o cuidado ao portador de transtorno psíquico na atenção básica de saúde health care given to people suffering of mental disorders assisted by basic health attention

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ID: 163668
2001
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Abstract
Este trabalho objetiva compreender o cuidado prestado em saúde aos portadores de transtornos psíquicos na atenção básica em saúde. Foi desenvolvido em um bairro periférico do município de Maceió, de exclusividade do Programa de Saúde da Família. Buscou nesse cenário e nos relatos de experiência dos portadores, seus familiares e profissionais de saúde, o material para essa compreensão. Utilizou uma abordagem qualitativa de estudo de caso referendada por Lüdke & André e Minayo para a análise final. Revelou que o cuidado ao portador psíquico na atenção básica em saúde tem sido medicalizado, hospitalar e fragmentado. Os profissionais de saúde, assim como as famílias têm reproduzido a lógica do internamento psiquiátrico, que é reforçada pela insuficiência e ineficácia do sistema público de atenção em saúde mental local. O Programa de Saúde da Família, neste caso, não tem sido capaz de mudar a lógica da atenção centrada no modelo biomédico e, sua forma de cuidar em saúde não se coaduna com os princípios da Reforma Sanitária e Psiquiátrica. Sua penetração nas redes sociais é tímida e a dinâmica das ações é passiva e individual. Formas de abordagem baseadas na escuta, no acolhimento e no vínculo são raramente utilizadas.
The aim of this study is to understand how health care is given by the basic health attention to people who have mental disorders. It was carried out in a suburb, assisted only by The Family Health Program, in the outskirts of the borough of Maceió, in the state of Alagoas, Brazil. This study searched for the material for this comprehension in this scenery and patient's experience reports their families and professionals of health. A qualitative approach of the study case was based on Lüdke and André's theory for data collection and Minayo's theory for final analysis. This study case showed that the health care to people given by the basic health attention who have mental disorders had been medicated, hospitalised and fragmented. The professionals of health, as well as, the families have reproduced the committal's logical, that is reinforced for insufficiency and inefficiency of the mental health public system. The Family Health Program, in this case, isn't able to change the logical centred in the biomedical model, its way of care isn't coherent with the principles of Sanitary and Psychiatric Reform. The penetration of the professionals in social nets is still very small and the dynamic of theirs actions is individual and passive. Forms of approaches founded in listening, in welcome, and in linking are rarely used.
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brda2001cinciao Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Mércia Zeviani Brêda;Lia Giraldo da Silva Augusto
Journal journal of physical activity & health
Year 2001
DOI
10.1590/S1413-81232001000200016
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232001000200016
Keywords
health care mental disorders family health programpublic aspects of medicine basic health attention

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