Navegando por Palavras-chave "Matrix support"
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- ItemSomente MetadadadosA afetividade, o sofrimento ético-político e o cuidado à saúde mental em território de alta vulnerabilidade social(Universidade Federal de São Paulo (UNIFESP), 2014-02-21) Rosa, Karina Rodrigues Matavelli [UNIFESP]; Castro-Silva, Carlos Roberto de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The methodology of Matrix Support presents itself as an important device in the management of health work, thus reference teams and matrix support are essential to the implementation of Extended Practice, which aims to establish a radical commitment to the people with illness and their singularities. Specifically in the field of mental health, this methodology helps to strengthen the mental health services in primary care, and contributes to the realization of some important principles of the Brazilian Public Health System (SUS) and the Psychiatric Reform itself. In this context it is introduced the theme of this research, which sought to investigate and understand, in the domain of lightweight technologies , the quality of the emotional bonds that permeate and underlie the meetings of various people involved in the composition of the micropolitical field of the mental health care in a region of high social vulnerability . We start from a worldview based on the Socio-Historical Psychology, which implies, among other things, conceiving subjectivity from the materiality of social relations. The instruments used for the construction of the qualitative information were participant observation, the field diaries and semistructured interviews with the professionals of the teams . The field diaries were the main guides of the entire analytical process. For the analysis and interpretation of the information we used Thompson´s Depth Hermeneutics (1995), Qualitative Epistemology by González Rey (2011;2012) , and the dialectic of inclusion -exclusion by Sawaia (2010 ) . The information was organized from the three levels of analysis proposed by Depth Hermeneutics, being: the Socio-Historical Analysis, the Formal Analysis and Interpretation / Reinterpretation. We used affection as a category of analysis, in order to understand the specific dynamics that operate in the meeting of the people involved in the care practice, and thus revealing the tone of the dimension of care practiced by these teams, with regard to stigma, prejudice and power relations, among others. Thus we come to the final three perspectives of interpretation / reinterpretation: firstly we discussed the impact of internalization of market values in the health field ,in the second perspective we discussed the psychological distress from the ethical-political sufferings, being both perceived as pain mediated by social injustices, and finally the third perspective that treats affectivity as a power of action , in that it puts individuals as subjects in the process of social emancipation . Therefore respect, trust, complicity and solidarity stood out as structuring affects of the dimension of care in health, because they are responsible for achieving the "good meetings ", boosters of the acting force of the subjects. Accordingly, we conclude that centralizing affectivity in building production practices in health care, especially in mental health, is above all being able to acknowledge the pain and suffering of the other and investing in the process of politicization of these subjects, enhancing the ability of each of them as a transforming agent of themselves and their reality, from the knowledge of the mechanisms that oppress them, dehumanize them and get them sick.
- ItemAcesso aberto (Open Access)Análise das condições do Centro de Atenção Psicossocial Estadual de Porto Velho quanto à implantação do Apoio Matricial no atendimento à Saúde Mental(Universidade Federal de São Paulo (UNIFESP), 2013-08-26) Silva, Adriana Dias [UNIFESP]; Sonzogno, Maria Cecília [UNIFESP]; http://lattes.cnpq.br/8179958381249653; http://lattes.cnpq.br/0529388486637904; Universidade Federal de São Paulo (UNIFESP)Este estudo busca compreender a realidade do Centro de Atencao Psicossocial – CAPS Madeira Mamore, do municipio de Porto Velho, estado de Rondonia, na Amazonia brasileira, e identificar como o projeto pedagogico terapeutico, entre equipes de saude de referencia e matriciadoras, denominado de apoio matricial, esta sendo implantado no servico pesquisado; como cenarios referentes ao servico e aos processos de trabalho das equipes ocorrem em consonancia com o apoio matricial, proposto pelo Ministerio da Saude, e quais sao os limites e possibilidades do CAPS Madeira Mamore, em relacao a sua infraestrutura, formacao e educacao permanente, e a vinculacao com o apoio matricial. Trata-se de uma pesquisa qualitativa, de carater descritivo e exploratorio. A coleta de dados compreendeu analise de documentos, observacao sistematica do ambiente sob estudo e entrevistas com oito profissionais da equipe multiprofissional, do CAPS Madeira Mamore. Os dados foram coletados apos parecer de aprovacao do Comite de Etica e Pesquisa da UNIFESP, sob o numero 38312/12. O teor contido nas entrevistas dos profissionais foi gravado, e logo em seguida transcrito na integra. Apos a analise de conteudo das entrevistas, da sistematizacao dos registros de observacao e da analise documental foi possivel classificar os resultados em categorias de analise. Dentre as impressoes levantadas e possivel reconhecer em que momento os profissionais e o CAPS Madeira Mamore se encontram para o desenvolvimento do apoio matricial; foi perceptivel no processo de trabalho das equipes detectar alguns elementos importantes para o desenvolvimento do apoio matricial, bem como identificar algumas necessidades basicas para aperfeicoamento dos processos de formacao e educacao permanente dos profissionais, que precisam ser mais bem conduzidos, para que a atencao em saude mental, e especificamente, para o apoio matricial possam ser mais resolutivos. Por fim, foi possivel tambem entender o que um servico de saude mental aponta como dificuldades e possibilidades para os processos de trabalho exigidos no apoio matricial, que requerem elementos relacionados a capacidade de se trabalhar em grupo; de se exercer a interdisciplinaridade; de se realizar uma escuta acolhedora; de se transferir conhecimento especializado e de se construir um plano terapeutico integral entre equipes de saude matriciadoras e de referencia atraves do compartilhamento de saberes e praticas.
- ItemSomente MetadadadosApoio à atenção básica de saúde: percurso da pesquisa-intervenção(Universidade Federal de São Paulo (UNIFESP), 2014-07-11) Brandalise, Carmem Lucia [UNIFESP]; Mendes, Rosilda [UNIFESP]; http://lattes.cnpq.br/3746693286898810; http://lattes.cnpq.br/1977459287536762; Universidade Federal de São Paulo (UNIFESP)This study analyzes the work of the Multidisciplinary Team in the Health and Care Section of Community, Department of Primary Care in the Municipality of Santos which is composed of several professional areas and divided up in a way that meets the four health districts of the municipality, organized to follow all Primary Care services. The methodology used was the research intervention, assuming the construction of spaces for collective questioning in a dialectical movement of action-reflection-action. The data were produced by six problem workshops arranged by themes chosen collectively by the subjects involved in the study: "support matrix"; "work process in health"; "care"; and "interdisciplinary and multidisciplinary." For the record, in addition to recording, it was used the methodology of the scribe, which consists of a free record of the progress of the meeting by one of the workshop participants. The ordering of data included the transcription of tapes and reading the records of the scribes and field diaries. The ordination and classification of data allowed to grasp the relevant issues settling four analytical categories: "The practice of teamwork"; "The practice of care: tensions between what you want and what you do"; "The ways of organizing work to transform the management of care"; and 'Research intervention: capability to invent and reinvent ". The study suggests the need to establish systematic spaces for discussion of the work process with primary care amount of units of responsibility of each SEATESC professional, as well as their monitoring schedules of the teams in the Primary Care services, to strengthen interdisciplinary work and the organization based on the real need of the local teams; and the SEATESC need of utilization of the potentiality of the intervention research method due to the possibility of experimentation, which allows to make room for collective reflections, to find alternative co-management and co-responsibility of care. Finally, the study found that subjects envision possibilities for the development of a supportive practice having reference from their own experience in SEATESC, so that productive assemblages are operated in a way that bring innovations to the practice of care professionals in order to qualify the care with the monitoring in network; the need to review the.
- ItemSomente MetadadadosSaúde mental na atenção básica: apoio matricial no município de Santos(Universidade Federal de São Paulo (UNIFESP), 2017) Ronchetti, Simone de Sousa Bernardino [UNIFESP]; Moreira, Maria Inês Badaró [UNIFESP]; http://lattes.cnpq.br/1186084305231587; http://lattes.cnpq.br/9951638348793254; Universidade Federal de São Paulo (UNIFESP)The Psychosocial Care Network (RAPS) aims to consolidate an open and community-based model of care. It counts on basic care as one of its support points. Matrix support in Mental Health is one of the strategies that aim to establish this network care and redirect the demands put upon the Psychosocial Care Centers (CAPS), which should prioritize the care of patients with serious and persistent mental disorders. That strategy was implemented in the municipality of Santos as of 2011. Objectives: the general objective was to analyze the matrix support that takes place between a CAP and two primary care units in Santos. Method: the research was accomplished by means of a case study that involved documental analysis and focus groups with community health agents. Data were elaborated according to dialetical hermeneutics. Results: it could be observed that the matrix support is redirecting the municipality’s mental health demands with the change of flow of exclusive care at the CAPS to the care at the RAPS. It is important to emphasize the importance of community health agents in the identification of issues and in the care in mental health, with a proximity to the psychosocial model. Conclusion: Despite the need for training and qualification, the potency of lay people knowledge and acting in mental health care was identified, with the matrix support meetings as a place for continuing health education. Matrix support enables the network care that is necessary for completeness, although an articulation among all RAPS’s points is also required.