Multiprofessional Work Research Articles

Social and Cognitive Skills (SCOPE)—a generic model for multi-professional work and education in healthcare

In this article, we present a generic model for social and cognitive skills that can be used in work and (simulation-based) education in healthcare. We combined existing non-technical skills tools into a tool that we call SCOPE. SCOPE is a model that comprises the three social categories of “teamwork”, “leading”, and “task management” as well as the two cognitive categories of “situation awareness” and “decision making”. Each category comprises between three and six elements. We formulated guiding questions for each category in an attempt to emphasize its core meaning. We developed a dynamic graphical representation of the categories that emphasize the constant changes in the relative importance of the categories over the course of a clinical or educational situation. Anecdotal evidence supports the value of the model for aligning language around social and cognitive skills across specialties and professions.

Information practices in multi-professional work in urban planning

Introduction. This study investigates information practices to develop multi-professional work in the planning of healthy living environments in and around urban planning. Method. A qualitative approach was used to study information practices in two city organisations in Finland. 16 professionals working in urban planning, urban planning, traffic, landscaping, promotion of well-being and environmental health and protection were interviewed in semi-structural interviews. Analysis. Interview data was analysed with content analysis, focusing on the information practices in their organisational and multi-professional context. Results. The professionals maintained and developed information practices to use, seek, share and create information in their work on urban planning within city organisations and in the stakeholder networks. Conclusion. The complexity of information-based decision-making can be understood by understanding the wide range of information practices as using, seeking, sharing, and creating information in multi-professional work. In addition, it is important to note, that also organising and managing both information and information practices are needed in information-based decision-making.

Characteristics of Multiprofessional and Client-Oriented Approach in Occupational Health Services: A Cross-Sectional Survey Among Occupational Health Professionals.

Multiprofessional and client-oriented approaches are considered key factors for successful occupational health services, and for impressive occupational health cooperation between a client organisation and occupational health service provider. The purpose of this study was to find out the views of occupational health physicians, occupational health nurses, occupational physiotherapists, and occupational health psychologists about multiprofessional and client-oriented working methods. These working methods describe the guidelines for good occupational health practice in Finland, also serving the framework of the present study. The survey was conducted in May and June 2022. The data consisted of answers to open-ended questions of a larger questionnaire. The data was analysed with the method of theory-related thematic analysis. Seven occupational health service providers committed to the study. Altogether 121 professionals responded to the question surveying the multiprofessional approach, and 119 professionals responded to the question of client-oriented approach. The results showed that both the multiprofessional and client-oriented approaches are closely related to each other, and the views of these approaches are in line with the good occupational health practice. Multiprofessional approach was most commonly described with the theme of sharing expertise. Respectively, the theme of smooth cooperation most commonly described the client-oriented approach. At its best, the answers showed that a multiprofessional working strategy takes into account the expertise of different professionals so that the client can be offered high-quality, accurate content and timely occupational health services. The results provide up-to-date information on working strategies of occupational health services in Finland. The results can be used in further development of multiprofessional and client-oriented work in occupational health services.

The effectiveness of an interdisciplinary team in the VESTA Project at UnB

To analyze the effectiveness of the actions of an interdisciplinary team from the VESTA respirator research group. This is a cross-sectional, descriptive study with a quantitative approach. The participants were members of the interdisciplinary team of the VESTA Project at UnB. Data was collected using the Research Electronic Data Capture - REDcap software platform between May and August 2023. The questionnaire consisted of: a characterization form, the Jefferson Scale of Attitudes Related to Interprofessional Collaboration (EJARCI) and the Team Climate Scale for the Hospital Context in Brazil (ECECHB). The results were analyzed individually and jointly using graphs downloaded from the REDcap platform and exported to Microsoft Excel in order to apply statistics. The sample consisted of twelve participants from different areas of knowledge. The professionals who took part in the research work in the areas of biological sciences n=1 (8.3%), exact sciences n=1 (8.3%), engineering n=1 (8.3%), human sciences n=1 (8.3%), but the vast majority are in the field of health sciences n=8 (66.7%). The analysis of the EJARCI showed that all the participants had attitudes in favor of interprofessional collaboration, and there were no significant differences in the responses in relation to professional area or level of education. In relation to the ECECHB, a generally positive perception was seen, with the item with the highest score being support for new ideas, with an average of 34.03; and the item with the lowest score being task orientation, with an average of 23.75. Multiprofessional and interprofessional work contributes positively to the implementation of good practices and the improvement of health care.

Development of multiprofessional teamwork in Finnish health and social service centers, achievements, and challenges

In Finland all health and social services are moved from the responsibility of municipalities to Well-being service counties in 2023. The reform emphasizes service integration. At practical level Health and social service centers (HSS) are developed for the first contact points in Finland. Long waiting times, shortage of staff and lack of coordination have been major problems in primary care. As a solution, multiprofessional teams of both health and social care professionals in HSS centers and better collaboration between professionals have been built. This study explores, how the teams work and what challenges they have. 
 Methods: The study is based on 16 interviews of 25 managers and so far on 8 interviews of 10 employees (interviews are ongoing) in 5 HSS centers. The study is carried out in the territory of one future well-being services county, which launched the new organization beforehand. The county provided specialized care in the whole area. The primary care and social services were provided by the county in in two HSS centers. One HSS center was provided by a municipality, and two by a private firm. In the interviews the participants were asked about work organization and the functioning of the team model. The participants were GPs, registered nurses, psychiatric and substance abuse nurses, social workers and managers from different levels. The interviews were analyzed using content analysis. 
 Results: The core team in HSS centers consisted of GPs and nurses, but also of psychiatric and substance abuse nurses, social worker and physiotherapist. The managers saw the team work as functioning rather well. The waiting times had shortened clearly. But the team model was only a part of the changes done. Ehealth services were started at the same time by an outsourced organization, which lowered the demands in the HSS centers. An important part of the changes was the new care process which highlighted the effective telephone services. Nurses answered the phone and started the care process. It was possible to guide the client to laboratory or directly (without referral) to some other professional (such as physiotherapist) or to prescribe medicine at phone. This was possible, because one GP was working as consulting the nurses without own appointments. The new service model included the task shifting and strengthening the role of nurses. 
 Common facilities and close connection of all team members was seen as crucial as it enabled getting to know each other and the services they provided. In the teams the responsibility of care was on teams, not on single professionals. This raised a discussion of care continuity and due this of efficacy. The professionals saw it important to have one contact person for the client with chronic conditions. 
 Conclusions: Multiprofessional work can streamline and improve the treatment process, but eHealth and task shifting are needed too. Teamwork requires participatory development and getting to know each other. Easy consultation of GP’s is required for task shifting. Despite the benefits of teamwork care continuity must be taken into account. 

MEANINGS OF PRIMARY CARE AND FAMILY HEALTH STRATEGY AND THE SINGULARITIES IN ITS DOING

Introduction: health, being a sphere of life, in all its diversity, did not remain outside the unfolding of the changes that occurred in society. The Family Health Strategy consists of a strategy for changing the so far existing Brazilian health model experienced until the 1990s. The Family Health Strategy is inserted in a context of political and institutional decision-making to strengthen primary care within the Unified Health System. The multiprofessional health work carried out by the Family Health Strategy (ESF) teams has been characterized by a division of labor among health professionals in order to promote positive and effective impacts on the different factors that interfere in the health-disease process. Objective: to understand the historical trajectory of transformation of the Brazilian health care model with a focus on primary care and its interface with the uniqueness of the performance of professionals working at this level of care. Methods: an integrative literature review study was conducted. Results: the results showed the relevance of the work developed for health effectiveness, in which it is understood that the performance of these professionals should follow a model that integrates competence, knowledge and problem solving. Professionals working in the family health strategy are important in the promotion, information and health education of the communities in which they are included. The work involves a respectful and humanized action with emphasis on autonomy, the development of healthy habits, prevention and health care of the population that meet the new vision of health system in the country. Conclusion: the historical construction of the Brazilian health system has gone through the paradigmatic change of understanding of the health-disease process, requiring dynamic, proactive and community, managerial and interpersonal skills to this reform.

Daily work variability in falls prevention of hospitalized patients: nursing team’s perception

BackgroundThe identification of safety incidents and establishment of systematic methodologies in health services to reduce risks and provide quality care was implemented by The World Health Organization. These safety incidents allowed the visualization of a vast panorama, ranging from preventable incidents to adverse events with catastrophic outcomes. In this scenario, the issue of fall(s) is inserted, which, despite being a preventable event, can lead to several consequences for the patient, family, and the healthcare system, being the second cause of death by accidental injury worldwide, this study aims to identify the variability inherent in the daily work in fall prevention, the strategies used by professionals to deal with it and the opportunities for improvement of the management of work-as-imagined.MethodA mixed method approach was conducted, through process modeling and semi-structured interviews. The study was conducted in a public university hospital in southern Brazil. Study steps: modeling of the prescribed work, identification of falls, modeling of the daily work, and reflections on the gap between work-as-done and work-as-imagined. Medical records, management reports, notification records, protocols, and care procedures were consulted for modeling the work process, and semi-structured interviews were conducted with 21 Nursing professionals. The study was conducted between March 2019 and December 2020.ResultsFrom July 2018 to July 2019, 447 falls occurred, 2.7% with moderate to severe injury. The variability occurred in the orientation of the companion and the assurance of the accompanied patient's de-ambulation. The professionals identified individual strategies to prevent falls, the importance of multi-professional work, learning with the work team, and the colleague’s expertise, as well as suggesting improvements in the physical environment.ConclusionThis study addressed the need for fall prevention in the hospital setting as one of the main adverse events that affect patients. Identifying the variability inherent to the work allows professionals to identify opportunities for improvement, understand the risks to which patients are subjected, and develop the perception of fall risk as a way to reduce the gap between work-as-imagined and work-as-done.

Nurse managers' perceptions of nurses' professional autonomy-A qualitative interview study.

To describe nurse managers' perceptions of nurses' professional autonomy in hospitals and their role in promoting it. A qualitative descriptive approach. Fifteen nurse managers participated in semi-structured focus group interviews in two university hospitals in Finland between May and June 2022. The data were analysed using inductive content analysis. Nurses' professional autonomy in hospitals is perceived according to three themes: individual qualities behind independent actions, limited influencing opportunities in the organization and physicians' central effect. The nurse managers perceive that they enhance nurses' professional autonomy by promoting the nurses' independence at work, their sufficient and up-to-date competence, their expert role in multi-professional cooperation and joint decision-making and an open and appreciative work community. Nurse managers can enhance nurses' professional autonomy with shared leadership. However, there are still gaps in nurses' equal possibilities to influence multi-professional work, especially outside of patient care. Promoting their autonomy requires commitment and support from leadership at all levels of the organization. The results advise nurse managers and the administration of the organization to maximize the potential of nurses' expertise, along with encouraging nurses towards self-leadership. This study provides an innovative approach to nurses' roles through their professional autonomy from the perspective of nurse managers. These managers have an important role in enhancing nurses' professional autonomy, empowering and supporting them in their expertise, enabling necessary advanced training, and maintaining an appreciative work community where all have equal participation opportunities. Thus, nurse managers have the opportunity to strengthen high-quality multi-professional teams' ability to jointly develop the patient's care for better outcomes through their leadership. No patient or public contribution.

Use of debriefing following restrictive practices in forensic psychiatric care

PurposeInpatient violence is a substantial problem in psychiatric wards and de-escalation is difficult. When managing instances of violence through verbal techniques fail, mental health-care staff may use restrictive practices. The Six Core Strategies and debriefing exist for managing violence and restrictive practices in different mental health settings. Debriefing is used to get patients’ views on restrictive practices, ensure proper patient care and strengthen the role of patients as experts. This study aims to provide new information on debriefing implementation and how debriefing was used among different patient groups in a forensic hospital.Design/methodology/approachQuantitative seclusion time and debriefing reports (n = 524) were examined with Poisson regression analysis. Fisher’s exact test was used to determine the associations between debriefing and seclusion/restraint.FindingsDebriefing (n = 524) was provided in 93% of violent episodes, which is an excellent result on an international level. There was significant variation in how often debriefing was used (p < 0.001) among different patient groups, i.e. dangerous, difficult-to-treat patients and criminal offenders whose sentences have been waived. Previous debriefing research has rarely specified what types of psychiatric patients have been subjected to seclusion or restraint.Practical implicationsThe implementation of debriefing requires multiprofessional work within the organization and wards.Originality/valueDebriefing seems to stimulate reflection at every level of a health-care organization, which fosters learning and can ultimately change clinical practices. The use of debriefing can strengthen the role of patients as well as professionals.

Percepções sobre contribuições/desafios da integração ensino-serviço-comunidade a partir da experiência de uma disciplina cirúrgica

Abstract: Introduction: The National Curriculum Guidelines (DCN, Diretrizes Curriculares Nacionais) for the undergraduate medical course emphasize the educational training in the context of primary health care and have as axes of the curricular development, the health needs of the population and the teaching, service, and community integration (TSCI), preferably in services of the Brazilian Health System (SUS). Thus, the primary health network is a unique learning scenario, as it provides students the opportunity to experience health policies, as well as the multi-professional work, in addition to the possibility of dealing with real-life problems, associating medical-academic training to the social health needs. Objectives: This work aims to analyze the characteristics of the teaching-service integration, which contribute to the university, health services and the community. It also aims to analyze the difficulties and challenges through the perception of the students, the users and the health professionals involved in the outpatient Surgery Clinic and in the extension project of UFSJ (Universidade Federal de São João del-Rei) in the health units in Tiradentes-MG. Methods: This work is a qualitative study which used, as data collection instruments, semi-structured interviews with users, students and health professionals, about the perception of Teaching Service-Community Integration (TSCI). The Content Analysis technique was used for the data analysis. Results and Discussion: The data showed that the TSCI allowed improving the quality of work in the health service, qualifying the professionals who were working there, in addition to enhancing personal achievement of the actors in this interaction. It also brought improvements to primary care, allowing an understanding of the organization of the work practice and greater effectiveness of the Basic Health Unit. Furthermore, it was possible to perceive the challenges and impasses of this integration to be overcome, such as: lack of structure and materials, a minor discomfort, but no less important, of patients to be cared by students and confrontation of the routine of local health professionals with the University. Conclusion: The university inserted in the social reality and in the primary care services trains professionals who are more qualified for more prevalent problems while benefiting the population and the local health teams.

Creating a family centre by categorising clients in a steering group meeting interaction

This paper studies the creation of organisations via people processing (Prottas 1979), taking as its case study a new and developing family centre that aims to offer various social and health services under the same roof. The study draws on ethnomethodology, meaning that organisations are herein understood as being created and continuously produced in and through interaction. The data consist of 11 audio-recorded meetings from the centre’s steering group, which includes managers from different service fields and welfare agencies. In analysing the creation of the centre through people processing, this paper scrutinises how the meeting participants orient themselves toward and produce the centre’s client categories, what characteristics they connect to these categories, and how they do boundary work regarding which categories belong or not to the centre’s target groups. The meeting participants produce three different family based client categories. The first category is ordinary families, those without any special problems who just pop into the centre to see other people. These families are distinguished from the second category, best matching families, who are defined as having problems that would benefit from the integrated, multi-professional work conducted at the centre. The third category, families with too specific needs, refers to client groups whose service needs are at least partly beyond the centre’s expertise and resources. The centre needs these people-processing activities to make sense of its mission, clients and co-partners; this ongoing reasoning process allows the emerging centre to exist and find its place in the local service system.

Multiprofessional teamwork in Finnish health and social service centers, experiences of managers

Abstract Background Health and social service centers are developed for the first contact points in Finland. Long waiting times, shortage of staff and lack of coordination have been major problems in primary care. As a solution, multiprofessional teams and better collaboration between professionals have been built. This study explores, how the teams work and what challenges they have. Methods The study is based on 16 interviews (25 managers) in 5 health and social services centers. County provided specialized care in the whole area as well as primary services in two centers, one center was provided by a municipality, and two by a private firm. The managers were asked about work organization, their experiences of the team model and about well-being of employees. The interviews were analyzed using content analysis. Results The managers saw the team work as functioning rather well. They also highlighted effective digital services and task shifting. Easy consultation of GP’ was important as nurses were the first contact for clients in phone. In this call, the client’ case was tried to be handled as far as possible. The competences of new professionals, such as social workers or psychiatric nurses had high value for the team. But the service processes and team-building were in progress. Working in mutual facilities and easy consultation of professionals was seen important. In most organizations clients were separated to different teams based on their service needs (acute or chronic conditions), or earlier clientele. As a result, some teams gained a more burdensome clientele, which increased stress. Conclusions Multiprofessional work can streamline and improve the treatment process, but this requires more information which ways to collaborate work best for the clients and professionals. Key messages • Multiprofessional team work, task shifting and digital services may increase efficiency and well-being of workers at health and social centers. • Easy consultation of GP’s is required for task shifting.

Exploring Sustainable Food Education as Multi-professional Collaboration between Home Economics and School Food Catering

This article explores microprocesses and transactions during 7 months of collaboration for sustainable food education involving two teachers of home economics and a school food manager in a Finnish secondary school. Data sources included interviews and multi-professional meetings, the professional reflections of participants and a researcher’s diary. Leaning on previous literature, we revisit and develop the concept of shared food sense (joint understanding, collective application, redefinition of co-action) as a tool for analysing the learning outcomes of collaborative multi-professional work. Accordingly, the outcomes were conceptualized as context-bound decisions and compromises that were collaboratively reached after the emergence of tensions in the process. The results highlight the need to acknowledge the complex relationships among systemic, institutional, interpersonal and intrapersonal tensions in multi-professional work, as well as to conduct a critical review of the work division, the professional motivations and the opportunities for mutual communication among participants in such alliances.

Complexidade do cuidado da gestante de alto risco na rede de atenção à saúde

To understand the complexity of high-risk care for pregnant women in the health care network. Qualitative study with theoretical framework of Edgar Morin's Complex Thought and Grounded Theory methodology, Strauss's version. Data collection by theoretical sampling, including twelve health professionals and seven women users of the care network in a municipality in the south of Brazil from July to October 2018. Analysis by open and axial coding and selective integration. The phenomenon "Caring for high-risk pregnant women in the health care network", comprises four categories: Noticing autonomous decision making; Promoting care; Developing multiprofessional work; and Accessing the health care network. Every high-risk pregnant woman should be seen as a singular and multidimensional being with comprehensive and continuous care, considering the complexity of local, regional, and global reality.

The health workforce: central to an effective response to the COVID-19 pandemic in Europe

BackgroundCOVID-19 has reinforced the centrality of health workers at the core of a well performing and resilient health system. It has concomitantly exposed the risks of staffing and skills shortages and the importance of protecting the health workforce. This paper focuses on highlighting some of the lessons learnt, challenges and future needs of the health workforce in Europe in the context of COVID-19.MethodsWe use secondary sources and expert information.ResultsDuring the pandemic innovative and flexible approaches were implemented to meet increasing demand for health workers and new skills and responsibilities were adopted over a short period of time. We have seen the rapid adaptation and use of new technologies to deliver care. The pandemic has underlined the importance of valuing, protecting and caring for our health workforce and the need to invest appropriately and adequately in the health workforce to have sufficient, capable and well-motivated health workers. Some of the main challenges that lie ahead of us include the imperative for better investment, to need to improve recruitment and retraining whilst better retaining health workers, a focus on domestic sustainability, redeploying and developing new skills and competences among health workers, enabling more effective multi-professional collaboration and team work, improving the quality of education and training, increasing the public health focus and promoting ethical and sustainable international recruitment of health workers.ConclusionsThe WHO European Region through its European Programme of Work 2020-2025 is fully committed to support countries in their efforts to continue to respond to COVID-19 and whilst addressing upcoming health workforce challenges.

Patient safety in Neonatal Intensive Care Units: Neonatal patient safety

Introduction: Patient Safety in a Neonatal Intensive Care Unit is to reduce as little as possible the risk of causing harmful acts in the course of care. Objective: This study aimed to search together with the scientific literature which factors compromise patient safety in the neonatal care unit. Methods: For this an integrative review was performed on the Pubmed and Scielo platforms, using a combination of the descriptors “Patient Safety” or “Patient Safety” and “Neonatology” or “Neonatology” and “Hospital” and “Infection” or “Infection”. 27 articles that after the inclusion and exclusion criteria were analyzed and totaled in 7 manuscripts for the study. Results: The results showed that patient safety is compromised by factors related to multiprofessional work and the treatment received. Conclusion: Proposals include the elaboration of tools (protocols, checklists, among others) that could effectively help the establishment of a safety culture and promote the theme.

The health workforce: Central to an effective response to the COVID-19 pandemic in the European Region.

COVID‐19 has reinforced the centrality of health workers at the core of a well performing and resilient health system. It has concomitantly exposed the risks of staffing and skills shortages and the importance of protecting the health workforce. The present commentary focuses on highlighting some of the lessons learnt, challenges and future needs of the health workforce in Europe in the context of COVID‐19. During the pandemic innovative and flexible approaches were implemented to meet increasing demand for health workers and new skills and responsibilities were adopted over a short period of time. We have seen the rapid adaptation and use of new technologies to deliver care. The pandemic has underlined the importance of valuing, protecting and caring for our health workforce and the need to invest appropriately and adequately in the health workforce to have sufficient, capable and well‐motivated health workers. Some of the main challenges that lie ahead of us include the imperative for better investment, to need to improve recruitment and retraining whilst better retaining health workers, a focus on domestic sustainability, redeploying and developing new skills and competences among health workers, enabling more effective multi‐professional collaboration and team work, improving the quality of education and training, increasing the public health focus and promoting ethical and sustainable international recruitment of health workers. The WHO European Region through its European Programme of Work 2020–2025 is fully committed to support countries in their efforts to continue to respond to COVID‐19 and whilst addressing upcoming health workforce challenges.

Exploring the transition from student to health professional by the first cohort of locally trained occupational therapists in Ghana

Introduction The transition from student to occupational therapist for new graduates has been described as a period of extreme stress and anxiety; novice therapists enter a world that is new and complex upon starting clinical practice. The first locally-trained occupational therapists in Ghana worked autonomously and in a self-directed manner from their first year of practice in a country where occupational therapy had not been established. The study sought to explore the transition from student to clinician, made by the first cohort of locally trained occupational therapists in Ghana. Methods An interpretive phenomenology approach was used to explore participants’ experiences of their transition from occupational therapy students to clinicians in Ghana. Six participants were selected using purposive, maximum variation, sampling. Data were collected by means of in-depth interviews and analysed using an iterative, inductive approach. Results Four themes emerged: Being ‘new’ in a new profession, introducing occupational therapy into a new environment, Personal and professional competence, and ‘The future is bright’. New graduates found continued professional development activities, such as additional reading, seminars and conferences, essential for successful transition into practice. Conclusion The importance of supervision and mentorship was highlighted in the study. Explicit attention to factors that support assimilation of new graduates within health care facilities were highlighted. The importance of continued professional development in development of practice competencies was foregrounded. Strategies to facilitate multi-professional work were demonstrated.

Development of Data Integration and Sharing for Geotechnical Engineering Information Modeling Based on IFC

With the rapid development of infrastructure construction, geotechnical engineering has always been worthy of attention due to its complexity and diversity. Accelerating the informatization of geotechnical engineering will contribute to the project management, but the information contained in geotechnical engineering cannot be well integrated because of the lack of unified data standards. Building Information Modeling (BIM) has been considered as an effective technology to manage information, and Industry Foundation Classes (IFC) in BIM serves as a neutral and open standard for the exchange of information. However, it was found that BIM cannot express the information of some structure objects and geological objects well during the construction process of geotechnical engineering. Combined with the characteristics of geotechnical engineering, taking advantage of the good extensibility of IFC, this paper proposes a “Built‐In Generation Schema” for geotechnical structure models and a “Plug‐In Extension Schema” for three‐dimensional (3D) geological models, ultimately forming the basic data system of geotechnical engineering information models based on IFC. Applying extended IFC to the modeling process, the BIM‐based modeling method of geotechnical models is proposed. In addition, an IFC‐based platform is developed to integrate geological models and structure models for further displaying and analyzing of geotechnical engineering models. The work in this paper provides a feasible way and technical support for promoting the integration and sharing of geotechnical engineering information and enhancing the multiprofessional collaborative work.

Revisão Integrativa: Atuação da Psicologia na Rede de Atenção Psicossocial

No Brasil, os serviços de atendimento em saúde mental têm uma articulação única, conhecida como Rede de Atenção Psicossocial, articulando múltiplos dispositivos em trabalho multiprofissional e interdisciplinar. Entre as profissões, o objetivo deste artigo foi investigar estudos sobre a atuação da Psicologia na Rede de Atenção Psicossocial, desenvolvidos pela Psicologia brasileira, nas bases de dados SciELO, PePSIC, Index Psi, Lilacs e BVS, utilizando os descritores “Rede de Atenção Psicossocial” e “Psicologia”. Foram selecionados 21 artigos, publicados de 2012 a 2018, classificados de acordo com a temática de estudo e o método utilizado. Houve predomínio de pesquisas com abordagem qualitativa, com uso de entrevistas e observação para coleta de dados. Os resultados indicaram avanços nas práticas que envolvem a necessidade de promoção de autonomia dos usuários e que modificam o perfil tradicional de atenção à saúde mental, embora ainda se verifiquem problemas na formação teórica e prática do profissional psicólogo no campo psicossocial.