1427/2012 - Acesso e integralidade: a compreensão dos usuários de uma rede de saúde mental. Access and integrality: the understanding of users of a network of mental health
Analisa as compreensões dos usuários dos Centros de Atenção Psicossocial sobre a atenção em saúde mental, com foco na integralidade e no acesso. Estudo de abordagem qualitativa com referencial teórico-metodológico da Avaliação de Quarta Geração e aplicação da técnica do Círculo Hermenêutico Dialético. Foram entrevistados 12 usuários de dez serviços de saúde mental de Fortaleza, de março a maio de 2011. Os temas do estudo foram agrupados a partir das narrativas, tendo como referencial de análise a hermenêutica de Paul Ricoeur. As categorias temáticas trabalhadas foram: compreensões sobre atenção em saúde mental; tempos quebrados: conflitos entre as ofertas e as necessidades subjetivas de receber; aproximações e distanciamentos: entre a tutela e autonomia; ausência e pertença: CAPS aberto e não comunitário e entre o estigma e a humanização do cuidado. Os principais achados: os CAPS são vistos como espaço de convivência capaz de estabelecer redes afetivas e sociais; estigmas, preconceitos e tutela estão presentes nos serviços, nas famílias e na comunidade; as práticas manicomiais persistem nos serviços substitutivos; a humanização do cuidado amplia o acesso e o vínculo com os serviços; a trajetória dos usuários no SUS ocorre devido as suas necessidades sociais e de saúde.
Palavras-chave:
Acesso
Integralidade
Saúde Mental.
Compreensão
Hermenêutica.
Redes Sociais e Comunitárias.
Abstract:
This article analyzes the users‘ understanding about the Psychosocial Care Centers on mental health care, focusing on integrality and access. A qualitative study with theoretical and methodological references of the Fourth Generation Evaluation and the application of the Hermeneutic Dialectic Circle technique. Twelve users of ten mental health services in Fortaleza were interviewed from March to May 2011. The themes of the study were gathered from the narratives, having as referencing analysis the hermeneutics of Paul Ricoeur. The thematic categories worked were the following: mental health care understanding; broken times: conflicts between vacancies and subjective needs to receive; similarities and differences: between the authority and autonomy; absence and belonging: open Psychosocial Care Centers and non-community centers; between the stigma and humanization. The main findings are: the Psychosocial Care Centers are seen as conviviality spaces able to establish affective and social networks; stigma, prejudice and tutelage are present at the services, their families and the community; hospice practices persist in replacement services; the humanization of care extends the access and the link to the services; the trajectory of the Unified Health Center users occurs due to their social and health needs.
Keywords:
Access
Integrality
Mental Health.
Understanding
Hermeneutics
Social and Community Networks
Access and integrality: the understanding of users of a network of mental health
Resumo (abstract):
This article analyzes the users‘ understanding about the Psychosocial Care Centers on mental health care, focusing on integrality and access. A qualitative study with theoretical and methodological references of the Fourth Generation Evaluation and the application of the Hermeneutic Dialectic Circle technique. Twelve users of ten mental health services in Fortaleza were interviewed from March to May 2011. The themes of the study were gathered from the narratives, having as referencing analysis the hermeneutics of Paul Ricoeur. The thematic categories worked were the following: mental health care understanding; broken times: conflicts between vacancies and subjective needs to receive; similarities and differences: between the authority and autonomy; absence and belonging: open Psychosocial Care Centers and non-community centers; between the stigma and humanization. The main findings are: the Psychosocial Care Centers are seen as conviviality spaces able to establish affective and social networks; stigma, prejudice and tutelage are present at the services, their families and the community; hospice practices persist in replacement services; the humanization of care extends the access and the link to the services; the trajectory of the Unified Health Center users occurs due to their social and health needs.
Palavras-chave (keywords):
Access
Integrality
Mental Health.
Understanding
Hermeneutics
Social and Community Networks
OLIVEIRA.RF, GOYA.N, ANDRADE.LOM. Acesso e integralidade: a compreensão dos usuários de uma rede de saúde mental.. Cien Saude Colet [periódico na internet] (2012/ago). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/acesso-e-integralidade-a-compreensao-dos-usuarios-de-uma-rede-de-saude-mental/10990?id=10990&id=10990
