Concepção dos profissionais de saúde mental sobre o trabalho multiprofissional desenvolvido em Caps do município de São Paulo

• Ano de defesa: 2017
• Autor(a) principal: Jafelice, Giovana Telles [UNIFESP]
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Mental Health; Public policies; Patient care team; Mental health services; Saúde mental; Politicas públicas; Integralidade em saúde; Equipe de assistencia ao Paciente; Serviços de saúde mental
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=5012142; http://repositorio.unifesp.br/handle/11600/50466

The Brazilian Psychiatric Reform advocates the Paradigm of Psychosocial Care for Mental Health care. It advocates the community, territorial care and in network of replacement services to psychiatric hospitals. In the Network of Psychosocial Care (RAPS), the Psychosocial Care Center (CAPS) is considered strategic equipment for de-institutionalization and care in freedom. Looking for expansion of the biomedical model of attention, it has at its heart the work in a multiprofessional team, under the perspective of disciplinary integration, which aims to ensure comprehensive care. This study aimed to verify with the Mental Health professionals of CAPS, how they understood multi, inter and transprofessionality; how these practices occurred in the CAPS; what are the potentials and challenges of these actions and the importance to users. It was a qualitative study, exploratory, descriptive, with the use of Content Analysis as a methodological framework. We interviewed twenty-seven professionals of nine CAPS tied to the City of São Paulo, who responded to four guiding questions developed by the authors. The research was approved by the CEP UNIFESP (CAAE 43383515.6.0000.5505) and by the CEP SMS (CAAE N 43383515.6.3001.0086), in May 2015. The results were organized into four categories: Definition of work in a multiprofessional team, interprofessional and transprofessional issue in Mental Health and specific aspects of various professions; conceptions about the teamwork multi, inter and transprofessional issue in the daily life of CAPS in that act; Evaluation of public mental health policies; and the importance of team work multi, inter and transprofessional issue in Mental Health for the user and possible relations with the integrality of care. There were difficulties in conceptualizing the modalities of disciplinary integration and little questioning the reality of workers, with questions about the specific practices to each area. There were elements facilitators and obstacles of multi and interdisciplinary and devices of the services they provide. Consider that there are still centrality of actions in the figure of the doctor and hierarchy in relations between professionals and between staff and users, jeopardizing the work of integration. There were questioned the distance between the Public Mental Health Policies and the effective practice of professionals, as well as the complexity of the concept of comprehensiveness of care, hampered by the difficulties that the networking of services presents. There is coexistence of biomedical paradigms and Psychosocial Care in dialogues and actions of teams, which compromises the effectuation of the assumptions of the Psychiatric Reform and of deinstitutionalization, processes constructed from actions effectively anti-madhouse and not only the construction of replacement services. It can be assumed that the Psychiatric Reform, although advances in reorientation in mental health care, lack of political decision making appropriate investments in the effectuation of the RAPS and model development journal of mental health care, so that users can achieve effectively the place of citizens.