Panorama dos serviços de saúde mental do interior do estado de Goiás

• Autor(a) principal: SILVA, Nathália dos Santos
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/0013000002v6h
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tde/2117
• topic: Serviços de saúde mental; saúde mental, enfermeiro, gestão em saúde; recursos humanos; Mental Health Services; Mental Health; Nurse; Health Management; Human Resources; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

INTRODUCTION: Psychiatric Reform is being built in Brazil for over 20 years and is one of its main pillars deinstitutionalization. In the country, the National Mental Health (PNSM) follows a global trend the organization of community practices and home care in place procedures institutionalized for treatment. The mental health work represents great challenges because of its complexity, which are in the restructuring of the quality of care, through the labor relations and the adoption of new technologies, knowledge and work practices. This research is part of a multicenter project coordinated by the School of Nursing of Ribeirão Preto, University of Sao Paulo in partnership with the School of Nursing, Federal University of Goiás, which proposes to perform diagnostic studies on mental health care in Brazil. GENERAL PURPOSE: To present an overview of mental health services in the state of Goias METHODOLOGY: This is a descriptive-exploratory quantitative and qualitative approach, carried out in all municipalities in the state of Goias who provide public mental health, totaling 19 municipalities and 22 services. The subjects were professionals who have higher education level, as well as those who act as coordinators in services. Data were collected through the use of self-administered forms and screenplay for oral interview. For quantitative analysis were used relative and absolute frequencies in order to characterize the profiles of professionals, nurses and coordinators of Mental Health services. The data obtained through the interviews were submitted to thematic content analysis as proposed by Bardin, with the help of ATLAS.ti. RESULTS: The general practitioners, nurses and coordinators of Mental Health services within the State of Goiás have a multidisciplinary character, the majority are young, with little time for completion of graduation and have limited experience in Mental Health, with rare exceptions. Few have expertise in the area, employment relationships are precarious and wages are low. As for nurses, most of the actions that they develop the services are predominantly focused on general nursing duties, with little contribution to the therapeutic actions proposed by the model of psychosocial care. The coordinators of services have an understanding consistent with the PNSM, although there is still some conflicts regarding the real meaning of deinstitutionalization. The main challenges posed by them are related to the interest of municipal management by mental health services to the structure, to overcome the prejudice, the need for construction and expansion of a network of social services and resources, and the basic preparation and qualification. CONCLUSION: The interior of Goiás State does not have a network of psychosocial care services because they lack the articulation between existing ones are insufficient. Professionals and engineers who work in services still lack adequate training to work in mental health. Engineers pointed challenges to implementation of PNSM corroborate the national scene.