O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais

Detalhes bibliográficos
Autor(a) principal: Richter, Raíssa Herold Matias
Data de Publicação: 2019
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UFSCAR
Texto Completo: https://repositorio.ufscar.br/handle/ufscar/11295
Resumo: Current health policies and guidelines have highlighted the relevance of a practice that is efficient, effective, and resolutive. This trend has been established throughout the Health Care Network, including the Psychosocial Care Network. Thus, a scenario is developed that calls for the expansion of the discussion about discharging processes, also in the services of mental health care for children and adolescents of Unified Health System (SUS). In the national and international literature, there is a shortage of studies that address the theme of the contribution of occupational therapy in the discharging process of children and adolescents in the field of mental health, as well as discharging processes in general. Thus, the objective of this study was to understand the children and adolescents’ discharging process at Child Psychosocial Care Centers (CAPSij) from the perspective of occupational therapists. For this purpose, a descriptive and exploratory field study was carried out with a qualitative approach. The target population consisted of 15 occupational therapists working at CAPSij in the city of São Paulo, with experience for at least one year. Data were collected through a semi-structured interview and analyzed using the Collective Subject Discourse (DSC) technique. The results of this study demonstrated how the discharge process of children and adolescents occurs at CAPSij, considering the aspects related to the understanding and use of the term “discharge” in this context, the description of how it happens, the reflection on its criteria and its challenges in practice; in addition to the perception of children, adolescents and families regarding the discharge process. It was also identified that the occupational therapists involved in this study participate in the discharging processes in the context of the CAPSij in which they work, either as a member of the multi-professional team or as a professional in the area of occupational therapy. It was observed that the contribution of occupational therapy in the discharging process is related to a more extensive and contextualized evaluation and analysis of the child / adolescent candidate for discharge, to the strengthening of the families, to acting as a technical reference of the users, to the work shared with the interdisciplinary team and the empowerment of the subjects for appropriation of the social spaces extra-wall CAPSij. It was found that the implementation of the technical reference function, the active participation of the child / adolescent / family, the articulation of the CAPSij with the intersectoral network, and the reflection about the concepts of "discharge" and "referral" in the context of child and adolescent mental health are determining factors for the process of discharging children and adolescents who experience psychic suffering to occur in an implicated, co-responsible and safe manner. Regarding the participation of occupational therapy in the discharging process, there was progress in relation to the actions of these professionals within the scope of the child and adolescent mental health, which have been highlighted in an expanded, concrete and contextualized way, in response to the current demands of this field. It is considered that this research was able to deepen the understanding and discussion about the discharging process, either approaching it in its specificities, or in its broader aspects, thus contributing both to the production of knowledge in the field of child and adolescent mental health as well as to health mental and occupational therapy.
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spelling Richter, Raíssa Herold MatiasCid, Maria Fernanda Barbozahttp://lattes.cnpq.br/8595043315867424http://lattes.cnpq.br/52531506689465256b47e2f9-aa86-4e36-896a-fd750d2caa742019-04-23T14:11:33Z2019-04-23T14:11:33Z2019-02-25RICHTER, Raíssa Herold Matias. O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais. 2019. Dissertação (Mestrado em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2019. Disponível em: https://repositorio.ufscar.br/handle/ufscar/11295.https://repositorio.ufscar.br/handle/ufscar/11295Current health policies and guidelines have highlighted the relevance of a practice that is efficient, effective, and resolutive. This trend has been established throughout the Health Care Network, including the Psychosocial Care Network. Thus, a scenario is developed that calls for the expansion of the discussion about discharging processes, also in the services of mental health care for children and adolescents of Unified Health System (SUS). In the national and international literature, there is a shortage of studies that address the theme of the contribution of occupational therapy in the discharging process of children and adolescents in the field of mental health, as well as discharging processes in general. Thus, the objective of this study was to understand the children and adolescents’ discharging process at Child Psychosocial Care Centers (CAPSij) from the perspective of occupational therapists. For this purpose, a descriptive and exploratory field study was carried out with a qualitative approach. The target population consisted of 15 occupational therapists working at CAPSij in the city of São Paulo, with experience for at least one year. Data were collected through a semi-structured interview and analyzed using the Collective Subject Discourse (DSC) technique. The results of this study demonstrated how the discharge process of children and adolescents occurs at CAPSij, considering the aspects related to the understanding and use of the term “discharge” in this context, the description of how it happens, the reflection on its criteria and its challenges in practice; in addition to the perception of children, adolescents and families regarding the discharge process. It was also identified that the occupational therapists involved in this study participate in the discharging processes in the context of the CAPSij in which they work, either as a member of the multi-professional team or as a professional in the area of occupational therapy. It was observed that the contribution of occupational therapy in the discharging process is related to a more extensive and contextualized evaluation and analysis of the child / adolescent candidate for discharge, to the strengthening of the families, to acting as a technical reference of the users, to the work shared with the interdisciplinary team and the empowerment of the subjects for appropriation of the social spaces extra-wall CAPSij. It was found that the implementation of the technical reference function, the active participation of the child / adolescent / family, the articulation of the CAPSij with the intersectoral network, and the reflection about the concepts of "discharge" and "referral" in the context of child and adolescent mental health are determining factors for the process of discharging children and adolescents who experience psychic suffering to occur in an implicated, co-responsible and safe manner. Regarding the participation of occupational therapy in the discharging process, there was progress in relation to the actions of these professionals within the scope of the child and adolescent mental health, which have been highlighted in an expanded, concrete and contextualized way, in response to the current demands of this field. It is considered that this research was able to deepen the understanding and discussion about the discharging process, either approaching it in its specificities, or in its broader aspects, thus contributing both to the production of knowledge in the field of child and adolescent mental health as well as to health mental and occupational therapy.Políticas e diretrizes atuais de saúde têm destacado a relevância de uma prática que seja eficiente, eficaz e resolutiva. Esta tendência vem se estabelecendo em toda a Rede de Atenção em Saúde, incluindo a Rede de Atenção Psicossocial. Assim, desenvolve-se um cenário que convoca a ampliação da discussão sobre os processos de alta, também nos serviços de atenção à saúde mental infantojuvenil do Sistema Único de Saúde (SUS). Na literatura nacional e internacional observa-se escassez de estudos que abordam o tema da contribuição da terapia ocupacional no processo de alta de crianças e adolescentes no campo da saúde mental, assim como processos de alta de modo geral. Assim, o objetivo deste trabalho foi compreender o processo de alta de crianças e adolescentes em Centros de Atenção Psicossocial Infantojuvenis (CAPSij) sob a perspectiva de terapeutas ocupacionais. Para isto, foi realizada pesquisa de campo, do tipo descritiva e exploratória, com abordagem qualitativa, sendo a população-alvo constituída por 15 terapeutas ocupacionais que atuam em CAPSij no município de São Paulo. Os dados foram coletados por meio de entrevista semiestruturada e analisados a partir da técnica do Discurso do Sujeito Coletivo (DSC). Os resultados deste estudo demonstraram como se dá o processo de alta de crianças e adolescentes em CAPSij, considerando os aspectos relacionados à compreensão e utilização do termo “alta” neste contexto, à descrição de como acontece, à reflexão sobre seus critérios e sobre seus desafios na prática; além da percepção das crianças, adolescentes e familiares com relação ao processo de alta. Identificou-se também que as (os) terapeutas ocupacionais envolvidas (os) neste estudo, participam dos processos de alta no contexto dos CAPSij em que trabalham, seja enquanto membro da equipe multiprofissional ou enquanto profissional da área da terapia ocupacional. Observou-se que a contribuição da terapia ocupacional no processo de alta está relacionada a uma avaliação e análise mais ampliada e contextualizada da criança/adolescente candidata à alta, ao fortalecimento das famílias, à atuação como referência técnica dos usuários, ao trabalho compartilhado com a equipe interdisciplinar e ao empoderamento dos sujeitos para apropriação dos espaços sociais extra-muro CAPSij. Constatou-se que a efetivação da função de referência técnica, da participação ativa da criança/adolescente/família, da articulação dos CAPSij com a rede intersetorial, e da reflexão acerca dos conceitos de “alta” e “encaminhamento” no contexto da saúde mental infantojuvenil (SMIJ) constituem-se como fatores determinantes para que o processo de alta de crianças e adolescentes que vivenciam o sofrimento psíquico aconteça de forma implicada, corresponsável e segura. Quanto à participação da terapia ocupacional no processo de alta, observou-se avanço com relação às ações destas (es) profissionais no âmbito da SMIJ, as (os) quais vêm se destacando ampliadas, concretas e contextualizadas, em resposta às atuais demandas deste campo de atuação. Considera-se que esta pesquisa pôde aprofundar a compreensão e discussão sobre o processo de alta, ora abordando-o em suas especificidades, ora em seus aspectos mais amplos, contribuindo assim tanto para a produção de conhecimento no campo da SMIJ quanto para o da saúde mental e da terapia ocupacional.Não recebi financiamentoporUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Terapia Ocupacional - PPGTOUFSCarTerapia OcupacionalSaúde MentalSistema Único de SaúdeSaúde da CriançaSaúde do AdolescenteAlta do PacienteOccupational TherapyMental HealthUnified Health SystemChild HealthAdolescent HealthPatient DischargeCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALCIENCIAS DA SAUDE::SAUDE COLETIVACIENCIAS DA SAUDECIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICAO processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionaisThe children and adolescents' discharging process at CAPSij from the perspective of occupational therapistsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisOnline6006004d8132c2-5097-4179-adbb-b8439b83a774info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALDissertacao_Raissa_Versao_Final_PDF.pdfDissertacao_Raissa_Versao_Final_PDF.pdfDissertação Completaapplication/pdf1915576https://repositorio.ufscar.br/bitstream/ufscar/11295/1/Dissertacao_Raissa_Versao_Final_PDF.pdfe6ad917f27cb05f2fe9795c129a5fb8bMD51LICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
dc.title.alternative.eng.fl_str_mv The children and adolescents' discharging process at CAPSij from the perspective of occupational therapists
title O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
spellingShingle O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
Richter, Raíssa Herold Matias
Terapia Ocupacional
Saúde Mental
Sistema Único de Saúde
Saúde da Criança
Saúde do Adolescente
Alta do Paciente
Occupational Therapy
Mental Health
Unified Health System
Child Health
Adolescent Health
Patient Discharge
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
CIENCIAS DA SAUDE::SAUDE COLETIVA
CIENCIAS DA SAUDE
CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
title_short O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
title_full O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
title_fullStr O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
title_full_unstemmed O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
title_sort O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
author Richter, Raíssa Herold Matias
author_facet Richter, Raíssa Herold Matias
author_role author
dc.contributor.authorlattes.por.fl_str_mv http://lattes.cnpq.br/5253150668946525
dc.contributor.author.fl_str_mv Richter, Raíssa Herold Matias
dc.contributor.advisor1.fl_str_mv Cid, Maria Fernanda Barboza
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/8595043315867424
dc.contributor.authorID.fl_str_mv 6b47e2f9-aa86-4e36-896a-fd750d2caa74
contributor_str_mv Cid, Maria Fernanda Barboza
dc.subject.por.fl_str_mv Terapia Ocupacional
Saúde Mental
Sistema Único de Saúde
Saúde da Criança
Saúde do Adolescente
Alta do Paciente
topic Terapia Ocupacional
Saúde Mental
Sistema Único de Saúde
Saúde da Criança
Saúde do Adolescente
Alta do Paciente
Occupational Therapy
Mental Health
Unified Health System
Child Health
Adolescent Health
Patient Discharge
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
CIENCIAS DA SAUDE::SAUDE COLETIVA
CIENCIAS DA SAUDE
CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
dc.subject.eng.fl_str_mv Occupational Therapy
Mental Health
Unified Health System
Child Health
Adolescent Health
Patient Discharge
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
CIENCIAS DA SAUDE::SAUDE COLETIVA
CIENCIAS DA SAUDE
CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA
description Current health policies and guidelines have highlighted the relevance of a practice that is efficient, effective, and resolutive. This trend has been established throughout the Health Care Network, including the Psychosocial Care Network. Thus, a scenario is developed that calls for the expansion of the discussion about discharging processes, also in the services of mental health care for children and adolescents of Unified Health System (SUS). In the national and international literature, there is a shortage of studies that address the theme of the contribution of occupational therapy in the discharging process of children and adolescents in the field of mental health, as well as discharging processes in general. Thus, the objective of this study was to understand the children and adolescents’ discharging process at Child Psychosocial Care Centers (CAPSij) from the perspective of occupational therapists. For this purpose, a descriptive and exploratory field study was carried out with a qualitative approach. The target population consisted of 15 occupational therapists working at CAPSij in the city of São Paulo, with experience for at least one year. Data were collected through a semi-structured interview and analyzed using the Collective Subject Discourse (DSC) technique. The results of this study demonstrated how the discharge process of children and adolescents occurs at CAPSij, considering the aspects related to the understanding and use of the term “discharge” in this context, the description of how it happens, the reflection on its criteria and its challenges in practice; in addition to the perception of children, adolescents and families regarding the discharge process. It was also identified that the occupational therapists involved in this study participate in the discharging processes in the context of the CAPSij in which they work, either as a member of the multi-professional team or as a professional in the area of occupational therapy. It was observed that the contribution of occupational therapy in the discharging process is related to a more extensive and contextualized evaluation and analysis of the child / adolescent candidate for discharge, to the strengthening of the families, to acting as a technical reference of the users, to the work shared with the interdisciplinary team and the empowerment of the subjects for appropriation of the social spaces extra-wall CAPSij. It was found that the implementation of the technical reference function, the active participation of the child / adolescent / family, the articulation of the CAPSij with the intersectoral network, and the reflection about the concepts of "discharge" and "referral" in the context of child and adolescent mental health are determining factors for the process of discharging children and adolescents who experience psychic suffering to occur in an implicated, co-responsible and safe manner. Regarding the participation of occupational therapy in the discharging process, there was progress in relation to the actions of these professionals within the scope of the child and adolescent mental health, which have been highlighted in an expanded, concrete and contextualized way, in response to the current demands of this field. It is considered that this research was able to deepen the understanding and discussion about the discharging process, either approaching it in its specificities, or in its broader aspects, thus contributing both to the production of knowledge in the field of child and adolescent mental health as well as to health mental and occupational therapy.
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-04-23T14:11:33Z
dc.date.available.fl_str_mv 2019-04-23T14:11:33Z
dc.date.issued.fl_str_mv 2019-02-25
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.citation.fl_str_mv RICHTER, Raíssa Herold Matias. O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais. 2019. Dissertação (Mestrado em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2019. Disponível em: https://repositorio.ufscar.br/handle/ufscar/11295.
dc.identifier.uri.fl_str_mv https://repositorio.ufscar.br/handle/ufscar/11295
identifier_str_mv RICHTER, Raíssa Herold Matias. O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais. 2019. Dissertação (Mestrado em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2019. Disponível em: https://repositorio.ufscar.br/handle/ufscar/11295.
url https://repositorio.ufscar.br/handle/ufscar/11295
dc.language.iso.fl_str_mv por
language por
dc.relation.confidence.fl_str_mv 600
600
dc.relation.authority.fl_str_mv 4d8132c2-5097-4179-adbb-b8439b83a774
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal de São Carlos
Câmpus São Carlos
dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Terapia Ocupacional - PPGTO
dc.publisher.initials.fl_str_mv UFSCar
publisher.none.fl_str_mv Universidade Federal de São Carlos
Câmpus São Carlos
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFSCAR
instname:Universidade Federal de São Carlos (UFSCAR)
instacron:UFSCAR
instname_str Universidade Federal de São Carlos (UFSCAR)
instacron_str UFSCAR
institution UFSCAR
reponame_str Repositório Institucional da UFSCAR
collection Repositório Institucional da UFSCAR
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