Banca de DEFESA: DENIZ REIS DOS SANTOS MENEZES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : DENIZ REIS DOS SANTOS MENEZES
DATA : 11/12/2019
HORA: 14:00
LOCAL: ISC/UFBA SALA 01
TÍTULO:

THE PSYCHOSOCIAL CARE NETWORK IN SUICIDE CARE IN A SALVADOR / BAHIA HEALTH DISTRICT

PALAVRAS-CHAVES:

Suicide, Psychosocial Care Network, Mental Health, Qualitative Research.

PÁGINAS: 187
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Suicide is a complex phenomenon, considered a serious public health problem, as it is estimated that around 800,000 people commit suicide worldwide each year. In the Americas, according to data from the Pan American Health Organization (PAHO, 2014), 65,000 people commit suicide each year and this is the third leading cause of death in the 20 to 24 year old group, the fourth in the 10 to 19 year old group. 25 to 44 years. The population over 70 years old has the highest suicide rate. Actions proposed in the Strategic Actions Agenda for Suicide Surveillance and Prevention and Health Promotion of the Ministry of Health for the period from 2017 to 2020 point to the co-responsibility of care and articulation in the Psychosocial Care Network (RAPS). OBJECTIVE: To analyze the performance on suicide in the Psychosocial Care Network of the Brotas Sanitary District / Salvador (RAPS-Brotas), according to the coordinators and / or representatives of the health services that compose it. METHODOLOGY:

This study took a qualitative approach (Minayo, 2002). The population consisted of managers and professionals representing the devices that make up the Psychosocial Care Network of a Sanitary District of Salvador. The instruments used for data collection were the semi-structured interviews applied to the managers and the focus group technique applied to the members of the RAPS Working Group. Thematic Content Analysis was performed using the NVIVO 12 software. RESULTS: Two main conceptions about suicide were found: One, markedly biomedical, that unfolded in two directions: 1) delimitation of suicide from a psychopathological perspective, cited by two managers trained in health sciences and only one professional; 2) Multicausal delimitation, which considered multiple and complex determinations, was the most cited subcategory by managers and professionals within the biomedical conception of suicide. A second conception, which addresses suicide as a social phenomenon, also unfolded in two directions: 1) one that considered the importance of social dynamics and relationships, more defended by managers compared to professionals; 2)

another cited only by managers, who considered the role of social inequalities in this analysis. Regarding the most relevant contributions of RAPS, when comparing managers and professionals, the second category mentioned, as a priority, that the most relevant contribution of this health system is to offer continuous and integral attention from the various devices. The second contribution of RAPS: improving the quality of care from a multiprofessional perspective was mentioned only by managers. Among the participants of this study, we found a hierarchical network view organized by levels of attention, cited only by the category of managers, a polyarchic network view with non-hierarchical relationships and sharing common goals, cited by both categories and an organizational view. Network that reiterates the importance of the role played by primary care in accompanying people in psychological distress, also cited by the two categories. As for network articulation strategies, mentioned only by the 10 category of managers, we could observe: 1)estratégia de articulação dos dispositivos de saúde; 2) articulação a partir do apoio institucional e distrital. Segundo gestores e profissionais, não há fluxos estabelecidos para o cuidado específico de pessoas em risco de suicídio, que se apoiam principalmente nos serviços especializados e de urgência e emergência. A organização de um fluxo específico foi defendida por dois profissionais e três gestores. As principais dificuldades da atuação em rede relacionadas ao estado de saúde da população, citadas pelas duas categorias, foram o aumento de casos de sofrimento psíquico, com destaque para as situações de automutilações e tentativas de suicídios. Os elementos dificultadores e facilitadores do trabalho na RAPS, relacionados ao sistema de saúde foram assim categorizados: 1) relacionados à infraestrutura, mais citados por ambas as categorias; 2) à gestão; 3) ao modelo de assistência; 4) a organização dos recursos; além das estratégias de fortalecimento desta rede também assim identificadas. CONSIDERAÇÕES FINAIS: Diante da complexidade conceitual do suicídio, faz-se necessário reafirmar que atuar sobre este fenômeno, seus fatores de risco e de proteção não é uma ação simples, mas muito complexa e que exige a interface de vários atores e o entrelaçamento de distintos saberes no desenvolvimento de um compartilhamento de cuidado interdisciplinar e ações intersetoriais em rede de atenção que possibilite a integralidade da atenção.

MEMBROS DA BANCA:
Interno - 1681913 - MARCELO EDUARDO PFEIFFER CASTELLANOS
Interno - 1349800 - MONICA DE OLIVEIRA NUNES DE TORRENTE
Externo ao Programa - 2313663 - MONICA LIMA DE JESUS