Desafios no cuidado psicossocial aos usuários de substâncias psicoativas pelos agentes comunitários de saúde no território
Throughout human existence, it is common to perceive the use of multiple psychoactive substances due to different reasons, meanings, and contexts. When addressing such theme, understanding how this demand reaches the Unified Health System (UHS) is essential, especially in Primary Health Care (PHC...
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Format: | Dissertação |
Sprog: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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Online adgang: | https://repositorio.ufrn.br/handle/123456789/49290 |
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Summary: | Throughout human existence, it is common to perceive the use of multiple
psychoactive substances due to different reasons, meanings, and contexts. When
addressing such theme, understanding how this demand reaches the Unified Health
System (UHS) is essential, especially in Primary Health Care (PHC), as well as how it
relates to the professional activities of Community Health Agents (CHAs). Thus, this
research has as its main objective to comprehend how Community Health Agents in
Primary Health Care take care of individuals who make harmful use of psychoactive
substances. The field of research was a Basic Health Unit (BHU) in the city of Santa
Cruz, RN. This is a case study of a qualitative nature, which was carried out through
an intervention-research approach and based on the theoretical framework of
Institutional Analysis. The activities that were developed with the CHAs took place
between August and September, 2021. The data were collected through the three
following instruments: a conversation circle, semi-structured interviews, and a research
diary. In total, 01 conversation circle and 08 individual interviews were carried out. As
for the diary, it was prepared during the experiences described above as a potential for
analysis and reflection in the in loco meetings in the research. With regard to the
analysis of the collected data, important concepts from the theoretical framework of
Institutional Analysis were applied, such as order, demand, transversality, and
implication. When analyzing the interfaces of the CHAs’ work experiences, the
following results were found: a low demand at the BHU by users of psychoactive
substances; valuation of the biomedical model and medicalization; hospitalization in
therapeutic communities as an instituted possibility of care; low planning in the
individual provision of care; and little coverage in intersectoral articulation. Therefore,
although the CHAs’ work may be a challenging task, it is still possible to act in a daily
collective construction that gives space for care based on the bond, listening, and
welcoming guided by the principles that rule Harm Reduction, expanded clinic, and the
UHS. |
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