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Search Results: 1 - 10 of 40254 matches for " Substitute mental health attention services "
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Saúde mental na rede pública: possibilidade de inser o psicanalítica?
Márcia Goidanich
Psicologia: Ciência e Profiss?o , 2001, DOI: 10.1590/s1414-98932001000400004
Abstract: O presente estudo foi elaborado a partir de quest es que surgiram da experiência de trabalho em um Centro de Aten o Integral à Saúde Mental da rede pública. S o analisadas as particularidades técnicas do trabalho clínico neste ambulatório. Questiona-se sobre a possibilidade da psicanálise inserir-se em um meio t o distinto daquele em que tradicionalmente atua. O estudo conclui que a inser o psicanalítica neste meio parece ser uma via possível e mesmo necessária, mas que para isso é preciso interesse tanto por parte das políticas públicas de saúde, como dos psicanalistas, que precisam vencer suas próprias resistências. This study was elaborated based on the work experience in a Mental Health Integral Attention Center from the public health service. It analyses the technical peculiarities from the clinical work in this out-patient clinic. The article questions about the possibility of psychoanalysis insertion in the public health, a milieu very different from its traditional acting place. The study concludes that the psychoanalytical insertion in this milieu seems to be possible and even necessary, but needs interest both from the public health politics and from the psychoanalysts, that have to overcome their own resistances.
Rede e intersetorialidade na aten??o psicossocial: contextualizando o papel do ambulatório de saúde mental
Severo, Ana Kalliny;Dimenstein, Magda;
Psicologia: Ciência e Profiss?o , 2011, DOI: 10.1590/S1414-98932011000300015
Abstract: the sustainability and function of outpatient mental health clinics, which have historically been part of the psychiatric hospital system, need to be considered in the context of the current changes driven by the psychosocial care strategy. the objective of this research was to understand and analyze the operation of a mental health outpatient clinic and its link with the network of services of the national health system. the methodological and theoretical basis used for the institutional analysis was the social-analytical perspective. the performed procedures were: bibliographic and documentary research, analysis of the record service, participant observation of the institutional routine and daily records in the field and conversation circles with the workers and users. the mental health clinic serves 214 users who seek mainly psychiatric and psychological care, special rights, leisure, social life and professional courses. the primary issue related to the service network was identified as the disconnection between mental health services and primary care. for data analysis, we list two points of argument: 1. the demands for services in the outpatient mental health care clinic and 2. disconnection mental health-primary care. the analyses indicated a failure of network care strategies, the need to revise the clinic protocols and the existence of care limitations due to a lack of sector integration policies.
Acesso, acolhimento e acompanhamento: três desafios para o cotidiano da clínica em saúde mental
Schmidt, Moema Belloni;Figueiredo, Ana Cristina;
Revista Latinoamericana de Psicopatologia Fundamental , 2009, DOI: 10.1590/S1415-47142009000100009
Abstract: the present article discusses the evaluation of the quality of the services rendered at mental health centers (caps) and sees such evaluation as a permanent instrument for reflecting on the centers' activities. evaluation therefore goes beyond the concept of a view from outside. in this case, it consists of a view from inside, while work is being carried out or a posteriori. lines of evaluation, which can be applied to analyses and to the organization of everyday routines at such centers, are also discussed. the author suggests three areas of activities that should be evaluated: access, first interviews and accompaniment, as these are considered fundamental aspects of the work carried out at caps. part of a case study of evaluation for a doctoral thesis written in 2006 is presented here. the case material was collected during supervision meetings with the staff, a setting that is considered an essential activity for analyzing the organization and dynamics of the work carried out at caps. from this perspective, supervisions serve as permanent evaluators of everyday activities at caps.
Validation of the Charleston psychiatric satisfaction scale—Hebrew version adapted for use in Israel  [PDF]
Alexander M. Ponizovsky, David Elisha, Razek Khawaled, Ira Radomislensky
Open Journal of Psychiatry (OJPsych) , 2012, DOI: 10.4236/ojpsych.2012.22019
Abstract: Objective: This study presents the psychometric properties of the Charleston Psychiatric Outpatient Satisfaction Scale—Hebrew Version adapted for use in Israel. Methods: Two subversions were constructed: one for adult clients—Mental Health Client Satisfaction Scale—Hebrew (MHCSS-H) and one for parents (or other caregivers) accompanying children with mental health problems—Mental Health Parent Satisfaction Scale—Hebrew (MHPSS-H). The scales were administered to representative samples of 453 adult outpatients with severe mental disorders and 255 parents, respectively. Results: Internal consistency was excellent for both scales (Cronbach’s alpha coefficients 0.94 and 0.88, respectively). For both subvertsions, there were moderate to strong correlations between satisfaction with five service domains (Availability/Accessibility, Quality of care, Explanation/ Participation, Staff’s attitude, and Facilities conditions) and anchor items “Overall quality of the care provided” and “Would you recommend this clinic to a friend or relative should they need treatment?”) scores. Clients with more time in treatment were more satisfied with all the service domains, except for the staff's attitude domain. Conclusions: The results suggest that both Hebrew subversions are appropriate for routine satisfaction surveys in mental health outpatient settings and for research purposes in Israel.
Entre a saúde coletiva e a saúde mental: um instrumental metodológico para avalia??o da rede de Centros de Aten??o Psicossocial (CAPS) do Sistema único de Saúde
Onocko-Campos, Rosana Teresa;Furtado, Juarez Pereira;
Cadernos de Saúde Pública , 2006, DOI: 10.1590/S0102-311X2006000500018
Abstract: this article presents a preliminary discussion of potential methodological tools for qualitative research on the network of referral centers for psycho-social care (caps) in the brazilian unified health system (sus). the relevance of mental health within the field of public health is examined. the study focuses on the high prevalence of mental disorders and the disproportionate lack of studies on the interface between mental health and public health. the establishment of an interdisciplinary field between public health and mental health is proposed to meet common needs by achieving similar perspectives in knowledge and practice. a particular group of tools is proposed, emphasizing the importance of reclaiming and guaranteeing the roles of various social actors to shape the assessment process, the need for collecting and standardizing academic studies on the topic, and the importance of promoting a new research field focusing on public health policies to support policymakers, managers, and health teams in reshaping their practices.
Avalia??o de servi?os em saúde mental no contexto da reforma psiquiátrica
Wetzel, Christine;Kantorski, Luciane Prado;
Texto & Contexto - Enfermagem , 2004, DOI: 10.1590/S0104-07072004000400012
Abstract: the present work describes a proposal for evaluation of mental health services, harnessing it to the proposal of transformation of the care model, and accomplishing a critical reflection. we understand that the evaluation takes, besides its technical function, a political one, in serving as a support instrument in the effective implantation of the substitutive services to the psychiatric hospital-centered model, as a device, among others, in to search of the consolidation of the psychiatric reform model.
A cria o do Centro de Aten o Psicossocial Espa o Vivo The creation of the psychosocial attention center “living space”
Sérgio Luiz Ribeiro
Psicologia: Ciência e Profiss?o , 2004, DOI: 10.1590/s1414-98932004000300012
Abstract: Este artigo trata do processo da reforma psiquiátrica brasileira, a partir dos anos 80, que levou ao surgimento de servi os alternativos em saúde mental. Mais especificamente, aborda a cria o e organiza o do Centro de Aten o Psicossocial Espa o Vivo, de Botucatu-SP, que ocorreu a partir das transforma es no atendimento aos pacientes psicóticos do Hospital Professor Cantídio de Moura Campos. Faz reflex es sobre a importancia do trabalho em equipe e do respeito à singularidade e subjetividade dos envolvidos nesse processo de mudan a da forma de atendimento ao sofrimento mental. This article deals with the process of the Brazilian psychiatric reform, since the 80’s, that led to the implementation of the alternative services in mental health. It discusses more specifically the creation and organization of the Psychosocial Attention Center “Living Space” of Botucatu-SP, Brazil. This was possible due to the transformations in the care of psychotic patients of “Professor Cantídio de Moura Campos” Hospital. It considers the importance of team work and the respect to the singularity and subjectiveness of the ones involved in the process of changing the attendance of mental suffering.
Territórios do Sistema único de Saúde: mapeamento das redes de aten??o hospitalar
Oliveira, Evangelina X. G. de;Carvalho, Marilia Sá;Travassos, Cláudia;
Cadernos de Saúde Pública , 2004, DOI: 10.1590/S0102-311X2004000200006
Abstract: this article presents two types of networks organized according to patient caseload in health services, concerning both primary hospital care (most frequent hospital procedures) and tertiary care (high-cost procedures). data on inpatient care in brazil in 2000 obtained from the hospital information system of the unified national health system were aggregated by place of residence and hospital location at the municipal level. both the network structure and the node (municipality) hierarchy were established using the dominant flow approach. in addition, a typology of flows was applied to indicate the degree of connection across the networks. primary hospital care networks reach most of the country, and few municipalities are not connected to the network. relatively few cities provide higher-level services, and almost half of the municipalities are unconnected. the ministry of health aims to provide access to frequently used health services near the users' place of residence, and this goal appears to be feasible in the short run. on the other hand, much remains to be done to ensure widespread access to tertiary care.
(Des)constru??o do modelo assistencial em saúde mental na composi??o das práticas e dos servi?os
Quinderé, Paulo Henrique Dias;Jorge, Maria Salete Bessa;
Saúde e Sociedade , 2010, DOI: 10.1590/S0104-12902010000300009
Abstract: the brazilian psychiatric reform has brought a new vision of treatment and monitoring for people with mental disorders. the creation of the community mental health centers (caps) and the insertion of mental health actions in the various levels of complexity of the health system play a major role in the context of the new mental health practices, setting themselves as strategic devices to the transformation of the hospital model. the study aims to discuss the (de)construction of the mental health care model in the city of sobral, state of ceará, in the composition of the professional practices and services. this is a historical and social study, carried out in the integral mental health care network of the city of sobral. for data collection we used systematic observation techniques, documents and semi-structured interview. the research participants were defined by theoretical and empirical saturation. the interviews were conducted with ten users, nine workers and four coordinators of mental health services. the results showed that the health care model of the city was reorganized and the mental health actions of the psychiatric hospital were allocated in the diverse levels of complexity of the health system. the model of psychosocial care provided for people with mental disorders in the city of sobral has contributed to the transformation of the institutional psychiatric model in the composition of knowledge and practice in mental health.
Ampliando o campo de aten??o psicossocial: a articula??o dos centros de aten??o psicossocial com a saúde da família
Souza, ?ndréa Cardoso de;
Escola Anna Nery , 2006, DOI: 10.1590/S1414-81452006000400012
Abstract: it is a reflection about the joint between the center of psychosocial attention and the staff of family health in what is related to the magnifying of the actions in the mental health field. it has as objective to argue the implementation of the mental health politics in the scope of the basic attention of health. for in such a way, a bibliographical research was carried through. among the results, it is observed that the orientation of the politics of attention to the mental health points to the consolidation of new strategies of care as consider redirect the actions for services of territorial basis. it was concluded that as much for the family health as for the centers of psychosocial attention constitute privileged devices for transformations of the practices of attention in mental health. they make possible the construction of other forms of coexistence with the differences, extending the net of solidarity in a determined territory.
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