Abstract
The objective of the study was to analyze criticisms, compliments and suggestions of users, family and workers, placed in an Ombudsman of a Centro de Atenção Psicossocial para Álcool e outras Drogas (Psychosocial Care Centers for Alcohol and Other Drugs- CAPS ad). A study carried out in the CAPS ad of Macapá-AP from August to December 2016, through the thematic content analysis of the files deposited in the ombudsman, recently introduced in the service, containing criticisms, compliments and suggestions from users, family members, and CAPS ad. It was observed the dissatisfaction with the infrastructure of the CAPS ad, and with the relationships built between users and professionals, in addition, suggestions were given of workshops, and improvement in the development of the Projeto Terapêutico Singular (freely translated as Unique Therapeutic Project). It is concluded that the multidisciplinary team needs to put in practice the real psychosocial care in the service, and that the management helps in the improvement of the service's place, and in the proposal of qualifications to this team.
Highlights
Not unlike other regions of the country, the Amapá state, even before the creation of a specific policy to care for users of alcohol and other drugs, in 2006, presented difficulties in establishing care measures for these individuals according to their specificities
They are services that encourage the autonomy of the subject and their citizenship, it is observed that often the relationships are vertical and unilateral, that is, the user only listens and does not have voice to express their opinion on their treatment and therapeutic project, together with the multidisciplinary health team[2]
The results obtained allowed grouping of the data, according to the theoretical framework adopted, into four categories: 1- Physical Structure, 2- Professional Interpersonal RelationshipUser, 3- Perception about the Dynamics of Service: Groups, Workshops and Appointments, 4-Perspectives of the User regarding the Unique Therapeutic Project; and three subcategories that originated in the second category (Professional Interpersonal Relationship- User), which are: a) Harmonic Relations, b) Conflictive Relations, and c) User’s dissatisfaction with the Service
Summary
Not unlike other regions of the country, the Amapá state, even before the creation of a specific policy to care for users of alcohol and other drugs, in 2006, presented difficulties in establishing care measures for these individuals according to their specificities. The exchange of experiences and daily dialogue is important in the construction of a process of interaction and communication between professionals and users, which dialogue with the uniqueness of the suffering subject and the process of Psychiatric Reform, in this way, a better efficiency in the quality of the service[1], promoting its autonomy They are services that encourage the autonomy of the subject and their citizenship, it is observed that often the relationships are vertical and unilateral, that is, the user only listens and does not have voice to express their opinion on their treatment and therapeutic project, together with the multidisciplinary health team[2]. In 2003, the National Humanization Policy (PNH) was created to encourage communication between managers, workers and users to rethink the relationships between users and health professionals, allowing new perspectives and health practices that promote inclusion, respect and autonomy of the user and his/her family, who, based on suffering and sickness, seek the support of public health institutions to minimize such problems[3]
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