Psychosocial care network: managers’ perception and tensions of the field

Rosimár Alves Querino,Rafael Silvério Borges,Jacqueline De Souza,Jaqueline Lemos De Oliveira,Letícia Yamawaka De Almeida

doi:10.1590/0034-7167-2018-0844

Rosimár Alves Querino, Rafael Silvério Borges + Show 3 more

Open Access

https://doi.org/10.1590/0034-7167-2018-0844

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Abstract

to analyze the perception of workers and managers about the psychosocial care network in a medium-sized municipality in the inlands of the state of Minas Gerais. qualitative, descriptive and exploratory study involving twelve participants from different points of the network. The semi-structured interviews were analyzed in the light of Pierre Bourdieu's framework of constructionist structuralism. the actions offered by the services were based on the perspectives of resocialization, user embracement, group and multiprofessional care, and on approaches to harm reduction, recreation and daily organization. These were configured as the network resources/capital. Tensions were identified in family embracement and in relationships between families and users, as well as in the prejudice towards people with mental disorders. Final considerations: the social agents were willing to contribute to processes of change in order to overcome the focus on specialties, the lack of training of some teams, lack of infrastructure and of some components, especially those related to leisure and community life.

Highlights

OBJECTIVEAlong with the mental health services reform and efforts to change the logic of care in this area, was recognized the magnitude of the global burden of mental disorders and the need for integrated and intersectoral responses[1,2,3]
Regarding workers’ conditions, the need for more qualification and the issue of remuneration were mentioned: The results contemplated here relate to how participants understand mental health in the Psychosocial Care Network, the expectations regarding expanded access to care, and challenges related to the network consolidation
The matrix strategy and training of primary care teams were mentioned as efforts to fulfill these demands, with expectations regarding the expansion of mental health actions in primary care:

Summary

Introduction

Along with the mental health services reform and efforts to change the logic of care in this area, was recognized the magnitude of the global burden of mental disorders and the need for integrated and intersectoral responses[1,2,3]. The proposed organization of mental health services under the network logic is one of the strategies to broaden the care access and change the focus of the disease to the psychosocial needs of people with mental disorders[4]. Such a network should be structured with points of care focused on both health care and social reintegration of individuals and families[2,4]. As the network is woven into the daily routine of services and in relationships between structures and social agents, workers and managers play a fundamental role in mobilizing resources to meet users’ demands[7,8,9,10]

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