Banca de DEFESA: CAROLINA SANTOS SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : CAROLINA SANTOS SILVA
DATA : 03/09/2020
HORA: 14:00
LOCAL: on line
TÍTULO:

PARTICIPATORY EVALUATION OF THERAPEUTIC PROJECTS
INDIVIDUALS IN TYPE II PSYCHOSOCIAL CARE CENTERS:
CONSTRUCTION AND IMPLEMENTATION OF INDICATORS

PALAVRAS-CHAVES:

Service evaluation; Participatory evaluation; Indicators; Unique Therapeutic Projects

PÁGINAS: 125
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

The general objective of the research is to build, in a participatory manner, with professional indicators for the evaluation of STP and specific to implement the indicators constructed; identify strengths and weaknesses in the construction of the PTS and contribute to the qualification of professionals regarding the construction of unique therapeutic projects and participatory evaluation. The development of indicators for the evaluation of the Unique Therapeutic Project (PTS) is justified by the lack of instruments in the management of the Unified Health System that enable a systematic assessment of this technology and the need to evaluate the Psychosocial Care Centers (CAPS) services that substitute for psychiatric hospitals, mitigating the possibilities of them producing contradictory or incompatible practices to the assumptions of psychiatric reform. The methodological framework was participatory evaluative research, covering the character of intervention, anchored in the assumptions of the fourth generation assessment. Representatives of 7 CAPS II from the city of Salvador from different professional categories participated in the research, composing the interest groups: assistance workers, managers, technical coordinator, institutional supporters in mental health and students of the Multiprofessional Residence in Family Health - FESF / SUS. Between the months of September and December 2019, a formal extension course was offered at the Institute of Psychology of the Federal University of Bahia, as part of the data collection process. In addition to the course, Shared Appraisal Groups (GAP) and consensus workshops were used to consolidate data collection. For data interpretation, the use of narrative theory and Paul Ricoeur's hermeneutic circle was used. As a product of the research, we obtained three technical productions: the extension course “Qualification of assistance in CAPS type II based on the evaluation of Unique Therapeutic Projects”, the “Methodological guide for the application of PTS evaluation indicators in CAPS II” and the “Form for Registration of Singular Therapeutic Project (PTS)”. The results were organized into three sessions. In the first, we present the reality of the CAPS II narrated by the participants. In the second, we have the process of building the 8 indicators: “Formulation of a unique therapeutic project”; "User cases by reference technician (TR) or reference team (ER)"; “PTS shared with Primary Care (AB)”; “PTS shared with the intersectoral network (except AB)”; "Joint discussion of PTS among the team"; “Systematic review of PTS by TR or ER”; “PTS with treatment only with medication” and “Investment in Permanent Education actions”. Finally, we present the challenges in the implementation of indicators, with the data obtained during the dispersion activity in services. The experience of the qualification course and the process of participatory elaboration of the indicators configured the integration between the experience of practical wisdom and theoretical knowledge. A collective construction in which it is believed that it will provide support so that there are consequences in the daily life of 11 services, generating an intervention effect expected by this research. The biggest challenge is to include the use of indicators and assessment in relation to work processes and not as merely technical expertise used by the manager. This becomes even more difficult when we are in a field where there is no tradition of using this tool

MEMBROS DA BANCA:
Interno - 2703891 - LILIANA SANTOS
Externo à Instituição - ROSANA TERESA ONOCKO CAMPOS - UNICAMP
Interno - 1854436 - VANIA NORA BUSTAMANTE DEJO