Avaliação da estrutura e processos de trabalho em um Centro de Atenção Psicossocial
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2015-03-06
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Universidade Federal de Goiás
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The current model of mental healthcare in Brazil aims at aiding people with mental disorders, respecting and encouraging their autonomy. It also prioritizes substitute services therapies, performed by a multidisciplinary team, which fully assists both patients and families. This study aimed to evaluate the structure and work processes in a Psychosocial Care Center in the city of Goiânia-GO, in order to know how they develop healthcare practices based upon the Psychiatric Reform. It is a qualitative intervention research, developed into a Psychosocial Care Center type II from February to August 2014. Twenty-nine professionals from the technical and support staff participated in the research. The intervention process was mediated by the Problematization Methodology, led by the Arch of Maguerez, and consists of five steps: observation of reality; definition of the key points; theory; solution of assumptions and application to reality. Data were obtained in 08 pre-scheduled meetings, which were recorded in digital voice recorder, as well as participant observation, interviews with managers, field research journals and documentary evidence collection. In the first stage, observation of reality, the practices developed in the service were taken into consideration, leading to identification of problems there. In the step regarding the key points, the causes of problems that interfered in the work processes in the service were detected. The theorization of the problems and their causes, which corresponds to the third step, was carried out through directed studies. These studies offered theoretical basis for building solutions, built along the lines of the action plans that have been applied in reality. Several obstacles in the development of work processes were noticed, according to the perspective of the psychosocial model, such as difficulties in the development of user’s therapeutic project; interpersonal relationship between professionals, witch interfered in the development of teamwork and their integration; ineffectiveness of psychosocial care network in Goiania; lack of systematization of care and transition complexity of call service not planned properly. The study provided reflection of the care practices developed by the staff of the institution the main goal was to improve the care provided to users and their families. The process action / reflection / action, with the participants as process protagonists, allowed greater involvement and engagement of professionals in the search for (re) adjustments of the service, providing mutual growth: to the university as a teaching and research institution, and to the care services, as assistance centers. Thus, reformulations in their practices were driven, especially those related to the monitoring of the treatment plan, internal organization units, in relation to the network service approach, and to the integration of teamwork.
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SOUZA, A. C. S. Avaliação da estrutura e processos de trabalho em um Centro de Atenção Psicossocial. 2015. 215 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2015.