SERVI?O RESIDENCIAL TERAP?UTICO: ATIVIDADES E ESPA?OS DE CONSTRU??O DO CUIDADO EM SA?DE MENTAL

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

The research is an analysis of the Therapeutic Residential Services: activities and construction of spaces of care in mental health. The reorientation of the model of care in mental health is consolidated from the Law 10216/01, the Ministry of Health (BRAZIL, 2000) that redirects the mental health care model and guarantees the rights and protection of persons involved in mental disorder. In municipalities where the network of mental health services work, the statistics suggest reducing the need for medication and hospitalization in a psychiatric hospital. This study examined the activities of residents, family and professional Services Residential Treatment (SRT) in the process of dehospitalization/institutionalization of the bearer of mental disorder, in Sobral, Fortaleza and Cear?. The study is a cross-sectional descriptive, conducted in the cities of Sobral and Fortaleza in the period august to october of 2008. The population was composed of: 44 subjects, involving residents, families and professionals. 37 subjects participated in the sample, being excluded the subject, people who at the time, were confused about each other and to space. Using the technique of semi-structured interviews and research instruments, forms and questionnaires were used. The analysis of quantitative data was performed in frequency and descriptive. For qualitative analysis was used to read off, and finally complete the development of thematic categories according to Bardin (1977), the results were discussed in light of relevant literature. The thematic categories that emerged from the investigation were Therapeutic Residential Services: (re) signifying spaces for the production of care in mental health, daily activities undertaken by residents, family and work, and social network: the construction of autonomy. The survey results showed that most residents have family, are female, have more than 50 years, low education level, high level of dependence, have not been in any hospital admission after HP in RT, all residents and family professionals said they are satisfied with the service. In this context, the homes are to be therapeutic alternatives for housing for a large contingent of people who are hospitalized in psychiatric hospitals for years, for do not have adequate support from family and community. It was found that the RT can be used to support other users of mental health services, which do not count on family and social support sufficient to ensure adequate space to house helping with dehospitalization and institutionalization, and even the performance of SRT, for care provided with this demand assisted outside the walls of the HP is of fundamental importance for the improvement of practices that guide the Health Public Policy, within the area of mental health, be justified by one of the indicators that reflect the quality of service . We conclude that there is a need for deployment of RT, in the city of Fortaleza, to meet the demands of the residents of the six psychiatric hospitals. Sobral already exists a network of services appropriate to their needs.

ASSUNTO(S)

saude publica therapeutic residential services desinstitutionalization servi?os residenciais desinstitucionaliza? atividades cotidianas daily activities. sa?de p?blica.

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