scholarly journals Evaluation of intersectoral resources in the composition of care networks for crack users

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Leandro Barbosa de Pinho ◽  
Christine Wetzel ◽  
Jacó Fernando Schneider ◽  
Agnes Olschowsky ◽  
Marcio Wagner Camatta ◽  
...  

Abstract Objective: To evaluate the intersectoral resources in the composition of care networks for crack users. Method: Evaluative, qualitative study based on the Fourth Generation Evaluation. The participants were 10 users, 11 family members, eight workers, and seven managers from a municipality in the metropolitan region of Porto Alegre/Rio Grande do Sul, Brazil. Data were collected in 2014 through observation and semi-structured interviews. The analysis occurred by the constant comparative method. Results: Stakeholders have discussed how the Public Prosecutor's Office and the Military Brigade are inserted in the network, since they carry out actions that often are not compatible with the psychosocial care proposal. The need for expansion and maintenance of liaisons with community resources was identified. Conclusion: It is noted the need for sector integration and participation of all social agents from different spheres in order to promote and evaluate the practices and policies of care for crack users.

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Leandro Barbosa de Pinho ◽  
Christine Wetzel ◽  
Jacó Fernando Schneider ◽  
Agnes Olschowsky ◽  
Marcio Wagner Camatta ◽  
...  

ABSTRACT Objective: Assess components of the Psychosocial Attention Network (RAPS) in crack user care in a Rio Grande do Sul municipality. Method: Qualitative study based on Fourth Generation Evaluation. Data collection occurred in 2014, through participating observation and interviews based on the Hermeneutic-Dialectic Circle. Ten uses, eleven family members, seven managers and eight workers at a Psychosocial Attention Center participated. The Constant Comparative Method was used for data analysis. Results: Difficulties were observed in the network articulation with the general hospital, due to prejudice and the lack of structure of the team. SAMU’s (Mobile Emergency Care Service) dependence on the Military Brigade for the service indicates a frailty of the network. The need to re-think the way therapeutic farms operate in the network is a consensus. Conclusion: RAPS is being implemented and its concretization depends on the involvement of professionals, managers and social control of users and family members.


2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Nathália Duarte Bard ◽  
Beatriz Antunes ◽  
Cristine Moraes Roos ◽  
Agnes Olschowsky ◽  
Leandro Barbosa de Pinho

Objective to evaluate the stigma and prejudice experienced by crack users in their social context. Method a qualitative study developed through the Fourth Generation Evaluation, conducted with four interest groups (ten users, eleven families, eight employees, and seven managers), components of the mental health care network. For data collection, we used observation and individual interview. The analysis was performed through the constant comparative method. Results crack users suffer prejudice and are stigmatized as those who do not fit in the systems established by society (without family links, formal employment and dwelling), and are thus excluded. They exhibit undisciplined behavior and, therefore, are discriminated, marginalized and considered as criminals, losing their uniqueness and living in vulnerable situations. Conclusion the evaluation process emphasized the need to demystify the social imaginary that demonizes the chemically dependent, being thus important to develop public policies with actions focused on health, prevention, information and combat to stigma.


2019 ◽  
Vol 72 (2) ◽  
pp. 383-390 ◽  
Author(s):  
Carla Simone Leite de Almeida ◽  
Sonia Silva Marcon ◽  
Laura Misue Matsuda ◽  
Luciane Prado Kantorski ◽  
Bianca Sakamoto Ribeiro Paiva ◽  
...  

ABSTRACT Objective: Qualitatively evaluate the operation of a palliative care service in oncology. Methodology: Qualitative study conducted in a service in southern Brazil based on a fourth generation evaluation. Between September 2014 and June 2015, 460 hours of operation were observed, and 45 semi-structured interviews and five negotiation meetings were conducted; data were analyzed using the constant comparative method. Results: Potential services are: provision of outpatient palliative care, home and inpatient care provided by a multidisciplinary and support team, meeting the patient’s biological, psychological, social and spiritual needs. Study limitations: ineffective communication between clinical and surgical oncology and palliative care sectors, lack of specialized training for professionals and in interpersonal relationship issues among team members. Final Consideration: For palliative care progress in the service, some arrangements are required to enhance integrality of care.


2015 ◽  
Vol 36 (1) ◽  
pp. 92-97
Author(s):  
Cintia Nasi ◽  
Gustavo Costa de Oliveira ◽  
Annie Jeanninne Bisso Lacchini ◽  
Jacó Fernando Schneider ◽  
Leandro Barbosa de Pinho

The aim of this study was to identify mental health care technologies for treating crack users in a Psychosocial Care Center for Alcohol and other Drugs (CAPsad, as per its acronym in Portuguese). A qualitative, evaluative case study was developed in a CAPSad, using fourth generation evaluation. Data collection occurred from January to March 2013 by means of semi-structured interviews applied to 36 subjects, these being health care professionals, patients, patients' relatives and managers. Data analysis identified the category strategies in mental health work. Results showed that recovery programs should provide spaces for dialogue, aiming to clarify the process of psychiatric internment to the user and family, and involve these in the therapy, implementing educational practices and ongoing consideration of mental health activities. In conclusion, it is important to discuss the technologies used in everyday care services, in light of the complexity of crack use.


2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Elitiele Ortiz dos Santos ◽  
Adriane Domingues Eslabão ◽  
Luciane Prado Kantorski ◽  
Leandro Barbosa de Pinho

ABSTRACT Objective: To analyze the practices developed by nursing professionals in a Psychosocial Care Center (CAPS). Method: A qualitative and evaluative research based on the Fourth Generation Assessment and conducted in a CAPS II of Santa Catarina State in 2014. For data collection, semi-structured interviews, field observation, and data recycling group were used with workers. Constant Comparative Method was used for data analysis. Results: Practices aimed at the subject and their clinical, social, prevention, treatment and articulation with the health network were identified. Medication care is a specificity of nursing that aims to promote autonomy and social reintegration. There is a need for greater articulation between the nursing and pharmacy staff, as well as creating spaces for users to talk about medication. Conclusion: Nursing practices are focused on biopsychosocial care, aiming to deconstruct care models focused on the disease and symptoms.


2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2184-2190
Author(s):  
Maria de Lourdes Custódio Duarte ◽  
Leticia Passos Pereira ◽  
Juliana de Carvalho ◽  
Agnes Olschowsky

ABSTRACT Objective: to evaluate the perception of the relatives of crack users in relation to the support groups offered to this population in a Psychosocial Care Center for Alcohol and Drugs in the South of Brazil. Method: the fourth-generation theoretical framework was used for evaluation, having as methodological device the hermeneutical-dialectic circle. Data collection occurred through 500 hours of observations and interviews with 12 relatives of crack users, and the comparative constant method was used in the analysis, generating the “family group” unit of meaning. Results: this group was regarded by the family members as a space for guidance on the management of users in their home environment. They reported the need for a basic structure to conduct the groups, greater duration of the meetings, confidentiality of information and diversity of timetables. Final considerations: investment in education and training of nursing professionals focused on group care is suggested to the education institutions.


GeoTextos ◽  
2012 ◽  
Vol 7 (2) ◽  
Author(s):  
Maryvone Moura Gomes

A pesquisa corresponde à investigação sobre a representação simbólica do espaço festivo do São João de Maracanaú no período do ciclo junino na Região Metropolitana de Fortaleza (RMF-CE). As festas juninas perderam o formato de festas interioranas e adquiriram a forma de festivais e a condição de “espetáculos urbanos”, agregando, ao espaço festivo, novos espaços e funcionalidades visando à atração e à permanência do público. A pesquisa tem como objetivo produzir o mapeamento local do São João de Maracanaú-CE, fazendo uma leitura de como se dispõem os cenários e se dão as dinâmicas espaciais no período festivo. A pesquisa apresenta como aporte metodológico uma abordagem qualitativa e a realização de entrevistas semiestruturadas. A pesquisa empírica foi realizada no mês de julho de 2011 em Maracanaú, RMF-CE. Abstract A LOOK AT THE JUNE PARTIES AND ITS NEW SCENARIOS: A CASE STUDY OF SAINT JOHN´S PARTY AT MARACANAU - METROPOLITAN REGION OF FORTALEZA (CEARÁ) This research is the result of an investigation into the symbolic representation of St. John´s festive space of Maracanau during the june cycle parties in Fortaleza´s Metropolitan Region. Those events have lost their “country party” characteristics and acquired festival formats and “urban entertainment” conditions, adding to festive space new options of scenarios and features focused on the attraction and retention of the public. This research aims to produce the mapping of St. John´s of Maracanaú party, showing how scenarios are disposed and describing the spatial dynamics observed during the festive period. This research presents as methodological contributions, qualitative approaches and semi-structured interviews. The empirical research was conducted on July, 2011, at Maracanau, a city that belongs to Fortaleza´s Metropolitan Region.


2019 ◽  
Vol 28 ◽  
Author(s):  
Ângela Gonçalves da Silva Pagliace ◽  
Mariluci Alves Maftum ◽  
Maria Ribeiro Lacerda ◽  
Luciane Prado Kantorski ◽  
Miriam Aparecida Nimtz ◽  
...  

ABSTRACT Objective: to evaluate the care to the child and the adolescent in treatment in the general hospital for mental and behavioral disorders due to the use of psychoactive substances, from the perspective of the Nursing. Method: evaluative study, of the case study type, with the use of the theoretical-methodological reference of the Fourth Generation Evaluation. The group of interest was composed of 19 professionals of the Nursing team of a Unit allocated in a general and teaching hospital of the West of Paraná. Data were collected from June 2015 to February 2016 through 410 hours of non-participant observation, individual interviews, following the hermeneutic-dialectical circle and a negotiation meeting. Data analysis was performed using the Constant Comparative Method. Results: three categories emerged from the analysis: nursing care for children and adolescents, Potential care and Fragility in care. the interest group reported a differentiated care of the other units of the institution, expressing the concern to care in a global and humanized way. They pointed out the development of meetings of agreement between the scenario of the study and the municipalities as one of the facilities for the care and, as greater fragility, the lack of physical space. Conclusion: It is hoped that the results of this study may instigate and provide critical reflection of professionals who develop their practice with children and adolescents who use or abuse psychoactive substance in the various health treatment services.


2020 ◽  
Vol 41 (spe) ◽  
Author(s):  
Juliana de Carvalho ◽  
Maria de Lourdes Custódio Duarte ◽  
Cecília Helena Glanzner

ABSTRACT Objective: To evaluate child’s mental health care in the context of the Family Health Strategy, from the professionals' perspective. Methods: A qualitative case study type, using the Fourth Generation Assessment as a methodological reference. Fourteen professionals from two teams of the Family Health Strategy of Porto Alegre/RS were the participants. Data collection extended from May to August 2018, and consisted of observations and interviews through the dialectical hermeneutic circle, and of analysis through the Constant Comparative Method. Results: The analytical category emerged of Mental Health Care for Children related to home visit, care network, advice, team meeting and space in the medical agenda. Conclusions: The results show that the FHS is an important psychosocial care space and that, at the same time, presents weaknesses in cross-sectorial work and needs support from the mental health services network to accompanying children and families.


1999 ◽  
Vol 27 (1) ◽  
pp. 29-33
Author(s):  
Darren Kew

In many respects, the least important part of the 1999 elections were the elections themselves. From the beginning of General Abdusalam Abubakar’s transition program in mid-1998, most Nigerians who were not part of the wealthy “political class” of elites—which is to say, most Nigerians— adopted their usual politically savvy perspective of siddon look (sit and look). They waited with cautious optimism to see what sort of new arrangement the military would allow the civilian politicians to struggle over, and what in turn the civilians would offer the public. No one had any illusions that anything but high-stakes bargaining within the military and the political class would determine the structures of power in the civilian government. Elections would influence this process to the extent that the crowd influences a soccer match.


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