Weaving networks: discussions about intersectoriality and territorial articulation of mental health services

Detalhes bibliográficos
Autor(a) principal: Lima, Déborah Karollyne Ribeiro Ramos
Data de Publicação: 2024
Outros Autores: Silva, Yure Rodrigues, Guimarães, Jacileide
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3939
Resumo: The actions and services of the Brazilian healthcare system are organized following the logic of Health Care Networks (HCN). Considering the specific needs of individuals experiencing psychological distress and/or substance abuse, the thematic network of mental health care was established: the Psychosocial Care Network (PCN). In order to reflect upon and discuss networked healthcare, we consider that the network is built within a territory through the circulation and interaction of managers, workers, and users. In this sense, the research aimed to identify intersectoral partnerships directly related to psychosocial care, reflecting on their contributions to the continuity of mental health care in the studied territory. To this end, a field research was conducted using a qualitative approach with an exploratory-descriptive focus, in the city of Natal-RN, in randomly selected services, aiming to encompass the various components of the PCN. Data collection took place from May to October 2017, through the implementation of focus group sessions and descriptive observation of services and strategies that comprise the Natal/RN RAPS. The research was approved by the Research Ethics Committee under CAAE 65226817.5.0000.5292 and approval number 1.997.883. The study revealed social assistance services, socio-educational services for children and adolescents who commit infractions, churches, and NGOs as the main intersectoral partnerships in the network. It highlights the need to foster an 'intersectoral action' that moves through the micro and macro spaces of health, assistance, and social security policies for the articulation of Health Care Networks and the realization of the Psychosocial Care Network in the territory.
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spelling Weaving networks: discussions about intersectoriality and territorial articulation of mental health servicesTejiendo redes: discusiones sobre intersectorialidad y articulación territorial de servicios de salud mentalTecendo redes: discussões sobre intersetorialidade e articulação territorial de serviços de saúde mentalSaúde mentalColaboração intersetorialTerritórios socioculturaisServiços de SaúdeMental healthIntersectoral collaborationSociocultural territoryHealth servicesSalud mentalColaboración intersectorialTerritorio socioculturalServicios de saludThe actions and services of the Brazilian healthcare system are organized following the logic of Health Care Networks (HCN). Considering the specific needs of individuals experiencing psychological distress and/or substance abuse, the thematic network of mental health care was established: the Psychosocial Care Network (PCN). In order to reflect upon and discuss networked healthcare, we consider that the network is built within a territory through the circulation and interaction of managers, workers, and users. In this sense, the research aimed to identify intersectoral partnerships directly related to psychosocial care, reflecting on their contributions to the continuity of mental health care in the studied territory. To this end, a field research was conducted using a qualitative approach with an exploratory-descriptive focus, in the city of Natal-RN, in randomly selected services, aiming to encompass the various components of the PCN. Data collection took place from May to October 2017, through the implementation of focus group sessions and descriptive observation of services and strategies that comprise the Natal/RN RAPS. The research was approved by the Research Ethics Committee under CAAE 65226817.5.0000.5292 and approval number 1.997.883. The study revealed social assistance services, socio-educational services for children and adolescents who commit infractions, churches, and NGOs as the main intersectoral partnerships in the network. It highlights the need to foster an 'intersectoral action' that moves through the micro and macro spaces of health, assistance, and social security policies for the articulation of Health Care Networks and the realization of the Psychosocial Care Network in the territory.Las acciones y servicios de salud en Brasil se organizan siguiendo la lógica de las Redes de Atención a la Salud (RAS). Considerando las necesidades específicas de las personas que experimentan sufrimiento psíquico y/o abuso de sustancias psicoactivas, se estableció la red temática de atención en salud mental: la Red de Atención Psicosocial (RAPS). Para reflexionar y dialogar sobre la atención de salud en red, consideramos que la red se construye en el territorio mediante la circulación e interacción de gestores, trabajadores y usuarios. En este sentido, la investigación tuvo como objetivo identificar las alianzas intersectoriales directamente relacionadas con la atención psicosocial, reflexionando sobre sus contribuciones para la continuidad de la atención en salud mental en el territorio estudiado. Para ello, se realizó una investigación de campo con enfoque cualitativo y exploratorio-descriptivo en la ciudad de Natal-RN, en servicios seleccionados de manera aleatoria, buscando abarcar los diversos componentes de la RAPS. La recolección de datos tuvo lugar de mayo a octubre de 2017, a través de sesiones de grupo focal y observación descriptiva de servicios y estrategias que componen la RAPS Natal/RN. La investigación fue aprobada por el Comité de Ética en Investigación bajo el número CAAE 65226817.5.0000.5292 y el parecer 1.997.883. El estudio reveló que los servicios de asistencia social, los servicios socioeducativos para niños y adolescentes que cometen actos infraccionales, iglesias y ONG son las principales alianzas intersectoriales en la red. Se destaca la necesidad de fomentar un "agir intersetorial" que transite por los espacios micro y macro de las políticas de salud, asistencia y seguridad social para la articulación de las RAS y la concreción de la RAPS en el territorio.As ações e serviços de saúde brasileiros organizam-se seguindo a lógica das Redes de Atenção à Saúde (RAS). Consideramos as necessidades específicas dos indivíduos em sofrimento psíquico e/ou abuso de substâncias psicoativas, estabeleceu-se a rede temática de cuidados em saúde mental: Rede de Atenção Psicossocial (Raps). Para refletir e dialogar sobre atenção à saúde em rede, consideramos que a rede se constrói em território mediante a circulação e interação de gestores, trabalhadores e usuários. Nesse sentido, a pesquisa objetivou identificar as parcerias intersetoriais diretamente relacionadas ao cuidado em atenção psicossocial, refletindo sobre suas contribuições para a continuidade da atenção à saúde mental em território no cenário estudado. Para tanto, realizou-se uma pesquisa de campo, com abordagem qualitativa e enfoque exploratório-descritivo, na cidade de Natal-RN, em serviços aleatoriamente selecionados, buscando contemplar os diversos componentes da Raps. A coleta dos dados aconteceu no período de maio a outubro de 2017, a partir da realização de sessões de grupo focal e observação descritiva de serviços e estratégias que compõem a Raps Natal/RN. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa em sob CAAE nº 65226817.5.0000.5292 e parecer 1.997.883. O estudo revelou os serviços da assistência social, serviços socioeducativos para crianças e adolescentes que cometem atos infracionais, igrejas e ONGs como as principais parcerias intersetoriais na rede. Evidencia-se a necessidade de fomentar um ‘agir intersetorial’ que transite pelos micro e macro espaços das políticas de saúde, assistência e seguridade social para a articulação das RAS e concretização da Raps em território.SESAB2024-04-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/393910.22278/2318-2660.2024.v47.n4.a3939Revista Baiana de Saúde Pública; v. 47 n. 4 (2023); 66-802318-26600100-023310.22278/2318-2660.2024.v47.N4reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3939/3279Copyright (c) 2024 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessLima, Déborah Karollyne Ribeiro RamosSilva, Yure Rodrigues Guimarães, Jacileide 2024-04-02T13:52:28Zoai:ojs.pkp.sfu.ca:article/3939Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-04-02T13:52:28Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false
dc.title.none.fl_str_mv Weaving networks: discussions about intersectoriality and territorial articulation of mental health services
Tejiendo redes: discusiones sobre intersectorialidad y articulación territorial de servicios de salud mental
Tecendo redes: discussões sobre intersetorialidade e articulação territorial de serviços de saúde mental
title Weaving networks: discussions about intersectoriality and territorial articulation of mental health services
spellingShingle Weaving networks: discussions about intersectoriality and territorial articulation of mental health services
Lima, Déborah Karollyne Ribeiro Ramos
Saúde mental
Colaboração intersetorial
Territórios socioculturais
Serviços de Saúde
Mental health
Intersectoral collaboration
Sociocultural territory
Health services
Salud mental
Colaboración intersectorial
Territorio sociocultural
Servicios de salud
title_short Weaving networks: discussions about intersectoriality and territorial articulation of mental health services
title_full Weaving networks: discussions about intersectoriality and territorial articulation of mental health services
title_fullStr Weaving networks: discussions about intersectoriality and territorial articulation of mental health services
title_full_unstemmed Weaving networks: discussions about intersectoriality and territorial articulation of mental health services
title_sort Weaving networks: discussions about intersectoriality and territorial articulation of mental health services
author Lima, Déborah Karollyne Ribeiro Ramos
author_facet Lima, Déborah Karollyne Ribeiro Ramos
Silva, Yure Rodrigues
Guimarães, Jacileide
author_role author
author2 Silva, Yure Rodrigues
Guimarães, Jacileide
author2_role author
author
dc.contributor.author.fl_str_mv Lima, Déborah Karollyne Ribeiro Ramos
Silva, Yure Rodrigues
Guimarães, Jacileide
dc.subject.por.fl_str_mv Saúde mental
Colaboração intersetorial
Territórios socioculturais
Serviços de Saúde
Mental health
Intersectoral collaboration
Sociocultural territory
Health services
Salud mental
Colaboración intersectorial
Territorio sociocultural
Servicios de salud
topic Saúde mental
Colaboração intersetorial
Territórios socioculturais
Serviços de Saúde
Mental health
Intersectoral collaboration
Sociocultural territory
Health services
Salud mental
Colaboración intersectorial
Territorio sociocultural
Servicios de salud
description The actions and services of the Brazilian healthcare system are organized following the logic of Health Care Networks (HCN). Considering the specific needs of individuals experiencing psychological distress and/or substance abuse, the thematic network of mental health care was established: the Psychosocial Care Network (PCN). In order to reflect upon and discuss networked healthcare, we consider that the network is built within a territory through the circulation and interaction of managers, workers, and users. In this sense, the research aimed to identify intersectoral partnerships directly related to psychosocial care, reflecting on their contributions to the continuity of mental health care in the studied territory. To this end, a field research was conducted using a qualitative approach with an exploratory-descriptive focus, in the city of Natal-RN, in randomly selected services, aiming to encompass the various components of the PCN. Data collection took place from May to October 2017, through the implementation of focus group sessions and descriptive observation of services and strategies that comprise the Natal/RN RAPS. The research was approved by the Research Ethics Committee under CAAE 65226817.5.0000.5292 and approval number 1.997.883. The study revealed social assistance services, socio-educational services for children and adolescents who commit infractions, churches, and NGOs as the main intersectoral partnerships in the network. It highlights the need to foster an 'intersectoral action' that moves through the micro and macro spaces of health, assistance, and social security policies for the articulation of Health Care Networks and the realization of the Psychosocial Care Network in the territory.
publishDate 2024
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url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3939
identifier_str_mv 10.22278/2318-2660.2024.v47.n4.a3939
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3939/3279
dc.rights.driver.fl_str_mv Copyright (c) 2024 Revista Baiana de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2024 Revista Baiana de Saúde Pública
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv SESAB
publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv Revista Baiana de Saúde Pública; v. 47 n. 4 (2023); 66-80
2318-2660
0100-0233
10.22278/2318-2660.2024.v47.N4
reponame:Revista Baiana de Saúde Pública (Online)
instname:Secretaria da Saúde do Estado da Bahia (Sesab)
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instacron_str IBICT
institution IBICT
reponame_str Revista Baiana de Saúde Pública (Online)
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repository.name.fl_str_mv Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)
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