1280/2011 - Adaptação da “Critical Time Intervention” para o contexto brasileiro e sua implementação junto a usuários dos Centros de Atenção Psicossocial do município do Rio de Janeiro Adaptation of Critical Time Intervention for use in Brazil and its implementation among users of Psychosocial Service Centers (CAPS) in the municipality of Rio de Janeiro
• Flávia Mitkiewicz de Souza - Souza, F.M. - Instituto de Psiquiatria da UFRJ - <fmitkiewicz@terra.com.br>
Área Temática:
Políticas em Saúde
Resumo:
A Reforma Psiquiátrica Brasileira propõe um modelo de atenção baseado na implantação de uma rede comunitária, no qual os Centros de Atenção Psicossocial – CAPS - detêm papel fundamental. Neste artigo são apresentados os resultados do estudo piloto que visou adaptar para o contexto brasileiro a “Critical Time Intervention” (CTI) e testar sua viabilidade com pessoas com transtornos do espetro esquizofrênico em tratamento nos CAPS do município do Rio de Janeiro. O desenho da pesquisa incluiu três fases inter-relacionadas. A primeira fase consistiu em trabalho de campo qualitativo e quantitativo. Esta fase incluiu o mapeamento das características sócio-demográficas, clínicas e de utilização de serviços dos usuários dos CAPS, bem como conhecer as necessidades concretas dos participantes do estudo. A segunda fase consistiu na tradução do manual clinico da CTI para incluir as adaptações feitas para o seu uso no Brasil, oriundas dos dados coletados na primeira fase, bem como o treinamento de profissionais de nível médio para atuarem como agenciadores da CTI. A terceira fase consistiu na implementação da intervenção adaptada em um grupo de pacientes com transtornos do espectro esquizofrênicos matriculados nos CAPS, mas com dificuldade de se inserir no tratamento
Palavras-chave:
CAPS
Continuidade de cuidados
Critical Time Intervention
Transtornos mentais severos e persistentes
Abstract:
The Brazilian Psychiatric Reform proposes a mental health care model based on the implementation of a community-based services network, where the Psychosocial Service Centers (CAPS) play a fundamental role. The report presents the results of a pilot study which aimed to adapt the Critical Time Intervention to the Brazilian context, and to test its feasibility to provide it to persons with schizophrenic spectrum disorders who are enrolled in CAPS of Rio de Janeiro. Methods: The research design included three inter-related phases. Phase consisted in carrying out qualitative and quantitative field work. This phase included mapping out the socio-demographic, clinical and service utilization data of CAPS users, as well as assessing the mental health needs of participants in the study. The second phase consisted in the translation of the CTI clinical manual to included the adaptations made for use in Brazil, wich were based on data collected in the first phase, as well as the training of individuals with moderate education as CTI intervention workers. The third phase consisted of a pilot implementation of the adapted intervention among a group of individuals with schizophrenia spectrum disorders enrolled in CAPS, but difficult to engage in treatment.
Keywords:
CAPS
continuity of care
critical time intervention
severe and persistent mental illness
Adaptation of Critical Time Intervention for use in Brazil and its implementation among users of Psychosocial Service Centers (CAPS) in the municipality of Rio de Janeiro
Resumo (abstract):
The Brazilian Psychiatric Reform proposes a mental health care model based on the implementation of a community-based services network, where the Psychosocial Service Centers (CAPS) play a fundamental role. The report presents the results of a pilot study which aimed to adapt the Critical Time Intervention to the Brazilian context, and to test its feasibility to provide it to persons with schizophrenic spectrum disorders who are enrolled in CAPS of Rio de Janeiro. Methods: The research design included three inter-related phases. Phase consisted in carrying out qualitative and quantitative field work. This phase included mapping out the socio-demographic, clinical and service utilization data of CAPS users, as well as assessing the mental health needs of participants in the study. The second phase consisted in the translation of the CTI clinical manual to included the adaptations made for use in Brazil, wich were based on data collected in the first phase, as well as the training of individuals with moderate education as CTI intervention workers. The third phase consisted of a pilot implementation of the adapted intervention among a group of individuals with schizophrenia spectrum disorders enrolled in CAPS, but difficult to engage in treatment.
Palavras-chave (keywords):
CAPS
continuity of care
critical time intervention
severe and persistent mental illness
Cavalcanti, M.T., Carvalho, M.C.A., Valencia,E., Dahl, C.M., Souza, F.M.. Adaptação da “Critical Time Intervention” para o contexto brasileiro e sua implementação junto a usuários dos Centros de Atenção Psicossocial do município do Rio de Janeiro. Cien Saude Colet [periódico na internet] (2011/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/adaptacao-da-critical-time-intervention-para-o-contexto-brasileiro-e-sua-implementacao-junto-a-usuarios-dos-centros-de-atencao-psicossocial-do-municipio-do-rio-de-janeiro/8693?id=8693
