Navegando por Palavras-chave "Mental Health Care"
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- ItemSomente MetadadadosA assistência ao negro na instituição asilar do Juquery(Universidade Federal de São Paulo (UNIFESP), 2021) Avezani, Amanda Carolina Franciscatto [UNIFESP]; Marcolan, Joao Fernando [UNIFESP]; Universidade Federal de São PauloObjective: To reveal the assistance provided to black people in the period from 1898 to 1930 at Hospício do Juquery, considering the social context and the hegemony of medical knowledge at the time. Method: Qualitative, exploratory-descriptive study, using a document analysis framework. The analysis of all medical records of inpatients in the period (about 6,300) in the Archive of Cultural Heritage of the Juquery Hospital Complex was carried out, with approximately 1,400 of black people, of which 457 records were included, being 140 women and 317 men. The selected period covered the direction of Francisco Franco da Rocha and Antônio Carlos Pacheco e Silva, whose ideas substantially influenced the institutional and national guidelines adopted and comprised the First Republic (1889-1930) with ostensible, violent and legitimized characteristics assumed by racism at the time. . Inclusion criteria to be denominated negro (a), pardo (a), caboclo (a), moreno (a) or mulatto (a) of both sexes with a minimum of 14 years of age, hospitalized in the period. The non-inclusion of medical records for not having enough data to meet the objectives. In the documentary research, methods and techniques were used to apprehend, understand and analyze the data from the chosen records, extracting essential information according to an instrument developed by the researchers to achieve the objectives of the study. The context considered the social examination in which the document was produced and the author was inserted and those to whom the documentation was intended. The political, economic, social and cultural situation that accompanied the production of medical records was analyzed. Results: Few inmates were considered to have some type of education and when present, it was considered primary, rudimentary or elementary. The origin in general was from disciplinary institutes, jails, police stations, penitentiaries, collections and judicial determinations. Most of the diagnoses were related to racial issues. such as progressive general paralysis, alcoholism, vagrancy, degeneration and eugenics and behavior outside the accepted social standards, especially for women, with sexist, patriarchal and moralistic views that were not compatible with the daily lives of most women, who were considered immoral and unhygienic and therefore excluded with hospitalization. Cultural aspects were also criminalized or received medical versions. They received clinical treatments that did not justify the hospitalization and the length of it. Most had no therapeutic proposal described to reinforce the hypothesis of the intention that keeping these subjects in the Hospice did not occur for the proposal of care. Institutional violence under the justification of discipline and moralizing character, which fell so devastatingly on the participants, could still be perceived more sharply from the roundabout. Institutional violence was present under the guise of treatment in many other ways (clinotherapy, pyrethotherapy, malarial therapy, insulin therapy, cardiazol). Abandonment and lack of assistance became a scenario due to the outstanding number of participants who had parasitosis, cachexia, malnutrition, anemia and a significant part of the analyzed medical records pointed to death as the outcome of hospitalization. Psychiatry played a leading role as a policy of intervention, with its knowledge-power, which focused on the individual and collective, with disciplinary and regulatory effects at a time that sought to constitute itself from a project of a modern, orderly nation, in full economic rise and began by excluding the undesirables. Conclusion: Psychiatric care for blacks at Hospício do Juquery was structured in racist, sexist, patriarchal and moralist paradigms. The practices were characterized by oppression, surveillance, violence, neglect, neglect, repression, reification and the outcome of death.
- ItemAcesso aberto (Open Access)Atenção psicossocial em tempos de pandemia: um olhar para o trabalhador de saúde mental(Universidade Federal de São Paulo, 2022-10-21) Pontes, Érica Sanches [UNIFESP]; Moreira, Maria Inês Badaró [UNIFESP]; http://lattes.cnpq.br/1186084305231587; http://lattes.cnpq.br/6093705434196252; Universidade Federal de São Paulo (UNIFESP)Esta dissertação trata-se de uma pesquisa de estudo de caso e tem como objetivo geral compreender o impacto da pandemia de Covid-19 na oferta de cuidados em saúde mental em um Centro de Atenção Psicossocial, sob a ótica dos trabalhadores desse serviço. Parte da hipótese que as alterações na rotina do CAPS e do cotidiano, em geral, ocasionadas pela pandemia de COVID-19 podem ter reflexos na saúde destas pessoas e no modo de agir profissional. Primordialmente, pretende registrar o impacto na assistência psicossocial e na manutenção da continuidade do cuidado em face às adaptações dos serviços de saúde frente à pandemia, analisar as transformações ocorridas no cotidiano da atenção psicossocial e elucidar estratégias de enfrentamento acionadas pelos trabalhadores. Esse é um estudo de caráter qualitativo e o método escolhido para entender esse período de transformações foi o estudo de caso. Para a produção dos dados utilizamos a observação participante e as entrevistas com os trabalhadores. Foi utilizada a análise de conteúdo que segundo Bardin (2011) é “um conjunto de técnicas de análise das comunicações que utiliza procedimentos sistemáticos e objetivos de descrição do conteúdo das mensagens”. Foram encontrados cinco temas principais para análise: estratégias utilizadas no cuidado, sentimentos vividos e pontos positivos, impactos da pandemia/isolamento social, desafios do trabalho em rede e em adição, situações de adoecimento. Os achados sugerem situações de agravo dos problemas estruturais anteriores à pandemia, como falta de profissionais, aumento da demanda e insalubridade. Pode-se concluir que existe a necessidade de fortalecimento da rede de atenção psicossocial e implementação de estratégias para renovação dos serviços pós-pandemia.
- ItemSomente MetadadadosRompendo muros invisíveis: deslocamentos com moradores de um serviço residencial terapêutico por trajetos expressivos(Universidade Federal de São Paulo (UNIFESP), 2017-10-31) Queiroz, Renata Brändle Morato de [UNIFESP]; Liberman, Flávia [UNIFESP]; Maximino, Viviane Santalucia [UNIFESP]; http://lattes.cnpq.br/4009544927681281; http://lattes.cnpq.br/8790313628912498; http://lattes.cnpq.br/7545158475051120; Universidade Federal de São Paulo (UNIFESP)Starting from transits and immersions in territories and challenges of brazilian psychiatric reform, from relations and affinities with errant bodies and speeches, this study was interested in mobilizing residents of a therapeutic residential service (TRS) through expressive actions performed out of home, displacements traditionally valued in the occupational therapy clinic. The researcher undertook the identification of programs that offered artistic activities in the neighborhood, experimented several of them and elected one to go and practice during three months with some residents of the TRS studied. The intervention research was based on cartographic methods and concepts to produce and discuss their reverberations, to map the marks, the restlessness, the necessary deviations and the plans of force that operated this experience, opening subjects and topics of discussion, and attentive looks to the delicateness and offal of the process. The meetings were recorded by transparency drawings, narratives and photographs, trying to capt what had affective power. Thus, we recognized clues to how the research interlocutors seem to have been affected by these outings, potentialities of support offered by the artictic-cultural project frequented, the nodes and difficulties of the course - vestiges of the psychiatric institution in the substitutive services - and the re-signification of these obstacles. The activity practiced propitiated the route in unknown or unexplored expressive territories, stitched up new bonds and languages, expanded sensory pores, made possible the expression of feelings, the recognition of significant places and the extension of interests, the circulation of affections, molecular modifications of the social context and the valorization of an aesthetic unrelated to beauty standards, an aesthetic committed to producing new ways of life and existence. We have notticed the importance of managers and workers of TRSs to enlarge their reflections about the expansion of the living and participation spaces of the residents, through permanent education scenarios. Finally, this work is expected to inspire inventiveness in the daily routine of mental health care, in the various equipments of psychosocial rehabilitation.