Potentials and challenges of Psychosocial Care Centers in the voice of health workers

Authors

DOI:

https://doi.org/10.5902/2179769271239

Keywords:

Mental health services, Mental health assistance, Psychiatric rehabilitation, Community Mental Health Services, Mental Health

Abstract

Objective: to know the perception of health workers about the potentialities and challenges of the Psychosocial Care Center (CAPS). Method: qualitative study carried out with 24 health workers from a CAPS located in southern Brazil. The data were produced between August and October 2018 through an open interview and submitted to thematic content analysis. Results: the workers identified potentialities of the service such as structuring, effectiveness, quality of care and team interaction, which generate satisfaction. However, they reported disarticulations between the service and the Psychosocial Health Care Network (RAPS), in addition to the decrease in public investments and interference of the political environment in the management of services, which sometimes led to occupational illness. Conclusion: the health workers perceived the CAPS as a powerful and effective service; however, they identified weaknesses at the level of RAPS that culminated in overload of the service and illness of the workers.

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Author Biographies

Alexa Pupiara Flores Coelho Centenaro, Universidade Federal de Santa Maria

Nurse. Doctor in Nursing. Federal University of Santa Maria (UFSM). Palmeira das Missões, Rio Grande do Sul, Brazil. E-mail: alexa.coelho@ufsm.br ORCID 0000-0002-9117-5847

Andressa de Andrade, Universidade Federal de Santa Maria

Nurse. Doctor in Nursing. Federal University of Santa Maria (UFSM). Palmeira das Missões, Rio Grande do Sul, Brazil. E-mail: andressadasilveira@gmail.com ORCID 0000-0002-4182-4714

Christiane de Fátima Colet, Universidade Regional do Noroeste do Estado do Rio Grande do Sul

pharmaceutical. PhD in Pharmaceutical Sciences. Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUIÍ). Ijuí, Rio Grande do Sul Brazil. Email: chriscolet@yahoo.com.br ORCID 0000-0003-2023-5088

Karine Raquel Uhdich Kleibert , Universidade Regional do Noroeste do Estado do Rio Grande do Sul

pharmaceutical. Master's student in Comprehensive Health Care. Regional University of the Northwest of the State of Rio Grande do Sul (UNIJUÍ). Ijuí, Rio Grande do Sul, Brazil. Email: karine.u.k@hotmail.com ORCID 0000-0001-7511-1977

Gabriela Kich dos Santos, Universidade Federal de Santa Maria

Graduanda em enfermagem. Universidade Federal de Santa Maria (UFSM). Palmeira das Missões, Rio Grande do Sul, Brasil. 

References

Nóbrega MPSS, Silva GBF, Sena ACR. Psychosocial rehabilitation in the west network of the municipality of São Paulo: potentialities and challenges. Rev Gaúcha Enferm. 2018;39(2018). doi: 10.1590/1983-1447.2018.2017-0231

Nunes MO, Lima Júnior JML, Portugal CM, Torrenté M. Psychiatric reform and counter-reform: an analysis of a socio-political and sanitary crisis at national and regional level. Ciênc Saúde Colet. 2019;24(12):4489-98. doi: 10.1590/1413-812320182412.25252019

BRAZIL. Ministério da Saúde. Ordinance No. 3.088, of December 23, 2011. Provides for the Psychosocial Care Network for people with suffering or mental disorder and with needs arising from the use of crack, alcohol and other drugs, within the scope of the Unified Health System. Brasília: Ministério da Saúde; 2011. Available at: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt3088_23_12_2011_rep.html. Accessed on 11 Feb. 2021.

BRAZIL. Ministério da Saúde. GM Ordinance No. 336, of February 19, 2002. Defines and establishes guidelines for the operation of Psychosocial Care Centers. Brasília (DF): Ministry of Health; 2002. Available at: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2002/prt0336_19_02_2002.html. Accessed on 11 Feb. 2021.

Souza AC, Amarante PD, Abrahão AL. Inclusion of mental health in primary health care: care strategy in the territory. Rev Bras Enferm. 2019;72(6):1677-83. doi: 10.1590/0034-7167-2018-0806

Aypano G. Significance of mental health legislation for successful primary care for mental health and community mental health services: a review. Afr J Prm Health Care Fam Med. 2018;10(1):e1-4. doi: 10.4102/phcfm.v10i1.1429

Bezerra EBN, Silva EF, Máximo TACO, Melo JSVB. The work of interdisciplinary teams in Psychosocial Care Centers (caps). Estud Psicol [Internet]. 2018 [access in 2021 Feb 15];18(1):169-88. Available at: https://www.redalyc.org/articulo.oa?id=451858897010

Santangelo P, Procter N, Fassett D. Mental health nursing: daring to be different, special and leading recovery-focused care? Int J Ment Health Nurs. 2018;27(1):258-66. doi: 10.1111/inm.12316

Merçom LN, Constantinidis TC. Work processes and mental health of workers in the caps: an integrative review. Contextos Clínicos. 2020;13(2):666-95. doi: 10.4013/ctc.2020.132.14

Mattos MP, Campos HMN, Gomes DR, Ferreira L, Carvalho RB, Esposti CDD. Permanent health education in psychosocial care centers: integrative literature review. Saúde Debate. 2020;44(127):1277-99. doi: 10.1590/0103-1104202012724

Bardin L. Content analysis. 8a ed. Portugal: Geográfica; 2011.

Oliveira IM, Araújo RB. Potentials and weaknesses in the protection of the person with mental disorder. Cad Humanities Perspectives [Internet]. 2018 [access in 2021 Mar 04];3(2):489-503. Available at: https://cadernosuninter.com/index.php/humanidades/article/view/797

Silva GEA, Azevedo MVASA, Rosado SR, Coelho KR, Oliveira F. Experiences of alcohol and other drug users in a psychosocial care center. Nursing. 2020;23(269):4683-694. doi: 10.36489/nursing.2020v23i269p4683-4694

Leo A, Baptist AM. Pathways and impasses of deinstructionalization in the perspective of mental healht workers of the greater Vitória. Trab Educ E Saúde. 2020; 18(3):e00271102. doi: 10.1590/1981-7746-sol00271

Oliveira CA, Oliveira DCP, Cardoso EM, Aragão ES, Bittencout MN. Moral distress of nursing professionals of the Psychosocial Care Center. Science Health Colet. 2020;25(1):191-8. doi: 10.1590/1413-81232020251.29132019

Pinho ES, Souza ACS, Esperidiao E. Working processes of professionals at Psychosocial Care Centers (CAPS): an integrative review. Ciênc Saúde Colet. 2018; 23(1). doi: 10.1590/1413-81232018231.08332015.

AA Assumption, AM Pepper. Job satisfaction of nursing staff in the public health network in a Brazilian capital city. Ciênc Saúde Colet. 2020;25(1):169-80. doi: 10.1590/1413-81232020251.28492019

Debyser B, Duprez V, Beeckman D, Vanderwalle J, Van Hecke A, Deproost E, et al. Mental health nurses and mental health workers: self-perceptions of role-related clinical competences. Int J Ment Health Nurs. 2018;27(3):987-1001. doi: 10.1111/inm.12406

Zanatta AB, Lucca Mr. Burnout Syndrome in mental health workers at Psycosocial Care Centers. Everybody, cheers. 2021;45:e1572020. doi: 10.15343/0104-7809.202145390399

O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants. Eur Psychiatry. 2018 Sep;53:74-99. doi: 10.1016/j.eurpsy.2018.06.003

Bittencourt MN, Oliveira DCP, Souza RPO, Pena JLC, Pantoja PVN, Pereira MO. Ombudsman's experience in Psychosocial Care Centers for alcohol/drugs. Rev Bras Enferm. 2018;71(Suppl 5):2287-94. doi: 10.1590/0034-7167-2017-0924

Published

2022-12-21

How to Cite

Pupiara Flores Coelho Centenaro, A. P. F. C., de Andrade, A. da, de Fátima Colet, C. de F., Uhdich Kleibert , karine R. U., & Santos, G. K. dos. (2022). Potentials and challenges of Psychosocial Care Centers in the voice of health workers . Revista De Enfermagem Da UFSM, 12, e58. https://doi.org/10.5902/2179769271239

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