Sentidos de um programa de educação pelo trabalho para saúde no cuidado em álcool e outras drogas

• Autor(a) principal: Carneiro, Larissa Arbués
• Data de Publicação: 2015
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/7399
• topic: Educação superior; Desenvolvimento de pessoal; Reforma dos serviços de saúde; Saúde mental; Transtornos relacionados ao uso de substâncias; Undergraduate education; Staff development; Health services reform; Mental health; Disorders related to substance use; CIENCIAS DA SAUDE

Especially from 2001 onwards, with the new National Curriculum Guidelines (DCN), Brazilian government has invested in stocks for the reorientation of training of health professionals according to the needs of the population and the Unified Health System (SUS). That same year, was established the mental health care reorientation in Brazil by Law n. 10,216 and since then, there was the expansion and diversification of care network in the area. With the social evidence of the drugs phenomenon and the advent of the Integrated Plan to Combat Crack and Other Drugs (PIECD) was amplified the need for training of personnel with appropriate profile for alcohol and other drugs (AD) care. The Education Program from Working for Health/Mental Health (PET-Saúde Mental) was established by the Interministerial n.6/2010. The purpose of this doctoral thesis was to analyze the development of PET-Saúde Mental partnership between the Federal University of Goiás (UFG) and the Municipal Health Department of Goiânia (SMS), occurred between 2011 and 2012. Participated in the research: professors and students from eight undergraduate courses at UFG and four psychosocial care network services of SMS servers. Data were collected from three sources: 1) documents; 2) questionnaires; 3) individual interviews. The documents supported the characterization of PET-Saúde Mental and questionnaires raised the profile of the group, and was answered by 82.5% of program participants. The interviews attended ten students, seven professional health services and four professors. Data were analyzed from Senses Interpretation Method and the analytical matrix model was considered reading substrate of results and organization of the thesis, it proposes three dimensions nucleation categories: macro, micro and molecular. Emerged eight categories derived from analysis: political-pedagogical orientation, work processes, management, networking, mobilization/visibility, care, beliefs/prejudices/stigma and production of affections. The findings and discussion of the research are presented in three parts: in chapter Results and in two articles that pursued know the reaction of the participants to the PET-Saúde Mental, the first article focusing on the micro scale (institutional) and the second focused on the dimension molecular, the experiences lived. The analysis indicates that the development of the program converged to actions planned in the project, consistent with existing policies and guidelines of reorientation training for the area of health and psychosocial care network for AD. There are indications that the program was an educational experience mediated by care, over which the production of positive affect and (re)significance of negative imagery about AD context. In this subjective production movement that stands out is the transforming power of the breaks and micro-revolutions occurring in the education and health work everyday. Such as resonances, the program led to changes in ways of thinking and making the everyday teaching and services, inserted and strengthened the agenda of psychosocial care at the university and the education services, promoted learning about the practice of mental health care, articulated interprofessional clinic with the ethical-political-affective training and contributed to the AD network in the city. The process weaknesses and linked institutions were related to modes of organization of these institutions, which influence the implementation of programs such as PET-Saúde. The sustainability of the actions of reorientation of the care model and training is linked to movements that occur in the macro and micro levels. Raises the need to support strategies and institutional analysis and the expansion of forms of participation in the spaces of the teaching-service, in order to stimulate the role of local actors and the return to care as a pillar of the health sector category.