Entre fios e nós: uma análise da Rede de Atenção Psicossocial de Natal/RN

• Ano de defesa: 2018
• Autor(a) principal: Lima, Déborah Karollyne Ribeiro Ramos
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM SAÚDE COLETIVA
• Palavras-chave em Português: Saúde mental; Serviços de saúde mental; Atenção à saúde; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: https://repositorio.ufrn.br/jspui/handle/123456789/26421

This thesis is at the interface between collective health and mental health. Its research object is the Psychosocial Care Network (RAPS, as per its Portuguese acronym), analyzed from the viewpoint of its organizational logic and having as a guiding axis the articulation between the services comprising it. It is broadly aimed: to analyze the RAPS Natal/RN, considering the care in the territory and its modes of articulation; and specifically: to draw up a network design, relating the municipal installed capacity, the current care flows and the intersectoral partnerships directly related to the line of care in psychosocial care; to understand the modes of articulation between the services comprising it, considering the continuity of care in the territory; to propose strategies to enhance this network of care, based on loco-regional specificities. This is a qualitative research guided by the Complex Thought, with Morin‟s orientation, as an understandable lens of reality and of the phenomenon in question. In order to collect data, we moved through the health services comprising the various points of care in the RAPS Natal/RN for descriptive observation of routines and actors in interaction, and also performed focus group sessions with directors, workers and users of the visited health services, totaling 22 subjects. It was approved by the Research Ethics Committee of the Onofre Lopes University Hospital of the Federal University of Rio Grande do Norte (HUOLUFRN), on April 3rd, 2017 – CAAE 65226817.5.0000.5292 and opinion 1.997. The results were built from the corpus originating from the transcripts of the focus groups, and divided into two categories of analysis, namely: 1) From the tangled wires to the basting of a network – which consists of the presentation of the RAPS Natal/RN from the graphic viewpoint and regarding the characteristics of community-based mental health care developed in the municipality; 2) Concerning the articulation of the RAPS: relinking wires and knots, basting the network – where we will discuss the strategies adopted by actors, services and sectors to promote interconnections that foster the continuity of mental health care in the territory. Still in the second category, problems are debated evidenced in the local scenario and that have direct or indirect implications for the articulation of the RAPS and for the continuity of the care in territory and that are denominated like The nodes of the network. In short, we recognize in the local scenario more the existence of a continuum between services than of an RAS proper. We call attention to the relationship of recursion that we judge to be established between care in the territory and the articulation of RAPS. So, care based on specialty, medicalization and fragmentation - as evidenced by the research - is the product and producer of a network that articulates in a timely manner, in a fodder triggered by labels and intersubjectivities that they serve more interpersonal and thematic affinities than the needs of individuals and collectivities. We are betting on the trinity of "integrality-sharing of careintersectoriality" as a fundamental presupposition for the construction of care and networking so that it is possible to extrapolate flows of labyrinth assistance towards the realization in RAPS territory.