situations were identified, the psychiatric hospital internment is used as a facility, particularly
in
view of some cases, in which the aggressiveness of the person in crises becomes
aggressive, and when the brackets SAMU, the CAPS III and Comprehensive Care Beds do
not respond satisfactorily to their users requests. Order weaknesses were indicated in this
thesis as macropolitical and micropolitical interfering in network support. The matricial
actions were identified as a powerful intercessor resource in crisis care appeared weakened,
and indicates little porosity in the relationship between the Service and
the territory where it
takes place. Noticed by the logic of home care, without operate primarily as a knowledge
exchange device, we saw capture points in the logic of
assistance with
ambulatoriza
tion
production of CAPS, welfare practices and "ext
empore
"
.
T
he E
APs
, although
it
emerge
s
as a
guiding,
it
is not seen
to workers
as effective practice.
On the one hand,
the results signaled
that the attention to the crisis and the matricial actions are developed without tenacious
connection with the purposes of EA
Ps,
on the other hand,
successful cases
were
indicated
with the main leads to
conducting wire of intersectoral actions to
the powerful bonds and
to
the
participation
of
user in their care process
es
, indicating insurgent forces tha
t intend by
traditional lo
gic
. |
|---|