Análise das condições do Centro de Atenção Psicossocial Estadual de Porto Velho quanto à implantação do Apoio Matricial no atendimento à Saúde Mental
Data
2013-08-26
Autores
Silva, Adriana Dias 
Orientadores
Sonzogno, Maria Cecília
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
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.
The aim of this study is to understand the reality of Psychosocial Attention Center Madeira Mamore, city of Porto Velho, State of Rondonia, in the Brazilian Amazon, and also to identify how a therapeutic pedagogical project among reference and action monitoring teams in health, called matrix support service, is being developed in the investigated service; how these settings related to teams´ service and work processes occur in line with the matrix support service, proposed by the Ministry of Health, and what are the limits and possibilities of CAPS Madeira Mamore, in relation to infrastructure, training and permanent education, and the linkage with the matrix support service. This is a qualitative, descriptive and exploratory study. Data collection consisted of document analysis, systematic observation of the analyzed environment and interviews with eight (8) professionals of the multiprofessional team of the CAPS Madeira Mamore. Data were collected after approval of the Ethics Committee at the UNIFESP, under the number 38312/12. Content of the interviews with professionals were recorded, and then immediately transcribed in full. After the content analysis of the interviews, systematization of observation records and document analysis were performed and classified into categories of analysis. Among the results, it was possible to recognize when professionals of the Madeira Mamore CAPS meet to plan the matrix support development; it was possible to detect in the work process of the teams some important elements for the development of matrix support service, as well as to identify some basic needs for improvement of the training process and permanent education of professionals, who are in need of being more properly oriented, so that the mental health care, and specifically the matrix support service could be more positive. Finally, we could understand what a mental health service points as difficulties and possibilities for the work processes required in the matrix support service such as elements related to the ability to work in groups; to exercise interdisciplinarity; to perform a welcome listening; to transfer expertise and to build a comprehensive treatment plan between health teams and those involved in the reference and matrix support teams and through the sharing of knowledge and practices.
The aim of this study is to understand the reality of Psychosocial Attention Center Madeira Mamore, city of Porto Velho, State of Rondonia, in the Brazilian Amazon, and also to identify how a therapeutic pedagogical project among reference and action monitoring teams in health, called matrix support service, is being developed in the investigated service; how these settings related to teams´ service and work processes occur in line with the matrix support service, proposed by the Ministry of Health, and what are the limits and possibilities of CAPS Madeira Mamore, in relation to infrastructure, training and permanent education, and the linkage with the matrix support service. This is a qualitative, descriptive and exploratory study. Data collection consisted of document analysis, systematic observation of the analyzed environment and interviews with eight (8) professionals of the multiprofessional team of the CAPS Madeira Mamore. Data were collected after approval of the Ethics Committee at the UNIFESP, under the number 38312/12. Content of the interviews with professionals were recorded, and then immediately transcribed in full. After the content analysis of the interviews, systematization of observation records and document analysis were performed and classified into categories of analysis. Among the results, it was possible to recognize when professionals of the Madeira Mamore CAPS meet to plan the matrix support development; it was possible to detect in the work process of the teams some important elements for the development of matrix support service, as well as to identify some basic needs for improvement of the training process and permanent education of professionals, who are in need of being more properly oriented, so that the mental health care, and specifically the matrix support service could be more positive. Finally, we could understand what a mental health service points as difficulties and possibilities for the work processes required in the matrix support service such as elements related to the ability to work in groups; to exercise interdisciplinarity; to perform a welcome listening; to transfer expertise and to build a comprehensive treatment plan between health teams and those involved in the reference and matrix support teams and through the sharing of knowledge and practices.
Descrição
Citação
SILVA, Adriana Dias. Análise das condições do Centro de Atenção Psicossocial Estadual de Porto Velho quanto à implantação do Apoio Matricial no atendimento à Saúde Mental. 2013. 118f. Dissertação (Mestrado Profissional em Ensino em Ciências da Saúde) – Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, 2013.