Evaluation of the network of psychosocial care centers: between collective and mental health

Authors

  • Rosana Teresa Onocko Campos Universidade Estadual de Campinas; Departamento de Medicina Preventiva e Social
  • Juarez Pereira Furtado Universidade Federal de São Paulo
  • Eduardo Passos Universidade Federal Fluminense
  • Ana Luiza Ferrer UNICAMP; Programa de Pós-Graduação em Saúde Coletiva
  • Lilian Miranda UNICAMP; Programa de Pós-Graduação em Saúde Coletiva
  • Carlos Alberto Pegolo da Gama UNICAMP; Programa de Pós-Graduação em Saúde Coletiva

DOI:

https://doi.org/10.1590/S0034-89102009000800004

Keywords:

Mental Health Services, Health Personnel, Health Management, Health Care Reform, Qualitative Research, Evaluation Research

Abstract

OBJECTIVE: To analyze the assistance, management and workers' education models of a network of psychosocial healthcare services (CAPS). METHODS: This is a qualitative evaluation research, supported by the Gadamerian hermeneutics, carried out in the city of Campinas, Southeastern Brazil, in 2006-2007. Data were collected through 20 focus groups in centers known as CAPS III, with different groups of stakeholders (workers, municipal managers, users, family members and local managers). After the transcription of each group's recorded material, narratives were constructed following Ricoeur's theoretical framework. At the second stage of the focus groups, these narratives were presented to the participants, who could contest, correct and validate them. The preliminary results were discussed in workshops, with the aim of developing a good practice guide in CAPS III. RESULTS: The study identified strong points and weaknesses concerning the care provided during the crisis, articulation with the primary care network, formulation of therapeutic projects, management and organization in reference teams, educational background and psychological distress. CONCLUSIONS: The network of psychosocial care centers in Campinas stands out due to its originality in the implementation of six CAPS III and to its efficacy in providing comprehensive assistance to users and family members in the moment of crisis and in rehabilitation. The organization in reference technician and/or team prevails, as well as the development of therapeutic projects. Night teams reduction is the most important problem and the main source of workers' stress. The professionals' education proved to be insufficient to deal with the challenges faced by these services.

Published

2009-08-01

Issue

Section

Original Articles

How to Cite

Campos, R. T. O., Furtado, J. P., Passos, E., Ferrer, A. L., Miranda, L., & Gama, C. A. P. da. (2009). Evaluation of the network of psychosocial care centers: between collective and mental health . Revista De Saúde Pública, 43(suppl.1), 16-22. https://doi.org/10.1590/S0034-89102009000800004