Reference Center For Social Assistance Research Articles

INTEGRATIVE COMMUNITY THERAPY: REPERCUSSIONS ON WORKERS IN A MUNICIPALITY IN PARAÍBA

Objective: To understand the repercussions of integrative community therapy (ICT) on professionals in a city in Paraíba. Methodology: This is an exploratory-descriptive study with a qualitative approach, using Bardin's content analysis technique. Workers from the Specialized Social Assistance Reference Center, Social Assistance Reference Center, Family Health Support Center, and Popular Education Center in the city of Nova Palmeira, Paraíba, participated in the research. Results: After analyzing the speeches, the following empirical categories emerged: Benefits of ICT: Redefining the way of being, in which it was observed that there were positive repercussions on both the personal and professional lives of workers; and ICT Circles and their main limitations according to the participants. Conclusion: The activity enables new ways of relating collectively to others. It is noticeable that the use of this tool provides the development of empathy, resilience, self-esteem, among others. Therefore, it is necessary to promote TCI circles more widely among workers and the community in general, thus allowing them to become a means of social inclusion.

Short-term effects of the strengthening families Program (SFP 10–14) in Brazil: a cluster randomized controlled trial

IntroductionThis study reports the evaluation of the short-term effects of the Strengthening Families Program (SFP 10–14), adapted as Famílias Fortes (Strong Families) in Brazil, on preventing adolescent drug use and improving parenting behaviors.MethodsA two-arm, parallel cluster randomized controlled trial was conducted in 60 Social Assistance Reference Centers (SARC) from 12 Brazilian municipalities. In each city, the SARC were randomly assigned to the intervention or control group. A total of 805 families participated in the study, each contributing data from one parent or legal guardian and one adolescent totaling 1,610 participants. Data collection occurred before intervention implementation and 6 months after baseline collection. Data were analyzed using multilevel mixed-effects modeling with repeated measures in two different paradigms: Intention to Treat (ITT) and Per protocol (PP). The study was registered in the Brazilian Ministry of Health Register of Clinical Trials (REBEC), under protocol no. RBR-5hz9g6z.ResultsConsidering the ITT paradigm, the program reduced the chance of parents and legal guardians being classified as negligent by 60% (95%CI 0.21; 0.78), increased the use of nonviolent discipline by caregivers (Coef 0.33, 95%CI 0.01; 0.64) and decreased the chance of adults exposing adolescents to their drunken episodes by 80% (95%CI 0.06; 0.54). No program effects were observed on outcomes related to adolescent drug use. Similar results were found for the PP paradigm.ConclusionThe positive effects on family outcomes suggest preventive potential of the program among the Brazilian population. Long-term evaluations are necessary to verify if the program can also achieve the drug use reduction goals not observed in the short term.

CHALLENGES OF THE PSYCHOLOGIST'S WORK AT CREAS DE CAMALAÚ/PB – EXPERIENCE REPORT

The Specialized Reference Center for Social Assistance is a state unit that offers specialized and continuous services to individuals in situations of threat or violation of rights such as: psychological, physical, sexual violence and compliance with socio-educational measures. The objective is to present the challenges of the psychologist in the scope of CREAS. As a method, the experience of a psychologist at the Specialized Reference Center for Social Assistance (CREAS), in the municipality of Camalaú, PB, is reported. With the results, it was possible to observe the reality of the psychology professional who chooses to act in the provision of SUAS services. As a conclusion, it is considered that social assistance represents an indispensable field of work to discuss the role of the psychologist in the face of challenges.

MEANINGS ABOUT CRAS: “LET’S GIVE THEM A HAND, RIGHT, THEY ARE POOR PEOPLE”

This research adopted a qualitative, reflective and critical approach, being guided by the socio-historical theoretical-methodological framework. We studied the meanings of users about the services offered by the Social Assistance Reference Center (CRAS) in a small municipality in the state of Santa Catarina. Eight users who integrate the services offered in the aforementioned CRAS participated in the research. Listed through a draw and data analysis was carried out using the meaning nucleus technique (Aguiar and Ozella, 2006; 2013; Aguiar, Soares and Machado, 2015). The following indicators were discussed: CRAS as “help ”; Contributions of CRAS to the emancipation of subjects and Prejudice against users of SUAS. The results highlighted the contradictions that permeate this device, between the guarantee of rights and assistance conceptions. Finally, the need for construction of psychosocial practices guided by ethical-political commitment.

Self-esteem and aesthetics in the perception of older adults from Social Assistance Reference Centers

Resumo Objetivo Analisar a percepção de pessoas idosas em relação a sua imagem corporal e autoestima. Método Pesquisa qualitativa, exploratória, descritiva realizada com 28 pessoas idosas nos Centros de Referência de Assistência Social de Araucária, Paraná, Brasil. Foi aplicada entrevista com roteiro estruturado composto por 10 questões que abordavam os sentimentos em relação à estética no envelhecimento e às repercussões na autoestima. A análise dos dados foi realizada utilizando o software IRAMUTEQ®. Resultados A análise da percepção em relação à estética e autoestima no envelhecimento resultou em 5 classes: classe 1 (19,8%) “Relação autoestima x autoimagem”, classe 2 (20,7%) “Sentimentos e sensações experimentadas”, classe 3 (20,7%) “Aspectos além da aparência que influenciam a autoestima”, classe 4 (18,1%) “Motivos para realizar cuidados estéticos” e classe 5 (20,7%) “Tipos de intervenções e cuidados estéticos”. Elevada autoestima foi encontrada em uma população vulnerável economicamente. Muitas pessoas idosas relataram que com o envelhecimento houve mudanças na forma como são tratadas, entretanto, isso não foi percebido somente de forma negativa. Conclusão Embora a sociedade promova um padrão de beleza, as pessoas idosas conseguem viver de forma satisfatória, com elevada autoestima, sem serem influenciadas negativamente.

Autoestima e estética na percepção de pessoas idosas de Centros de Referência de Assistência Social

Abstract Objective To analyze the perception of older adults regarding their body image and self-esteem. Method A qualitative, exploratory, and descriptive study conducted with 28 older adults in the Social Assistance Reference Centers of Araucária, Paraná, Brazil. A structured interview with a questionnaire comprising 10 questions addressing feelings about aesthetics in aging and its repercussions on self-esteem was administered. Data analysis was performed using the IRAMUTEQ® software. Results The analysis of perception regarding aesthetics and self-esteem in aging resulted in 5 classes: Class 1 (19.8%) "Self-esteem vs. self-image", Class 2 (20.7%) "Feelings and sensations experienced", Class 3 (20.7%) "Aspects beyond appearance influencing self-esteem", Class 4 (18.1%) "Reasons for engaging in aesthetic care", and Class 5 (20.7%) "Types of interventions and aesthetic care". Elevated self-esteem was found in an economically vulnerable population. Many older adults reported changes in how they are treated with aging; however, this was not solely perceived negatively. Conclusion Despite societal promotion of a beauty standard, older adults can live satisfactorily with high self-esteem without being negatively influenced.

MOURNING FAMILIES: The process of working out of grief as a result of death from COVID-19

The objective of this study was to investigate how families who lost a family member as a result of COVID-19 have structured themselves in the resilient process of mourning. This is a qualitative research, which used the Episodic Interview technique as a research instrument. Five family members of patients who died from COVID-19 participated in the study, invited by recommendation from the Social Assistance Reference Center and Basic Family Health Units in the municipality; with the study approved by CEP/FPM, under opinion number 5,977,311. Among the reports from the sample of interviewees, it was unanimous among those interviewed that religion was an element that could serve as a source of emotional support in the face of loss. It was observed that all these losses occurred in public hospitals in the city of Patos de Minas, and psychotropic medications were used as a result of grief. Finally, limitations of the study included reluctance to participate due to the painful nature of the subject and a lack of understanding about the academic research process, as the initially proposed sample was larger than those who actually participated in the research. In view of this study, new reflective research is suggested on the elaboration of grief in pandemic consequences and methods for professional psychologists to clinically help bereaved patients.

CHARACTERIZATION OF SELF- INJURIOUS BEHAVIOR IN ADOLESCENTS: a descriptive study

The paper is the result of research on self-injury in the transition from childhood to adolescence. The objective is to present and discuss the research results of a survey on the characteristics of self-injurious behavior among adolescents in the city of Volta Redonda/RJ. A Cross-sectional study with 61 pre-adolescents and adolescents assisted by the Specialized Reference Center for Social Assistance of both sexes, aged between 10 and 16 years old, with self-harm practice, seeking to collect data on the characterization of this behavior, sociodemographic profile and referrals made. Data analysis was conducted through the categorization of interviews, descriptive analysis of simple and relative frequency survey, and standard deviation. As a result, most participants are female (80.3%), between 13 and 14 years old (50.9%), who predominantly used sharp objects (88.5%), mainly affecting arms, hands, or wrists (94.1%). Family conflicts stand out (83.6%) as a motivation and the majority (50.8%) were not referred for treatment. With these results, the study had concluded that knowledge about the characterization of self-injurious behavior in adolescents is fundamental for the design of public policies for prevention and psychosocial assistance for adolescents.

Influence of geographical space on the strength of the breathing muscles of elderly residents in the rural and urban areas of the high hinterland of Paraiba

Introduction: We observe, in the aging process, important functional changes in our organism that can be influenced by the environment in which we are inserted. Objective: To comparatively evaluate the respiratory muscle strength of elderly people in rural and urban areas. Methodology: This is a cross-sectional and analytical research, whose data were analyzed quantitatively, which was carried out with elderly people living in the urban area, registered at the Social Assistance Reference Center (CRAS), and in the rural area, at the Urban Social Center (CSU) in Sousa city, in Paraíba state. The sample was random and for convenience. An anthropometric and respiratory muscle strength assessment was carried out. Individuals aged 60 years or older, of both sexes, who had good mental conditions to answer the questions and could walk were included, and those who had cognitive deficits, visual, cardiac, respiratory, neurological problems, and neoplasms were excluded. Results: 84 elderly people participated in the research, of both sexes, divided into two groups: urban area (n = 43) and rural area (n = 41). With regard to respiratory muscle strength, when comparing the maximal Inspiratory Pressure (IPmax) with the maximal expiratory pressure (PEmax) of the elderly in relation to the place of residence, there were no statistically significant results in the evaluated variables (p > 0.05). Conclusion: There was no statistically significant difference in the respiratory muscle strength of the elderly evaluated at the expense of the habitat.

Social security in pandemic times: an analysis on access to emergency Aid at CRAS in Riacho Fundo II

This study aims to analyze the access of users of the CRAS (Social Assistance Reference Center) in Riacho Fundo II, Brasília-DF, during the COVID-19 pandemic period (SARS-CoV-2), between 2020 and 2022. It considers the concerns surrounding the Emergency Aid, an urgent measure adopted by the Federal Government, in an analysis of the performance of the so-called social assistance services. The theoretical framework of the research is based on a reflection that follows the guidelines of a qualitative-quantitative approach, meaning a qualitative understanding of the phenomenon through bibliographic research, followed by a quantitative application involving field research and data tabulation.A multiple-choice questionnaire was administered to establish a behavioral profile of the study group. The obtained results led to the conclusion that there were various obstacles to ensuring citizenship and access to assistance rights during a health, economic, and social crisis, which reaffirmed the importance of socially relevant actions in safeguarding the rights of the vulnerable population. With knowledge of these challenges, the Federal, State, and Municipal governments can work to improve their management capacity, reduce bureaucracy for receiving assistance, and consider aspects of support and monitoring for these beneficiaries. This study is justified by recognizing that during the pandemic, providing assistance to the population is considered an essential service and a legally guaranteed right.

Relationship between Lifestyle and Residence Area with 25(OH)D Levels in Older Adults.

The aim of this study was to investigate whether the habitat of older adults living in the urban and rural areas is a contributing factor to altered serum 25(OH)D levels. An analytical, cross-sectional research with a quantitative approach was conducted in the upper backwoods of Paraíba with older adults registered at the Reference Center for Social Assistance (CRAS), addressing residents of both rural area (n = 41) and urban area (n = 43) who were randomly chosen to participate in the study. Data collection took place between January and February 2020. Higher rates of handgrip strength were observed in rural older adults (29.22 ± 8.92 Kgf) with serum 25(OH)D levels in the range of 30 to 40 ng/mL when compared to older adults with concentrations below 30 ng/mL (21.82 ± 5.00 Kgf) and above 40 ng/mL (23.47 ± 6.88 Kgf). Older people living in the urban area, with 25(OH)D levels above 40 ng/mL, presented a lower muscle power index when compared to individuals with vitamin levels from 21 to 29 ng/mL (17.40 ± 6.34 s; 15.33 ± 2.00 s). The urbanization associated with 25(OH)D levels can cause changes in skeletal and respiratory muscle strength, because the habitat associated with 25(OH)D levels affects the parameters of muscle strength of the upper limbs for older adults living in a rural area and the muscle strength of the lower limbs for those living in an urban area.

Aging Management: Organization and Characterization of Physical Activity, Sport and Leisure Practices for the elderly public in the city of Canindé/CE/Brazil

The present study aimed to characterize the activities related to physical activities, sports and leisure for the elderly public, organized within the scope of municipal public policies, in the City of Canindé/CE. The methodology applied had as a guiding parameter an exploratory field research in the period 2018-2019, with qualitative data surveys via descriptive analysis, observation of the managers' speeches through a semistructured interview, developed during field visits, with analysis of documents (attendance and lesson plans) in the respective establishments. The sample consisted of Coordinators and/or Monitors responsible for the Social Programs and/or Projects of the Social Assistance Reference Center (CRAS); Urban Social Center (CSU); Elderly Living Center (CCI); and Health Department (NASF). The triangulation of the inventoried sources, in the light of the literature obtained, indicated that the development of social programs and projects characterized as public policies of municipal management in the city of Canindé, presented a small population coverage of elderly participants, making the approach and reach insufficient, in terms of coverage when compared to the total population of this age group in that municipality. However, the Programs/Projects analyzed indicated that these practices of physical activity, sport and leisure were of a diversified nature, undertaken on the manifestation of the body culture of movement, in which assumptions for improving the quality of life around the domains are revealed. physical, psychological and social, provided for in the National Health Policy for the Elderly (Brazil, 1994).

SOCIAL SKILLS TRAINING IN CHILDREN AT A SOCIAL ASSIS-TANCE REFERENCE CENTER

This article describes training in social skills for children in situations of social vulnerability. 13 children participated, aged 7 to 12 years, linked to the Social Assistance Reference Center (CRAS). The children participated in 11 sessions and their parents in 2 sessions, all lasting 90 minutes. GThe inclusion of social skills training in CRAS as a strategy for preventing and reducing risk factors in childhood is discussed.

Feminismo decolonial e terapia ocupacional: relato de experiência de um estágio curricular no contexto da pandemia

Abstract This experience report is a theoretical deepening of the practices of remote internship in Occupational Therapy (OT) at the Social Assistance Reference Center (CRAS) of territory in the municipality of Pelotas, State of Rio Grande do Sul, Brazil. The practices are based on the Occupational Therapy of the South and decolonial feminist perspectives. During the internship, individual interventions, a virtual group with women users of the CRAS, and a training group focused on workers from the same institution were carried out. Through these interventions, we had access to life stories marked by gender oppression. Supported by Patricia Hill Collins’s theory, we understood how the images of control impacted those women’s daily activities, especially those related to care. The interventions found support in the Amerindian paradigm of translation, underlining misunderstanding as the foundation of care in OT. We proposed Cultural Translation Activities as a method of occupational-therapeutic intervention that foresees and uses the cultural difference in favor of new forms of experimentation, awareness, collectivization, and incitement to face oppression.

CURRICULUM ACTS AND NETWORK EDUCATION IN THE COMMUNITY SERVICE AND STRENGTHENING OF BONDS

The sociocultural scenarios of the interactions of social actors are forged in the acts of curricula amid the experiences and experiences of the subjects causing ruptures that multi-referenize in the midst of pluralities. These performances show learning processes, presuppose transgressions of the elected formative knowledge and go beyond the walls of the school. This paper aims to present glances at the curricular scenes developed from two Social Assistance Reference Centers (CRAS) located in Aracaju-SE that serve children and adolescents from the Coexistence and Strengthening Service of Bonds (SCFV) using educational practices with digital mobile technologies. From a multi-referential perspective, it is perceived that the methodologies used in CRAS break with the logic of formal teaching, thus opening the possibility of charting a new path in the process of elucidating social phenomena in contemporaneity. Acesse o vídeo sobre o artigo, clique aqui!

A atuação profissional do pedagogo no Centro de Referência Especializado de Assistência Social (CREAS)

This academic article aims to understand the performance of the Pedagogue in the scope of Social Assistance inserted in the Specialized Reference Center for Social Assistance in the state of Paraíba. To better develop the theme, we will follow the paths of Social Pedagogy, which is a reflection to understand the role of the educator in Social Assistance - CREAS. The choice of theme is justified because it perceives the importance of the formation of Pedagogues around Social Pedagogy. As a theoretical foundation, we support the research on the contributions of Saviani (2013) Paula (2014) Souza, et al (2014), Machado, Rodrigues and Severo (2014), PNAS (2004), LOAS (2003) (2011), for describing the advances of their research in the field of education and Social Pedagogy. As a methodological support, we used qualitative research. It is also emphasized that throughout the investigative work we perceive the importance of discussing the Pedagogue's spaces of action beyond the educational scopes.

RELATO DE EXPERIÊNCIA: PROCESSO DE AVALIAÇÃO PSICOLÓGICA EM UM CENTRO DE REFERÊNCIA DE ASSISTÊNCIA SOCIAL (CRAS)

The CRAS psychologist works with the prevention and strengthening of bonds, whether individually or collectively, in the context of social vulnerability based on interventions that promote basic protection, based on ethical thinking that guarantees the realization of people's rights. The study is a report of an internship experience in Psychological Assessment and Psychodiagnosis developed by academics from the 7th period of the Psychology course, aiming to discuss the practice of the Psychological Assessment process, in the activity of the Public Policy psychology professional assistants. The internship took place between the months of August and December 2020 at a Reference Center for Social Assistance in a peripheral neighborhood in a city in the interior of the state of Maranhão, after authorization from the Ministry of Education - MEC, for the return of curricular internships. caused by COVID-19 contingencies. The experience of conducting the internship in psychological assessment in a public institution like CRAS is challenging for any student of psychology, since the institution does not provide the appropriate physical, structural and instrumental environment for the psychological assessment process, being successful in tracking users of the service that needed psychological interventions and were referred to health services. Keywords: Internship; Public policy; Psychological Assessment; Psychology and Social Assistance.

Poverty and family resilience in Bel\xe9m-Par\xe1

Family resilience is a complex, multi-determined behavior caused by the inseparable action of risk and protection factors. The purpose of this paper is to associate aspects of family resilience with multiple dimensions of poverty through a quantitative, descriptive, correlative, exploratory study with a sample of 448 low-income families in thirteen Social Assistance Reference Centers in Belém, Pará. The instruments used in the study were the Family Resilience Profile Questionnaire, the Social and Demographic Inventory, and the Family Poverty Rate. The results state that the families are not living in extreme poverty; however, they still face adversities due to the poverty. A significant presence of women, where 90.6% of the participants were mothers living in a single-parent family, attests that women are still the part of the population most affected by poverty. Furthermore, the results showed that the higher the poverty level, the lower the family resilience, and aspects such as work, knowledge and human development, especially child development, are aspects that enhance family resources to face adversities.

Escolarização e trabalho de beneficiárias do Bolsa Família: estudo de caso em Ribeirão da Neves - MG

Neste artigo, tem-se como objetivo, discutir a partir de experiências de escolarização e de trabalho de beneficiárias do Programa Bolsa Família (PBF), do município de Ribeirão das Neves, em Minas Gerais, como o Programa se apresenta enquanto porta de entrada para o acesso ao direito à educação e ao trabalho para as beneficiárias. Por meio de uma abordagem qualitativa, foi escrito a partir da análise do conteúdo de 12 entrevistas semiestruturadas de beneficiárias do PBF de um Centro de Referência de Assistência Social (CRAS) do município; entrevista realizada com a coordenadora da unidade em diálogo com estudos do campo da Educação Popular, Trabalho e Gênero e das contribuições de autores que refletem sobre o PBF. Pode-se concluir que as entrevistadas possuem experiências marcadas pela negação do direito de se escolarizarem e experiências de trabalhos precários. Apesar do PBF se mostrar como um importante programa social no que concerne ao alívio imediato da pobreza entre as entrevistadas, o Programa apresenta restrições consideráveis no que tange ao acesso ao direito à educação e ao trabalho por essas mulheres, entre elas, a não articulação com as demais políticas públicas disponíveis no município.

BIM cost estimation guidelines for Brazilian public sector infrastructure

The cost estimation of public sector projects in Brazil must observe the prevailing legislative framework to reduce the likelihood of under-and-over pricing of construction works and potential corruption. Therefore, initial estimates for projects must be prepared using the National System of Costs and Civil Construction Indices (SINAPI). This is a labor-intensive process, and the result estimates produced may be inaccurate. Therefore, it becomes difficult to determine if the under-or-over pricing of works has arisen during the tendering process. The problem is approached with new guidelines for improving the accuracy of estimates that utilizes SINAPI methodology with Building Information Modelling cost estimation. The research method used was Design Science Research (DSR) developing: problem diagnosis, solution proposition, implementation, and evaluation of contributions. The proposed guidelines were tested in two projects: a multi-family residential building and a Reference Center for Social Assistance (CRAS) using a BIM authoring platform. It has been demonstrated that text parameters can be used to identify material specifications, the geometry of elements, and specify substrates, improving the process to generate an estimate following ‘SINAPI factors’ tree’ elemental costs. The guidelines comply with prevailing Brazilian legislation and can improve the process and accuracy of the pre-tender estimate.