Mental health of the multidisciplinary team of the Psychosocial Care Center during coping with work-related crises

Authors

DOI:

https://doi.org/10.33448/rsd-v10i11.19554

Keywords:

Community Mental Health Centers; Health Personnel; Occupational Risks; Unified health system.

Abstract

To analyze the characteristics of crises that can occur with the multidisciplinary team that works at the Psychosocial Care Center (CAPS) and how much this can affect the mental health and daily work activities of these professionals. This is a theoretical and reflective essay with descriptive characteristics, proposed after the observation of dynamics in the practices of mental health services. The reflection was based on the results of searches in Brazilian legislation governing mental health care, articles from journals specializing in health sciences in general, mental health, psychiatry and public health, as well as books in the areas described and authors, considered specialists. with extensive theoretical and scientific production. Professionals become vulnerable to unresolved stressful events in the workplace, so mental illness is a possibility when managers and society do not realize the workers' needs, ignoring their complaints and notes. In situations where a member of the multidisciplinary team demonstrates negative attitudes and behaviors, it is likely affecting other colleagues, creating a harmful and toxic environment for the team and hindering the work process for the recovery of the patient and family. More studies and research in this area are still needed, as few articles have emphasized the mental health of the CAPS team, little is written about the suffering of professionals working in mental health units. There is little appreciation of this topic, it is implicit that health workers do not get sick, nor do they have needs, just assist the patient in distress.

Author Biographies

Solange Cristina Denzin Rosa , Centro de Atenção Psicossocial - CAPS / AD

Master in Nursing from Guarulhos University (2006). Bachelor of Nursing from the University Center Herminio Ometto de Araras (1985). She currently works as a Nurse at the Psychosocial Care Center CAPS / AD, Municipal Health Secretary of Araras and as a Professor at ETEC linked to the Paula Souza Center, in the Nursing Technical Course. Areas of interest and experience: Mental Health, Systematization of Nursing Care, and Family Health Strategy.

Maria José dos Reis, Universidade Estadual de Campinas

Ph.D. in Medical Sciences from the State University of Campinas - UNICAMP (2014). Master in Clinical Medicine from the State University of Campinas - UNICAMP (2008). Bachelor of Nursing from the Pontifical Catholic University of Campinas PUC-Campinas (1990). She is currently a nurse at the State University of Campinas-UNICAMP. She has experience in nursing, with emphasis on Nursing Oncology / Gynecology, acting on the following subjects: sexual violence, women's health, nursing care, nursing diagnosis, and universal precaution.

Maria Neyrian de Fátima Fernandes, Universidade Federal do Maranhão

Adjunct Professor of the Nursing Department at the Federal University of Maranhão (UFMA). Nurse. Ph.D. from the Psychiatric Nursing Program at the University of São Paulo at Ribeirão Preto College of Nursing (EERP-USP) with a sandwich doctoral internship at the Department of Rehabilitation Medicine at the University of Washington in Seattle and an internship at the World Health Organization based in Washington DC in the United States. Master in Nursing from the Federal University of Rio Grande do Norte (UFRN), a specialist in the Training Course for Researchers on Alcohol and other Drugs from the University of São Paulo, specialist in Occupational Nursing from the Potiguar University, graduated in Nursing from UFRN. During her graduation, she developed research in the clinical area as a scientific initiation student. She has experience in primary care working in indigenous areas, teaching Public Health and Mental Health in Nursing and academic management.

Mônica Chaves, Pontifícia Universidade Católica de Minas Gerais

Master in Nursing from the Federal University of Minas Gerais - UFMG (2004). Bachelor of Nursing from the Pontifical Catholic University of Minas Gerais PUC/MG (1997). Specialist in Occupational Nursing and in Nursing Care for Skin Lesions Carriers by the Continuing Education Institute of PUC-Minas. Specialist in Forensic Nursing by the Keynes Institute. She is currently a Professor at the Department of Nursing at PUC Minas. Currently, she is the coordinator of the Nursing Technical Board of Forensic Coren-MG. She is a collaborator at the Ethical Process Unit at Coren-MG. Area of concentration: Forensic Nursing, Violence, Legislation, and Ethics.

Rafael Braga Esteves, Universidade de São Paulo

Ph.D. in Sciences (Direct Doctorate) by the Graduate Program in Psychiatric Nursing at Ribeirão Preto College of Nursing, University of São Paulo (2020). During this period, he was a CAPES doctoral fellow in Brazil and a fellow of the Sandwich Doctorate Program Abroad, PDSE / CAPES, for an international internship at the University of Alberta, Canada (2019). Specialist in Forensic Nursing, the title conferred by the Brazilian Society in Forensic Nursing (2019). Specialist in Health Services Evaluation, the title conferred by the Federal University of Health Sciences of Porto Alegre and Open University of the Unified Health System (2015). Bachelor and Licentiate in Nursing from the School of Nursing of Ribeirão Preto, USP (2013), during his undergraduate studies he did an exchange at the University of Alberta, Canada through the Academic Merit Scholarship - USP (2013). He completed the Sexual Assault Nurse Examine - SANE (2019) course. The researcher has already developed and participated in research and university extension projects and collaborated in scientific events related to Forensic Nursing. Founding member of the Brazilian Society of Forensic Nursing. E, Member of the Academy of Forensic Nursing. He is currently a collaborating member of the Academic League of Forensic Nursing at the Ribeirão Preto College of Nursing, USP. He is Technical Support for Research at the same Educational Institution through the Level 3 Technical Training Training Program, sponsored by the São Paulo State Research Support Foundation-FAPESP.

References

Amarante, P., & Nunes, M. de O. (2018). Psychiatric reform in the SUS and the struggle for a society without asylums. Ciencia e Saude Coletiva, 23(6), 2067–2074. https://doi.org/10.1590/1413-81232018236.07082018.

Araújo, C. S. B. (2018). Processo de trabalho em saúde mental: um estudo com trabalhadores de CAPS. Dissertação (Mestrado em Geografia). Universidade Federal de Uberlândia, Uberlândia. https://doi.org/10.14393/ufu.di.2018.956.

Basaglia, F. (2010). Escritos Selecionados em Saúde Mental e Reforma Psiquiátrica. Rio de Janeiro: Garamond.

Bellenzani, R., Paro, D. M., & DeOliveira, M. C. (2016). Trabalho em Saúde Mental e Estresse na Equipe: Questões para a Política Nacional de Humanização/SUS. Revista Psicologia e Saúde, 8(1), 32–43. https://doi.org/10.20435/2177093x2016105.

Bezerra Jr., B. (2007). Desafios da reforma psiquiátrica no Brasil. Physis: Revista de Saúde Coletiva, 17(2), 243–250. https://doi.org/10.1590/S0103-73312007000200002.

Bitencourt Toscani Greco, P., Morozini Dias, A., Soares Bernardi, C. M., Moraes Legramante, D., Mancio Ferreira da Luz, E., Mazzuco de Souza, M., & Dal Ongaro, J. (2019). Promoção à saúde com trabalhadores de saúde mental. Revista Brasileira em Promoção da Saúde, 32(0), 1–9. https://doi.org/10.5020/18061230.2019.9669.

Bueno, R. C. (2020). O pensamento de Franco Basaglia: dos caminhos da saúde mental italiana a uma vivência prática em Trieste (1st ed.). Belo Horizonte: Editora Dialética.

Cardoso, M. R. de O., Oliveira, P. de T. R. de, & Piani, P. P. F. (2015). Relato de experiência de um atendimento em um CAPS: considerações sobre o cuidado em saúde mental. Rev. NUFEN.

Coelho, T. M., & Scatolin, H. G. (2020). Os riscos psicossociais relacionados com o trabalho: Impactos na subjetividade do trabalhador. Revista Científica Multidisciplinar Núcleo do Conhecimento, 122–138. https://doi.org/10.32749/nucleodoconhecimento.com.br/psicologia/riscos-psicossociais.

Costa, J. P., Jorge, M. S. B., Coutinho, M. P. de L., Costa, E. C., & Holanda, Í. T. A. (2016). A reforma psiquiátrica e seus desdobramentos: representações sociais dos profissionais e usuários da atenção psicossocial. Psicologia e Saber Social, 5(1), 35–45. https://doi.org/10.12957/psi.saber.soc.2016.15855.

Cruz, K. D. F. da, Guerrero, A. V. P., & Vieira, J. S. N. (2019). Atenção à crise em saúde mental: um desafio para a reforma psiquiátrica brasileira. Revista do NUFEN, 11(2), 117–132. https://doi.org/10.26823/REVISTADONUFEN.VOL11.N02ENSAIO51.

Demarco, D. de A., Jardim, V. M. da R., & Kantorski, L. P. (2016). Cuidado em saúde às pessoas com transtorno mental na Rede de Atenção Psicossocial Health care to people with mental disorders in the network for psychosocial care. Revista de Pesquisa Cuidado é Fundamental Online, 8(3), 4821–4825. https://doi.org/10.9789/2175-5361.2016.v8i3.4821-4825.

DePinho, L. B., Kantorski, L. P., Wetzel, C., Schwartz, E., Lange, C., & Zillmer, J. G. V. (2011). Avaliação qualitativa do processo de trabalho em um centro de atenção psicossocial no Brasil. Revista Panamericana de Salud Publica, 30(4), 354–360. https://doi.org/10.1590/S1020-49892011001000009.

Dias, M. K., Ferigato, S. H., & Fernandes, A. D. S. A. (2020). Attention to the crisis in mental health: Centralization and decentralization of practices. Ciencia e Saude Coletiva, 25(2), 595–602. https://doi.org/10.1590/1413-81232020252.09182018.

Fontelles, M. J., Simões, M. G., Farias, S. H., Garcia, R., & Fontelles, S. (2009). Metodologia da Pesquisa Científica: diretrizes para elaboração de um protocolo de pesquisa. Núcleo de Bioestatística Aplicado à Pesquisa Da Universidade Da Amazônia – UNAMA, 8. Retrieved from http://files.bvs.br/upload/S/0101-5907/2009/v23n3/a1967.pdf.

Garcia, G. D. V., Zanoti-Jeronymo, D. V., Zambenedetti, G., Cervo, M. da R., & Cavalcante, M. D. M. A. (2020). Healthcare professionals’ perception of mental health in primary care. Revista Brasileira de Enfermagem, 73(1), e20180201. https://doi.org/10.1590/0034-7167-2018-02011.

Gonçalves, A. M., Vilela, S. de C., Terra, F. de S., & Nogueira, D. A. (2016). Atitudes e o prazer/sofrimento no trabalho em saúde mental. Revista Brasileira de Enfermagem, 69(2), 266–274. https://doi.org/10.1590/0034-7167.2016690209I.

Hepp, C. (2013). Crise Na Saúde Mental: Visão da Equipe. Retrieved from http://www.univates.br/bdu.

Jafelice, G. T., & Marcolan, J. F. (2018). The multiprofessional work in the Psychosocial Care Centers of São Paulo State. Revista Brasileira de Enfermagem, 71(suppl 5), 2131–2138. https://doi.org/10.1590/0034-7167-2017-0300.

Krachenski, N. B., & Holanda, A. F. (2019). Manejo de Crise nos Centros de Atenção Psicossocial: Uma Revisão Sistemática de Literatura Crises Management in Psychosocial Care Centers: a Systematic. Pluralidades Em Saúde Mental, 8(1), 23–42.

Laurentino, S., Pereira, B., Barbosa, J., & Maia, D. (2017). A política de saúde mental no Piauí sob a égide da RAPS. Retrieved from https://www.ufpi.br/arquivos_download/arquivos/EDUFPI/A_POLÍTICA_DE_SAÚDE_MENTAL_NO_PIAUÍ_SOB_A_ÉGIDE_DA_RAPS.pdf.

Lima, M., & Dimenstein, M. (2016). O apoio matricial em saúde mental: Uma ferramenta apoiadora da atenção à crise. Interface: Communication, Health, Education, 20(58), 625–635. https://doi.org/10.1590/1807-57622015.0389.

Marconi, M. de A., & Lakatos, E. M. (2017). Fundamentos de Metodologia Científica (8th ed.). São Paulo: Atlas.

Martins, A. G. (2017). A noção de crise no campo da saúde mental: saberes e práticas em um centro de atenção psicossocial. Mental, 11(20), 226-242. Retrieved from http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1679-44272017000100012&lng=pt&tlng=pt.

Matias, C. R. da S., Carvalho, S. G. de, Silva, J. L. D. da, & Lopes, L. G. F. (2021). Atuação do Enfermeiro no Centro de Atenção Psicossocial. In Gerenciamento de Serviços de Saúde e Enfermagem 3 (pp. 174–183). Atena Editora. https://doi.org/10.22533/at.ed.64221270118.

Ministério da Saúde. (1990). Lei nº 8.080, de 19 de setembro de 1990. Dispõe sobre as condições para a promoção, proteção e recuperação da saúde, organização e o funcionamento dos serviços correspondentes e das outras providências. Diário Oficial da União, Brasília, 1990. Retrieved from http://www.portal.saude.gov.br/portal/arquivos/pdf/LEI8080.pdf.

Ministério da Saúde. (2001). Lei nº. 10.216, de 6 de abril de 2001. Dispõe sobre a proteção e os direitos das pessoas portadoras de transtornos mentais e redireciona o modelo assistencial em saúde mental. Diário Oficial da União, Brasília, 2001. Retrieved from http://www.planalto.gov.br/ccivil_03/leis/leis_2001/l10216.htm.

Ministério da Saúde. (2002). Portaria GM/MS nº 336, de 19 de fevereiro de 2002. Estabelece que os Centros de Atenção Psicossocial poderão constituir-se nas seguintes modalidades de serviços: CAPS I, CAPS II e CAPS III, definidos por ordem crescente de porte/complexidade e abrangência populacional. Diário Oficial da União, Brasília, 2002. Retrieved from http://bvsms.saude.gov.br/bvs/saudelegis/gm/2002/prt0336_19_02_2002.html.

Ministério da Saúde. (2004). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Saúde mental no SUS: os centros de atenção psicossocial. Retrieved from http://www.ccs.saude.gov.br/saude_mental/pdf/sm_sus.pdf.

Ministério da Saúde. (2010). Portaria nº 4.279, de 30 de dezembro de 2010. Estabelece diretrizes para a organização da Rede de Atenção à Saúde no âmbito do Sistema Único de Saúde (SUS). Diário Oficial da União, Brasília, 2010. Retrieved from https://bvsms.saude.gov.br/bvs/saudelegis/gm/2010/prt4279_30_12_2010.html.

Ministério da Saúde. (2011). Portaria GM/MS nº 3.088, de 23 de dezembro de 2011. Republicada em 21 de maio de 2013. Institui a Rede de Atenção Psicossocial para pessoas com sofrimento ou transtorno mental, incluindo aquelas com necessidades decorrentes do uso de crack, álcool e outras drogas, no âmbito do Sistema Único de Saúde (SUS). Brasília, 2011. Retrieved from http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt3088_23_12_2011_rep.html.

Ministério da Saúde. (2015). Cadernos Humanizados SUS - Saude mental. In Cadernos Humanizados SUS (V. 5). Retrieved from http://redehumanizasus.net/wp-content/uploads/2017/09/Cadernos-HumanizaSUS-Volume-5-Saude-Mental.pdf%0Ahttp://bvsms.saude.gov.br/bvs/publicacoes/saude_mental_volume_5.pdf.

Ministério da Saúde. (2017). Resolução nº 32, de 14 de dezembro de 2017. Estabelece as Diretrizes para o Fortalecimento da Rede de Atenção Psicossocial (RAPS). Diário Oficial da União, Brasília, 2017. Retrieved from https://bvsms.saude.gov.br/bvs/saudelegis/cit/2017/res0032_22_12_2017.html.

Moreira, A. S., & Lucca, S. R. de. (2020). Psychosocial factors and Burnout Syndrome among mental health professionals. Revista Latino-Americana de Enfermagem, 28, 1–11. https://doi.org/10.1590/1518-8345.4175.3336.

Pereira, S. de S., Nascimento, M. M. do, Antonio-Viegas, M. C. R., Morero, J. A. P., Esteves, R. B., Preto, V. A., & Cardoso, L. (2020). Exaustão emocional em profissionais da saúde e sua associação com variáveis interventoras. Research, Society and Development, 9(7), e877974484. https://doi.org/10.33448/rsd-v9i7.4484.

Pinho, E. S., Souza, A. C. S., & Esperidião, E. (2018). Processos de trabalho dos profissionais dos centros de atenção psicossocial: Revisão integrativa. Ciencia e Saude Coletiva, 23(1), 141–152. https://doi.org/10.1590/1413-81232018231.08332015.

Ramminger, T., Silva, G. da C., & Freire, F. H. M. de A. (2015). Gênese da Rede de Atenção Psicossocial no Município de Volta Redonda-RJ: um olhar pela narrativa dos trabalhadores. Ayvu: Revista de Psicologia, 1(2), 166. https://doi.org/10.22409/ayvu.v1i2.22186.

Roquette, R. D. (2019). A atenção à crise em saúde mental: refletindo sobre as práticas, a organização do cuidado e os sentidos da crise. (Fundação Oswaldo Cruz). Fundação Oswaldo Cruz. Retrieved from https://www.arca.fiocruz.br/bitstream/icict/39668/2/ve_Rebecca_Dorneles_ENSP_2019.

Rossi, L. M., Marcolino, T. Q., Speranza, M., & Cid, M. F. B. (2019). Crisis and mental health in adolescence: the story from the perspective of those who live it. Cadernos de Saude Publica, 35(3), e00125018. https://doi.org/10.1590/0102-311x00125018.

Zeferino, M. T., Cartana, M. do H. F., Fialho, M. B., Huber, M. Z., & Bertoncello, K. C. G. (2016). Health workers’ perception on crisis care in the Psychosocial Care Network. Escola Anna Nery, 20(3). https://doi.org/10.5935/1414-8145.20160059.

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01/09/2021

How to Cite

ROSA , S. C. D. .; REIS, M. J. dos; FERNANDES, M. N. de F. .; CHAVES, M.; ESTEVES, R. B. . Mental health of the multidisciplinary team of the Psychosocial Care Center during coping with work-related crises. Research, Society and Development, [S. l.], v. 10, n. 11, p. e298101119554, 2021. DOI: 10.33448/rsd-v10i11.19554. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19554. Acesso em: 23 nov. 2024.

Issue

Vol. 10 No. 11

Section

Health Sciences

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Copyright (c) 2021 Solange Cristina Denzin Rosa ; Maria José dos Reis; Maria Neyrian de Fátima Fernandes; Mônica Chaves; Rafael Braga Esteves

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