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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Reforma psiquiátrica Atenção à crise Matriciamento Estratégia atenção psicossocial CNPQ::CIENCIAS HUMANAS::PSICOLOGIA |
spellingShingle |
Reforma psiquiátrica Atenção à crise Matriciamento Estratégia atenção psicossocial CNPQ::CIENCIAS HUMANAS::PSICOLOGIA Silva, Maura Lima Bezerra e A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial |
description |
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
. |
author2 |
Dimenstein, Magda Diniz Bezerra |
author_facet |
Dimenstein, Magda Diniz Bezerra Silva, Maura Lima Bezerra e |
format |
doctoralThesis |
author |
Silva, Maura Lima Bezerra e |
author_sort |
Silva, Maura Lima Bezerra e |
title |
A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial |
title_short |
A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial |
title_full |
A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial |
title_fullStr |
A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial |
title_full_unstemmed |
A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial |
title_sort |
atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial |
publisher |
Universidade Federal do Rio Grande do Norte |
publishDate |
2016 |
url |
https://repositorio.ufrn.br/jspui/handle/123456789/20258 |
work_keys_str_mv |
AT silvamauralimabezerrae aatencaoacriseeoapoiomatricialanalisadoresdaestrategiaatencaopsicossocial AT silvamauralimabezerrae atencaoacriseeoapoiomatricialanalisadoresdaestrategiaatencaopsicossocial |
_version_ |
1773963398013255680 |
spelling |
ri-123456789-202582017-11-03T07:22:09Z A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial Silva, Maura Lima Bezerra e Dimenstein, Magda Diniz Bezerra http://lattes.cnpq.br/5385851600589784 http://lattes.cnpq.br/9681334300604531 Araújo, Liége Uchôa Azevedo de http://lattes.cnpq.br/8477262306974827 Pereira, Maria Teresa Lisboa Nobre http://lattes.cnpq.br/1234091318043836 Yasui, Silvio http://lattes.cnpq.br/6805148444025544 Paulon, Simone Mainieri http://lattes.cnpq.br/6053363307031981 Reforma psiquiátrica Atenção à crise Matriciamento Estratégia atenção psicossocial CNPQ::CIENCIAS HUMANAS::PSICOLOGIA 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 . Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) A Política Nacional de Saúde Mental se caracteriza como uma política territorial-comunitária e tem a Estratégia Atenção Psicossocial (Eaps) como norteadora para a proposição e o desenvolvimento de suas ações. Em seu desenho, o CAPS é um equipamento estratégico dentro da Rede de Atenção Psicossocial/RAPS. O apoio matricial e a atenção à crise configuram frentes estratégicas de ação dos CAPS em sua missão substitutiva e, guiados pela bússola da desinstitucionalização, são essenciais para o êxito desses serviços. Defendemos que sustentar crises nos territórios existenciais de vida é uma condição para a efetivação da Atenção Psicossocial e, no limite, para a sustentabilidade da própria Reforma. Nesta direção, a ferramenta do apoio matricial se revela uma apoiadora territorial, intercessora e potente na construção de uma Atenção Psicossocial à crise. Reconhecidos como grandes desafios pelo Ministério da Saúde, avançar estas frentes se materializa para os trabalhadores em seus ofícios micropolíticos. A nossa pesquisa se coloca como um investimento na direção de potencializá-las e teve como objetivo conhecer a operacionalização da atenção à crise e do apoio matricial em um CAPS II, na perspectiva dos seus trabalhadores, bem como analisar tais práticas frente aos princípios e propósitos da Estratégia Atenção Psicossocial. Inspirados na pesquisa-intervenção e no ideário político-social da Análise Institucional, ofertamos um espaço de reflexão e troca, através de entrevistas de implicação, possibilitando que os trabalhadores se lançassem em análise das práticas na perspectiva da Eaps. Fizemos consulta documental ao Projeto Técnico do CAPS e uma etapa de restituição, organizada em formato de oficina e rodas de conversa. Lógicas institucionais competem no Serviço. Operando pela lógica do risco, dificuldades em sustentar situações de crises mais intensas foram identificadas, de modo que o hospital psiquiátrico termina sendo utilizado como um recurso de internação, principalmente diante de casos em que o elemento da agressividade se faz contundente, e quando os suportes do SAMU, dos CAPS III e dos Leitos de Atenção Integral não respondem a contento. Indicam-se fragilidades de ordem macro e micro interferindo no suporte da rede. As ações do matriciamento, mesmo identificadas como um potente recurso intercessor no cuidado à crise, apareceram enfraquecidas, apontando pouca porosidade na relação Serviço com o território. Marcadas pela lógica do atendimento domiciliar, sem operar prioritariamente como dispositivo de troca de saberes, vê-se pontos de captura na lógica da assistência, com produção de ambulatorização do CAPS, práticas assistencialistas e de “apaga-fogo”. Efeitos das ações de cuidado nos usuários são identificados pelos trabalhadores sem as repercussões desejadas no horizonte de expansão da vida e a Eaps, ainda que desponte como um norteador, não é vista como prática efetivada. Apesar de os resultados sinalizarem que a atenção à crise e as ações do matriciamento são desenvolvidas sem conexão tenaz com os propósitos da Eaps, casos exitosos são indicados tendo como principais fios condutores a tessitura micropolítica da intersetorialidade das ações, dos vínculos potentes e da participação do usuário em seu processo de cuidado, indicando forças insurgentes que tencionam por deslocamentos de lógicas tradicionais. 2016-04-22T21:50:51Z 2016-04-22T21:50:51Z 2015-06-12 doctoralThesis SILVA, Maura Lima Bezerra e. A atenção à crise e o apoio matricial: analisadores da estratégia atenção psicossocial. 2015. 313f. Tese (Doutorado em Psicologia) - Centro de Ciências Humanas, Letras e Artes, Universidade Federal do Rio Grande do Norte, Natal, 2015. https://repositorio.ufrn.br/jspui/handle/123456789/20258 por Acesso Aberto application/pdf Universidade Federal do Rio Grande do Norte Brasil UFRN PROGRAMA DE PÓS-GRADUAÇÃO EM PSICOLOGIA |