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2.
Rev Esc Enferm USP ; 56: e20210363, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35323836

RESUMO

OBJECTIVE: To recognize the actions related to race/color developed in the care process of the black child and adolescent population of a Psychosocial Care Center for children and adolescents in Brazil. METHOD: This is a study with a qualitative approach focusing on the three-dimensional racism framework. Data were collected through active medical records and interviews with reference professionals. The results were categorized and thematized through content analysis and the following themes were found: typology of child violence, identification of racism, the school, access to black culture and representativeness. This study obtained ethical approval. RESULTS: The race/color question in the face of violation of fundamental rights of black children/adolescents contributes to the understanding of racism as a social determinant of mental health. Actions to empower the black population include the insertion of the race-color question as an analytical and procedural category in the Singular Therapeutic Projects, as an integral practice of multiprofessional teams work process. CONCLUSION: It is necessary to invest persistently in the identification and qualification of actions and systematic discussions to face the psychosocial effects of racism.


Assuntos
Reabilitação Psiquiátrica , Adolescente , Brasil , Criança , Família , Humanos , Saúde Mental
3.
BMC Health Serv Res ; 22(1): 390, 2022 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-35331222

RESUMO

BACKGROUND: The international terrorism threat urges societies to invest in the planning and organization of psychosocial care. With the aim to contribute to cross-national learning, this study describes the content, target populations and providers of psychosocial care to civilians after terrorist attacks in Norway, France and Belgium. METHODS: We identified and reviewed pre- and post-attack policy documents, guidelines, reports and other relevant grey literature addressing the psychosocial care response to terrorist attacks in Oslo/Utøya, Norway on 22 July 2011; in Paris, France on 13 November 2015; and in Brussels, Belgium on 22 March 2016. RESULTS: In Norway, there was a primary care based approach with multidisciplinary crisis teams in the local municipalities. In response to the terrorist attacks, there were proactive follow-up programs within primary care and occupational health services with screenings of target groups throughout a year. In France, there was a national network of specialized emergency psychosocial units primarily consisting of psychiatrists, psychologists and psychiatric nurses organized by the regional health agencies. They provided psychological support the first month including guidance for long-term healthcare, but there were no systematic screening programs after the acute phase. In Belgium, there were psychosocial intervention networks in the local municipalities, yet the acute psychosocial care was coordinated at a federal level. A reception centre was organized to provide acute psychosocial care, but there were no reported public long-term psychosocial care initiatives in response to the attacks. CONCLUSIONS: Psychosocial care responses, especially long-term follow-up activities, differed substantially between countries. Models for registration of affected individuals, monitoring of their health and continuous evaluation of countries' psychosocial care provision incorporated in international guidelines may strengthen public health responses to mass-casualty incidents.


Assuntos
Reabilitação Psiquiátrica , Terrorismo , Bélgica , França , Humanos , Noruega
4.
Acad Pediatr ; 22(3S): S100-S107, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35339236

RESUMO

BACKGROUND AND OBJECTIVE: First-line, nonpharmacological therapy is recommended for many pediatric mental health (MH) conditions prior to initiating antipsychotic prescription therapies. Many children do not receive these recommended services, despite the known association between antipsychotic medications and metabolic dysfunction. The main objective of this study was to quantify the association among children's MH diagnosis categories, sociodemographic characteristics and receipt of first-line psychosocial care among children in Florida Medicaid METHODS: Florida Medicaid enrollment, healthcare and pharmacy claims were used for this multivariate analysis. Children were assigned to condition clusters wherein related diagnoses were grouped into clinically relevant categories. A total of 7704 children were included in the final analysis. RESULTS: Twenty-four percent of children in Florida Medicaid do not receive first-line, nonpharmacological psychosocial care. Age was significantly associated with not receiving psychosocial services, with older children less likely to receive. Non-Hispanic White children as well as those living in rural areas had lower odds of receiving behavioral intervention prior to initiating antipsychotics. Children with mood-disorders, behavior problems, anxiety and stress related disorders were more likely to receive first-line psychosocial care. CONCLUSIONS: This study provides an important understanding of the variability in receipt of first-line psychosocial care before antipsychotic medication initiation among children in Medicaid based on sociodemographic and MH health characteristics. These analyses can be used to develop quality improvement initiatives targeted toward children that are most vulnerable for not receiving recommended care.


Assuntos
Antipsicóticos , Reabilitação Psiquiátrica , Adolescente , Antipsicóticos/uso terapêutico , Criança , Florida , Humanos , Medicaid , Transtornos do Humor/tratamento farmacológico , Estados Unidos
5.
Support Care Cancer ; 30(6): 5311-5318, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35278137

RESUMO

OBJECTIVE: Rates of depression identification in oncology settings and referral to psychosocial services remain low. Patients with lung cancer face an elevated risk of depression relative to patients with other cancers. This study explored perceptions of somatic and affective symptoms and psychosocial care utilization among younger and older lung cancer survivors. METHODS: We conducted in-depth interviews with 20 adults at two academic medical centers in Boston, MA, who had received a lung cancer diagnosis in the past 24 months. A semi-structured interview guide was used to assess experiences with, and perceptions of, depression symptoms and psychosocial services. Interviews were audio-recorded, transcribed, and coded to identify themes. We also explored differences between younger (<65years; N=9) and older (>65years; N=11) patients. RESULTS: Participants commonly described somatic symptoms (i.e., changes in appetite, sleep, or energy levels) and affective symptoms (i.e., worry, fear, sadness) as side effects of cancer treatment. Older participants more commonly contextualized these symptoms with information about how they impacted daily life. Both younger and older participants faced barriers to accessing psychosocial services, with older adults more commonly referencing stigma of service referral and utilization. DISCUSSION: Patients with lung cancer associated both somatic and affective symptoms with their cancer and its treatment, with age differences in how symptoms were described and how psychosocial referrals may be perceived. More systematic integration of psychosocial care into cancer care may help to increase the identification of depression in lung cancer and reduce barriers to psychosocial service utilization.


Assuntos
Sobreviventes de Câncer , Neoplasias Pulmonares , Reabilitação Psiquiátrica , Sintomas Afetivos , Idoso , Humanos , Neoplasias Pulmonares/psicologia , Sobreviventes/psicologia
6.
Artigo em Alemão | MEDLINE | ID: mdl-35347347

RESUMO

Cardiovascular diseases, which primarily include coronary artery disease (CAD), heart failure (HF) and cardiac arrhythmias, are the leading causes of death in the European Union and responsible for most of the serious courses of coronary disease. Acute events are usually the focus of clinical attention. In contrast, there are hardly any structured care and therapy concepts for the long-term course of these diseases. Based on a literature review, this article provides an overview of the long-term consequences and long-term care of heart diseases. Deficits in the psychosocial care of patients and possible solutions are discussed.Patients with CAD often experience problems with medication adherence and compliance to behavioural recommendations due to inadequate long-term psychosocial care. Psychological comorbidities reduce the quality of life and are a driver for health-damaging behaviour. Patients with cardiac arrhythmias often get into a vicious circle of recurrent physical complaints interacting with anxiety and panic attacks and the associated use of outpatient, emergency, or inpatient care facilities. In the course of heart failure, a clinically significant growing number of patients are treated with antidepressants, the benefit of which is rather doubtful.The apparent deficits in long-term psychosocial care of cardiovascular disease and the quality of life of patients could be improved through the increased use of systematic collaborative care models by specialised care facilities with the involvement of general practitioners.


Assuntos
Doença da Artéria Coronariana , Reabilitação Psiquiátrica , Comorbidade , Alemanha , Humanos , Qualidade de Vida
8.
Rev. argent. salud pública ; 14 (Suplemento COVID-19), 2022;14: 1-8, 02 Febrero 2022.
Artigo em Espanhol | LILACS, BINACIS, ARGMSAL | ID: biblio-1363075

RESUMO

INTRODUCCIÓN: La pandemia de COVID-19 alteró el funcionamiento de los sistemas de salud y, particularmente, la provisión de servicios destinados a personas con discapacidad psicosocial de un modo pendiente de análisis en Argentina. El objetivo fue caracterizar los efectos de la pandemia de COVID-19 en los servicios de atención dirigidos a personas con discapacidad psicosocial en Rosario (Santa Fe), Resistencia (Chaco) y el Área Metropolitana de Buenos Aires desde la perspectiva de sus trabajadores durante 2020-2021. MÉTODOS: Se realizó un estudio exploratorio y descriptivo a partir de entrevistas a 53 trabajadores de tres tipos de servicios de rehabilitación (orientados a dar apoyo para la socialización, el trabajo o la vivienda), en dos momentos (fin de 2020 y mediados de 2021). Se calcularon frecuencias y se realizó un análisis temático. RESULTADOS: Hubo una afectación amplia y duradera de los servicios, que se tornaron menos accesibles y eficaces para contribuir a la rehabilitación. Se observaron aspectos comunes, como la adaptación para seguir funcionando, la centralidad de la tecnología y el impacto subjetivo en los trabajadores, marcado por el cansancio. Al año de la pandemia, dos tercios de los servicios orientados a la socialización estaban muy afectados o cerrados. DISCUSIÓN: A partir de la descripción y análisis de cómo se vieron afectados los servicios de rehabilitación, se abre el interrogante respecto de su futuro y el rumbo que tomará la reforma en salud mental.


Assuntos
Saúde Mental , Serviços de Saúde para Pessoas com Deficiência , Reabilitação Psiquiátrica , Sistemas de Apoio Psicossocial , COVID-19
9.
Syst Rev ; 11(1): 32, 2022 02 19.
Artigo em Inglês | MEDLINE | ID: mdl-35183253

RESUMO

BACKGROUND: The psychosocial rehabilitation of an individual with mental illness is an evidence-based approach to reducing the burden of the illness and the associated stigma globally. Specifically, in Africa, it has promising scope for African life and the African economy. Psychosocial rehabilitation is described as a set of approaches that aim to assist an individual in achieving restoration from a state of dependency caused by schizophrenia to a state of being an independent decision-maker. However, there seems to be a dearth of literature and implementation of psychosocial rehabilitation in Africa. Therefore, it is necessary to map studies on how psychosocial rehabilitation is conducted for people living in Africa with the most chronic form of mental illness, schizophrenia. METHODS: This study will adopt the Arksey and O'Malley scoping review framework to search and compile relevant studies. This process will involve three steps: title screening, to be performed solely by the principal investigator, followed by abstract and full-text screening, to be performed independently by two reviewers (the principal investigator and co-investigator). Rayyan QCRI, a systematic reviews web app, will be used for tracking the screening records, and data charting form will be used to extract basic data of included studies. The risk of bias in the articles identified for screening will be assessed by the Mixed Method Appraisal Tool (MMAT). Finally, the content analysis of the screened studies will be performed with NVivo. EXPECTED OUTCOME: This study has the likelihood of revealing a research gap in psychosocial rehabilitation approaches and methods. The review results will constitute part of the available evidence that the researchers aim to adopt in the broader part of the project, which aims to develop implementation strategies for the psychosocial rehabilitation of chronic mental illnesses, specifically schizophrenia, in Sub-Sahara Africa. The implementation process also encompasses disseminating the findings of this review to stakeholders, which will enhance their knowledge of the current state of Sub-Saharan Africa and may stimulate support for the implementation of rehabilitation strategies.


Assuntos
Reabilitação Psiquiátrica , Esquizofrenia , África ao Sul do Saara , Atenção à Saúde/métodos , Humanos , Programas de Rastreamento , Literatura de Revisão como Assunto
10.
Ciênc. Saúde Colet ; 27(1): 173-182, jan. 2022. tab
Artigo em Inglês, Português | LILACS | ID: biblio-1356055

RESUMO

Resumo O objetivo desta pesquisa foi identificar e analisar os temas da cultura corporal mobilizados nas intervenções dos profissionais de Educação Física que trabalham em Centros de Atenção Psicossocial (CAPS) e compreender a presença destes centros nos espaços urbanos exteriores aos CAPS. Realizamos a coleta de dados através de entrevistas semiestruturadas com 18 profissionais de Educação Física, integrantes das equipes de oito CAPS da cidade de Goiânia, Goiás. Os dados foram analisados a partir da técnica de análise de conteúdo. Os resultados indicaram que as intervenções envolvem temáticas diversas. As atividades que no imaginário social estão mais relacionadas com a perspectiva de desenvolvimento da aptidão física estão presentes, com "esportes" e "exercícios físicos e ginásticos" os mais relatados. Entretanto, percebe-se uma abrangência para outras que são menos marcadas pela expectativa de desenvolvimento da aptidão física.


Abstract This study aimed to identify and analyze the themes of body culture mobilized in the interventions of Physical Education professionals working in Psychosocial Care Centers (CAPS) and understand their presence in urban spaces outside the CAPS. We collected data through semi-structured interviews with 18 Physical Education professionals, members of the eight CAPS teams in Goiânia (GO), Brazil. Data were analyzed using the content analysis technique. The results indicated that the interventions involve different themes. In the social imagination, the activities are instead related to the perspective of physical fitness development, and "sports" and "physical and gymnastic exercises" were the most reported. However, there is a scope for others that are less marked by the expected physical fitness development.


Assuntos
Humanos , Reabilitação Psiquiátrica , Educação Física e Treinamento , Brasil
11.
Ciênc. Saúde Colet ; 27(1): 69-78, jan. 2022.
Artigo em Inglês, Português | LILACS | ID: biblio-1356052

RESUMO

Resumo Esta pesquisa destaca a moradia como uma das dimensões da vida de indivíduos que vivenciam sofrimentos psíquicos graves, que reverbera em seu cuidado e plano terapêutico singular. O objetivo deste artigo é apreender os sentidos das experiências de morar para os usuários dos Centros de Atenção Psicossocial (CAPS) do município de Santos, estado de São Paulo. Pesquisa qualitativa realizada com usuários de diferentes serviços por meio de entrevistas semiestruturadas submetidas a análise de conteúdo temática. O estudo identificou que a noção de casa remete a proteção, individualidade e memórias afetivas que corroboram a construção de uma vida concreta ampliada no viver em liberdade na cidade, apresentando moradias plurais, localizadas em territórios distintos. As formas de apropriação dos espaços demonstraram as possibilidades e os desafios próprios das trocas sociais e vivências cotidianas. Estar e habitar uma casa representa ter acesso a bens materiais e subjetivos, assim como a garantia do cuidado em liberdade. Entretanto, ainda existem limitações no exercício da efetiva participação social.


Abstract This research highlights housing as one of the dimensions of the lives of individuals who experience severe psychological suffering, which reverberates in their care and unique therapeutic plan. This paper aims to grasp the Psychosocial Care Centers (CAPS) users' meanings of their experiences of living in Santos (SP), Brazil. This qualitative research was conducted with users of different services through semi-structured interviews submitted to the thematic content analysis. This study identified how the conception of housing relates to protection, individuality, and affective memories that corroborate the construction of an expanded concrete life regarding living in freedom in the city, presenting plural housing located in different territories. Taking ownership of spaces reveals the possibilities and challenges inherent to social exchanges and daily experiences. Being and living in a house means having access to material and subjective goods, besides assuring care in freedom. However, there are still limitations in the effective exercise of social participation.


Assuntos
Reabilitação Psiquiátrica , Brasil , Pesquisa Qualitativa
12.
Ciênc. Saúde Colet ; 27(1): 57-67, jan. 2022. graf
Artigo em Inglês, Português | LILACS | ID: biblio-1356047

RESUMO

Resumo Frente às novas questões que se colocam, a partir da Reforma Psiquiátrica Brasileira, para os processos de desinstitucionalização da loucura no campo da saúde mental, esta pesquisa se debruça sobre os processos de produção de territórios existenciais na cidade, a partir da experiência de usuários de um Centro de Atenção Psicossocial (CAPS). Guiada pelas pistas do método cartográfico, e através da construção de mapas afetivos e da realização de trajetos pela cidade, foi possível acompanhar como os participantes tecem multiplicidades de territórios e redes vivas ao longo de seus itinerários, escapando de lugares instituídos pela lógica manicomial e concretizando princípios da desinstitucionalização na micropolítica de seu cotidiano. Neste movimento, informam-nos reflexões sobre quais cidades desejamos construir, reinventando coletivamente os territórios urbanos como mais sensíveis e permeáveis às forças instituintes, com novas formas de convivência e produção da diferença. Simultaneamente, trazem reflexões sobre de que formas estas vivências singulares de cidade podem comparecer e potencializar os itinerários terapêuticos de uma clínica que se propõe funcionar a partir da lógica do território.


Abstract In the light of new challenges posed to processes of deinstitutionalization by Brazil's mental health reform, this study explores the production of existential territories in the city by recording the experiences of users of a psychosocial care center in São Paulo. Using methods based on social cartography, including the creation of affective maps and accompanying participants on routes around the city, it was possible to understand how participants weave multiplicities of living territories and networks throughout their itineraries, breaking free from places instituted by the asylum logic and cementing the principles of deinstitutionalization in the micropolitics of their everyday lives. During this process, the participants'experiences stimulated reflections on the kind of cities we want to build, collectively reinventing urban territories, making them more sensitive and permeable to instituting forces and creating new ways of living together and producing differences. At the same time, they stimulate reflection on how these singular experiences of the city can be incorporated into and enhance the therapeutic itineraries of clinical practices based on the "logic of territory".


Assuntos
Humanos , Reabilitação Psiquiátrica , Brasil , Saúde Mental , Cidades , Reforma dos Serviços de Saúde
13.
Ciênc. Saúde Colet ; 27(1): 183-192, jan. 2022. tab
Artigo em Português | LILACS | ID: biblio-1356032

RESUMO

Resumo O objetivo desta pesquisa qualitativa foi investigar as concepções teóricas dos trabalhadores sobre o grupo bem como analisar os fatores impulsores e restritivos da prática terapêutica grupal nos Centros de Atenção Psicossocial (CAPS). Participaram do estudo 66 trabalhadores de CAPS e ambulatórios da Rede de Atenção Psicossocial (RAPS) de 23 municípios do estado de Goiás. A coleta de dados se deu por meio de questionário estruturado e entrevista grupal registrada em gravação de áudio e fotografias. Da análise temática dos dados emergiram o conceito do que o grupo é e do que o grupo não é. Tanto no eixo das forças impulsoras, quanto das forças restritivas, as categorias foram organizadas em três blocos de análise: aspectos relacionados ao serviço, aos profissionais e aos usuários. Aspectos relacionais, estruturais, terapêuticos e a competência profissional para a coordenação de grupo se integram de modo antagônico, complementar e indissociável para apreensão da realidade estudada. Conclui-se que evidenciar os aspectos restritivos que precisam ser reconhecidos e aprimorados bem como os impulsores que precisam ser mantidos e potencializados pode contribuir ativamente para ampliar a capacidade terapêutica do uso da tecnologia grupal no contexto da saúde mental.


Abstract This qualitative research aimed to investigate workers' theoretical conceptions regarding group work and analyze the driving and restrictive factors of group therapeutic practice in Psychosocial Care Centers (CAPS). Sixty-six workers from CAPS and outpatient clinics from the Psychosocial Care Network from twenty-three municipalities in the State of Goiás participated in the study. Data were collected through a structured questionnaire and a group interview audio-recorded and documented with photographs. The concept of what the group is and is not emerged from the thematic analysis of the data. The categories were organized into three analysis blocks concerning driving and restrictive forces: service-related, professional-related, and user-related. Relational, structural, and therapeutic aspects and professional competence for group coordination are integrated in an antagonistic, complementary, and inseparable way to apprehend the studied reality. We conclude that highlighting the restrictive aspects that must be recognized and improved and the drivers that must be maintained and enhanced can actively contribute to expanding the therapeutic capacity related to the use of group technology in mental health.


Assuntos
Humanos , Reabilitação Psiquiátrica , Prática de Grupo , Serviços de Saúde Mental , Saúde Mental , Pesquisa Qualitativa
14.
Ciênc. Saúde Colet ; 27(1): 101-110, jan. 2022. tab
Artigo em Inglês, Português | LILACS | ID: biblio-1356029

RESUMO

Resumo Serviços Residenciais Terapêuticos (SRTs) são dispositivos implantados no âmbito da Reforma Psiquiátrica brasileira para apoiar a desinstitucionalização psiquiátrica. Esta pesquisa objetivou comparar as formas de autonomia desenvolvidas por moradores de SRTs de dois municípios da Bahia, analisando sua relação com as estratégias de desinstitucionalização construídas em cada território. Participaram 19 indivíduos dos municípios referidos pelos pseudônimos Paulo Delgado (PD) e Franco Basaglia (FB). Foram realizadas visitas para observação participante e entrevistas com cinco gestores e profissionais das redes de atenção psicossocial. Registros em diários de campo e transcrições de entrevistas subsidiaram a construção de narrativas. Todos os participantes ampliaram o grau de autonomia em relação ao período em que saíram das instituições asilares. As formas de organização dos SRTs nos dois municípios produziram diferentes modos de exercer autonomia: em PD predominou a autonomia no habitar, enquanto em FB predominou a autonomia no transitar pelo território. Em ambos, a autonomia na administração de recursos financeiros foi limitada. Consideramos que as políticas públicas para desinstitucionalização foram efetivas, embora sua operacionalização possa ser aprimorada.


Abstract Therapeutic Residential Services (SRT, in Portuguese) are structures implemented in the context of the Brazilian Psychiatric Reform (BPR), which aims to support psychiatric deinstitutionalization. This paper compares residents of SRTs in two cities in Brazil, analyzing the relationship among the deinstitutionalization strategies and the different types of autonomy they produce. Nineteen individuals from two cities (referred to as Paulo Delgado - PB and Franco Basaglia - FB) participated in this study. Participant observation visits were performed, and five managers and professionals who worked at the psychosocial care networks were interviewed. Narratives were created based on the field diaries and the transcription of the interviews. All the participants raised their degree of autonomy, when compared to the time in which they lived in the psychiatric hospitals. The different ways in which SRTs are organized in both cities produced different manners of exercising autonomy: in PD, home autonomy predominated, while in FB, autonomy in circulating throughout the territory predominated. In both cities, autonomy in managing financial resources was restricted. It was concluded that public policies for deinstitutionalization were effective, although their operationalization could be enhanced.


Assuntos
Humanos , Reabilitação Psiquiátrica , Transtornos Mentais/terapia , Serviços de Saúde Mental , Brasil , Desinstitucionalização , Política de Saúde
15.
Cien Saude Colet ; 27(1): 101-110, 2022 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35043890

RESUMO

Therapeutic Residential Services (SRT, in Portuguese) are structures implemented in the context of the Brazilian Psychiatric Reform (BPR), which aims to support psychiatric deinstitutionalization. This paper compares residents of SRTs in two cities in Brazil, analyzing the relationship among the deinstitutionalization strategies and the different types of autonomy they produce. Nineteen individuals from two cities (referred to as Paulo Delgado - PB and Franco Basaglia - FB) participated in this study. Participant observation visits were performed, and five managers and professionals who worked at the psychosocial care networks were interviewed. Narratives were created based on the field diaries and the transcription of the interviews. All the participants raised their degree of autonomy, when compared to the time in which they lived in the psychiatric hospitals. The different ways in which SRTs are organized in both cities produced different manners of exercising autonomy: in PD, home autonomy predominated, while in FB, autonomy in circulating throughout the territory predominated. In both cities, autonomy in managing financial resources was restricted. It was concluded that public policies for deinstitutionalization were effective, although their operationalization could be enhanced.


Serviços Residenciais Terapêuticos (SRTs) são dispositivos implantados no âmbito da Reforma Psiquiátrica brasileira para apoiar a desinstitucionalização psiquiátrica. Esta pesquisa objetivou comparar as formas de autonomia desenvolvidas por moradores de SRTs de dois municípios da Bahia, analisando sua relação com as estratégias de desinstitucionalização construídas em cada território. Participaram 19 indivíduos dos municípios referidos pelos pseudônimos Paulo Delgado (PD) e Franco Basaglia (FB). Foram realizadas visitas para observação participante e entrevistas com cinco gestores e profissionais das redes de atenção psicossocial. Registros em diários de campo e transcrições de entrevistas subsidiaram a construção de narrativas. Todos os participantes ampliaram o grau de autonomia em relação ao período em que saíram das instituições asilares. As formas de organização dos SRTs nos dois municípios produziram diferentes modos de exercer autonomia: em PD predominou a autonomia no habitar, enquanto em FB predominou a autonomia no transitar pelo território. Em ambos, a autonomia na administração de recursos financeiros foi limitada. Consideramos que as políticas públicas para desinstitucionalização foram efetivas, embora sua operacionalização possa ser aprimorada.


Assuntos
Transtornos Mentais , Serviços de Saúde Mental , Reabilitação Psiquiátrica , Brasil , Desinstitucionalização , Política de Saúde , Humanos , Transtornos Mentais/terapia
16.
Cien Saude Colet ; 27(1): 173-182, 2022 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35043897

RESUMO

This study aimed to identify and analyze the themes of body culture mobilized in the interventions of Physical Education professionals working in Psychosocial Care Centers (CAPS) and understand their presence in urban spaces outside the CAPS. We collected data through semi-structured interviews with 18 Physical Education professionals, members of the eight CAPS teams in Goiânia (GO), Brazil. Data were analyzed using the content analysis technique. The results indicated that the interventions involve different themes. In the social imagination, the activities are instead related to the perspective of physical fitness development, and "sports" and "physical and gymnastic exercises" were the most reported. However, there is a scope for others that are less marked by the expected physical fitness development.


O objetivo desta pesquisa foi identificar e analisar os temas da cultura corporal mobilizados nas intervenções dos profissionais de Educação Física que trabalham em Centros de Atenção Psicossocial (CAPS) e compreender a presença destes centros nos espaços urbanos exteriores aos CAPS. Realizamos a coleta de dados através de entrevistas semiestruturadas com 18 profissionais de Educação Física, integrantes das equipes de oito CAPS da cidade de Goiânia, Goiás. Os dados foram analisados a partir da técnica de análise de conteúdo. Os resultados indicaram que as intervenções envolvem temáticas diversas. As atividades que no imaginário social estão mais relacionadas com a perspectiva de desenvolvimento da aptidão física estão presentes, com "esportes" e "exercícios físicos e ginásticos" os mais relatados. Entretanto, percebe-se uma abrangência para outras que são menos marcadas pela expectativa de desenvolvimento da aptidão física.


Assuntos
Reabilitação Psiquiátrica , Brasil , Humanos , Educação Física e Treinamento
17.
Cien Saude Colet ; 27(1): 183-192, 2022 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35043898

RESUMO

This qualitative research aimed to investigate workers' theoretical conceptions regarding group work and analyze the driving and restrictive factors of group therapeutic practice in Psychosocial Care Centers (CAPS). Sixty-six workers from CAPS and outpatient clinics from the Psychosocial Care Network from twenty-three municipalities in the State of Goiás participated in the study. Data were collected through a structured questionnaire and a group interview audio-recorded and documented with photographs. The concept of what the group is and is not emerged from the thematic analysis of the data. The categories were organized into three analysis blocks concerning driving and restrictive forces: service-related, professional-related, and user-related. Relational, structural, and therapeutic aspects and professional competence for group coordination are integrated in an antagonistic, complementary, and inseparable way to apprehend the studied reality. We conclude that highlighting the restrictive aspects that must be recognized and improved and the drivers that must be maintained and enhanced can actively contribute to expanding the therapeutic capacity related to the use of group technology in mental health.


O objetivo desta pesquisa qualitativa foi investigar as concepções teóricas dos trabalhadores sobre o grupo bem como analisar os fatores impulsores e restritivos da prática terapêutica grupal nos Centros de Atenção Psicossocial (CAPS). Participaram do estudo 66 trabalhadores de CAPS e ambulatórios da Rede de Atenção Psicossocial (RAPS) de 23 municípios do estado de Goiás. A coleta de dados se deu por meio de questionário estruturado e entrevista grupal registrada em gravação de áudio e fotografias. Da análise temática dos dados emergiram o conceito do que o grupo é e do que o grupo não é. Tanto no eixo das forças impulsoras, quanto das forças restritivas, as categorias foram organizadas em três blocos de análise: aspectos relacionados ao serviço, aos profissionais e aos usuários. Aspectos relacionais, estruturais, terapêuticos e a competência profissional para a coordenação de grupo se integram de modo antagônico, complementar e indissociável para apreensão da realidade estudada. Conclui-se que evidenciar os aspectos restritivos que precisam ser reconhecidos e aprimorados bem como os impulsores que precisam ser mantidos e potencializados pode contribuir ativamente para ampliar a capacidade terapêutica do uso da tecnologia grupal no contexto da saúde mental.


Assuntos
Prática de Grupo , Serviços de Saúde Mental , Reabilitação Psiquiátrica , Humanos , Saúde Mental , Pesquisa Qualitativa
18.
Cien Saude Colet ; 27(1): 57-67, 2022 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35043921

RESUMO

In the light of new challenges posed to processes of deinstitutionalization by Brazil's mental health reform, this study explores the production of existential territories in the city by recording the experiences of users of a psychosocial care center in São Paulo. Using methods based on social cartography, including the creation of affective maps and accompanying participants on routes around the city, it was possible to understand how participants weave multiplicities of living territories and networks throughout their itineraries, breaking free from places instituted by the asylum logic and cementing the principles of deinstitutionalization in the micropolitics of their everyday lives. During this process, the participants'experiences stimulated reflections on the kind of cities we want to build, collectively reinventing urban territories, making them more sensitive and permeable to instituting forces and creating new ways of living together and producing differences. At the same time, they stimulate reflection on how these singular experiences of the city can be incorporated into and enhance the therapeutic itineraries of clinical practices based on the "logic of territory".


Frente às novas questões que se colocam, a partir da Reforma Psiquiátrica Brasileira, para os processos de desinstitucionalização da loucura no campo da saúde mental, esta pesquisa se debruça sobre os processos de produção de territórios existenciais na cidade, a partir da experiência de usuários de um Centro de Atenção Psicossocial (CAPS). Guiada pelas pistas do método cartográfico, e através da construção de mapas afetivos e da realização de trajetos pela cidade, foi possível acompanhar como os participantes tecem multiplicidades de territórios e redes vivas ao longo de seus itinerários, escapando de lugares instituídos pela lógica manicomial e concretizando princípios da desinstitucionalização na micropolítica de seu cotidiano. Neste movimento, informam-nos reflexões sobre quais cidades desejamos construir, reinventando coletivamente os territórios urbanos como mais sensíveis e permeáveis às forças instituintes, com novas formas de convivência e produção da diferença. Simultaneamente, trazem reflexões sobre de que formas estas vivências singulares de cidade podem comparecer e potencializar os itinerários terapêuticos de uma clínica que se propõe funcionar a partir da lógica do território.


Assuntos
Reabilitação Psiquiátrica , Brasil , Cidades , Reforma dos Serviços de Saúde , Humanos , Saúde Mental
19.
Cien Saude Colet ; 27(1): 69-78, 2022 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-35043922

RESUMO

This research highlights housing as one of the dimensions of the lives of individuals who experience severe psychological suffering, which reverberates in their care and unique therapeutic plan. This paper aims to grasp the Psychosocial Care Centers (CAPS) users' meanings of their experiences of living in Santos (SP), Brazil. This qualitative research was conducted with users of different services through semi-structured interviews submitted to the thematic content analysis. This study identified how the conception of housing relates to protection, individuality, and affective memories that corroborate the construction of an expanded concrete life regarding living in freedom in the city, presenting plural housing located in different territories. Taking ownership of spaces reveals the possibilities and challenges inherent to social exchanges and daily experiences. Being and living in a house means having access to material and subjective goods, besides assuring care in freedom. However, there are still limitations in the effective exercise of social participation.


Esta pesquisa destaca a moradia como uma das dimensões da vida de indivíduos que vivenciam sofrimentos psíquicos graves, que reverbera em seu cuidado e plano terapêutico singular. O objetivo deste artigo é apreender os sentidos das experiências de morar para os usuários dos Centros de Atenção Psicossocial (CAPS) do município de Santos, estado de São Paulo. Pesquisa qualitativa realizada com usuários de diferentes serviços por meio de entrevistas semiestruturadas submetidas a análise de conteúdo temática. O estudo identificou que a noção de casa remete a proteção, individualidade e memórias afetivas que corroboram a construção de uma vida concreta ampliada no viver em liberdade na cidade, apresentando moradias plurais, localizadas em territórios distintos. As formas de apropriação dos espaços demonstraram as possibilidades e os desafios próprios das trocas sociais e vivências cotidianas. Estar e habitar uma casa representa ter acesso a bens materiais e subjetivos, assim como a garantia do cuidado em liberdade. Entretanto, ainda existem limitações no exercício da efetiva participação social.


Assuntos
Reabilitação Psiquiátrica , Brasil , Humanos , Pesquisa Qualitativa
20.
PLoS Negl Trop Dis ; 16(1): e0010132, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35061673

RESUMO

BACKGROUND: Lower limb disorders including lymphoedema create a huge burden for affected persons in their physical and mental health, as well as socioeconomic and psychosocial consequences for them, their families and communities. As routine health services for the integrated management and prevention of lower limb disorders are still lacking, the 'Excellence in Disability Prevention Integrated across Neglected Tropical Diseases' (EnDPoINT) study was implemented to assess the development and delivery of an integrated package of holistic care-including physical health, mental health and psychosocial care-within routine health services for persons with lower limb disorders caused by podoconiosis, lymphatic filariasis and leprosy. METHODOLOGY/PRINCIPAL FINDINGS: This study was part of the first of three phases within EnDPoINT, involving the development of the integrated care package. Focus group discussions and key informant interviews were undertaken with 34 participants between January-February 2019 in Awi zone, Ethiopia, in order to assess the draft care package's feasibility, acceptability and appropriateness. Persons affected by lower limb disorders such as lymphoedema experience stigma, exclusion from families, communities and work as well as physical and financial hardship. Beliefs in disease causation inhibit affected persons from accessing care. Ignorance was a barrier for health care providers as well as affected persons. Training and education of affected persons, communities and caregivers is important in improving care access. It also requires time, space, materials and financial resources. Both top-down and grass roots input into service development are key, as well as collaboration across stakeholders including charities, community leaders and "expert patients". CONCLUSIONS/SIGNIFICANCE: This study highlighted the need for the EnDPoINT integrated care package and provided suggestions for solutions according to its three aspects of integrated care (integration into routine care; integration of mental health and psychosocial care; and integration of care across the three diseases), thereby giving support for its feasibility, acceptability and appropriateness.


Assuntos
Prestação Integrada de Cuidados de Saúde/métodos , Filariose Linfática/epidemiologia , Elefantíase/epidemiologia , Hanseníase/epidemiologia , Linfedema/psicologia , Adulto , Elefantíase/psicologia , Elefantíase/terapia , Filariose Linfática/psicologia , Filariose Linfática/terapia , Etiópia/epidemiologia , Feminino , Grupos Focais , Serviços de Saúde , Saúde Holística , Humanos , Hanseníase/psicologia , Hanseníase/terapia , Extremidade Inferior/patologia , Linfedema/epidemiologia , Linfedema/terapia , Masculino , Pessoa de Meia-Idade , Reabilitação Psiquiátrica , Estigma Social , Adulto Jovem
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