Abstract
ABSTRACT Objective: to discuss the process of Permanent Health Education conducted with professionals working in Psychosocial Care Centers, on using Group Technology in psychosocial care. Method: this is an action-research where 66 workers from 29 mental health services in a Midwestern Brazilian using Maguerez Arch as data collect strategy. Data was presented according to the chronology of the gathering meetings and discussed from Freire's conception of problematizing education. Results: the participants identified “the lack of knowledge about what group dynamics is and how to use it properly” as a problem to be addressed, having the following as causes: low adherence of users to group activities; poor worker competence in conducting and planning therapeutic groups; little theoretical mastery on group dynamics; inadequate handling of silence and group techniques. The following themes were chosen for theorization: motivation, participation, communication, planning, group structuring and coordination, use of techniques and group experiences. In the action phase, the participants built 16 proposals for interventions, 13 related to the construction of learning spaces and three to the reorganization of group service practices. Conclusion: using the action-research method in this process of Permanent Health Education allowed workers and their teams to exercise critical analysis on working with groups, as well as to become aware on the restrictive aspects of this practice, which led them to find more effective ways for using group technology in mental health care.
Highlights
The Psychiatric Reform (PR) in Brazil defends the rights of people with mental disorders and problems arising from the abuse of alcohol and other drugs, to ensure free and humanized treatment, aiming at citizenship, autonomy, quality of life and social reintegration.[1,2] From the PR emerges the model of psychosocial attention based on the conception that the health-mental illness process is multi-determined, resulting from a complex and inseparable set of biological, psychological, social, cultural, spiritual and economic determinations and conditions
The psychosocial model is transformed into the provision of services within the Unified Health System (Sistema Único de Saúde, SUS) through the Psychosocial Care Network (PSCN) for people with mental suffering or disorders and needs arising from using crack, alcohol and other drugs The Psychosocial Care Centers (PSCCs) are PSCN’s strategic services with multi-professional teams.[4,5]
In order to know more about the reality of each professional in the context of group activities, a short questionnaire was delivered that should be answered by the worker with their PSCC team, in order to identify and describe which group actions were developed in the service; to raise the driving and restrictive factors of the practice with groups and to investigate the theoretical foundation that supported this work modality
Summary
The Psychiatric Reform (PR) in Brazil defends the rights of people with mental disorders and problems arising from the abuse of alcohol and other drugs, to ensure free and humanized treatment, aiming at citizenship, autonomy, quality of life and social reintegration.[1,2] From the PR emerges the model of psychosocial attention based on the conception that the health-mental illness process is multi-determined, resulting from a complex and inseparable set of biological, psychological, social, cultural, spiritual and economic determinations and conditions. Therapeutic groups and workshops are PSCC’s priority care offerings, often functioning as organizing elements for the daily mental health care services.[6]
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