RESUMO

Changes in mental health care demand changes in the structure and function of health care networks. The aim of the present study was to understand how workers assess the structure of their network and how they use it as a tool for psychosocial rehabilitation. The present qualitative study is part of a larger research project, Rehabilitating networks - assessing experiences of innovation in network development for psychosocial care . Interviews were conducted with six workers at the Therapeutic Home Service (THS) of Alegrete, and four field observation notebooks were analyzed. The results revealed the transversal nature of the investigated network, the relationships between its various components, the strategies used to make non-institutionalized care effective, the responsibilities of the network users, and the relationships between the residents and the workers in the service and at home. In conclusion, the Alegrete network facilitates exchanges between the participants, which indicates that future work should focus on the subjects of reflection and transformation.

Assuntos

RESUMO

As mudanças na atenção à saúde mental exigem novas formas de estruturar e transitar nas redes de saúde. Objetiva-se entender de que forma os trabalhadores avaliam a estrutura da rede na qual estão inseridos e como se utilizam dela como instrumento para a reabilitação psicossocial. Trata-se de um recorte qualitativo da pesquisa Redes que reabilitam – avaliando experiências inovadoras de composição de redes de atenção psicossocial . Foram analisadas entrevistas dos seis trabalhadores do Serviço Residencial Terapêutico de Alegrete e quatro diários de campo. Os resultados apontam para a transversalidade da rede, as relações entre seus diferentes dispositivos, as alianças para efetivação do cuidado em liberdade, a responsabilização para com os usuários e as relações entre os moradores e os trabalhadores no espaço serviço/casa. Conclui-se que na rede de Alegrete existem espaços que favorecem os fluxos entre os sujeitos envolvidos, tornando o trabalho objeto de pensamento e transformação.

Los cambios en el cuidado de la salud mental requieren de nuevas formas de estructurar y transitar en las redes de salud. El objetivo fue entender cómo los trabajadores evalúan la estructura de la red de salud a la que pertenecen y cómo se utiliza como una herramienta para la rehabilitación psicosocial. Se trata de un recorte cualitativo de la investigación Redes que rehabilitan – evaluando experiencias innovadoras de composición de redes de atención psicosocial . Se analizaron las entrevistas de seis trabajadores del Servicio Residencial Terapéutico de Alegrete y cuatro cuadernos de notas. Los resultados apuntan para la tendencia de una red transversal, las relaciones entre los diferentes dispositivos, las alianzas para proporcionar atención en libertad, la responsabilidad con los usuarios, y las relaciones entre los residentes y los trabajadores dentro del servicio/casa. Se concluye que en la red de Alegrete existen espacios que favorecen los flujos entre los sujetos involucrados, haciendo posible el trabajo objeto de pensamiento y transformación.

Changes in mental health care demand changes in the structure and function of health care networks. The aim of the present study was to understand how workers assess the structure of their network and how they use it as a tool for psychosocial rehabilitation. The present qualitative study is part of a larger research project, Rehabilitating networks – assessing experiences of innovation in network development for psychosocial care . Interviews were conducted with six workers at the Therapeutic Home Service (THS) of Alegrete, and four field observation notebooks were analyzed. The results revealed the transversal nature of the investigated network, the relationships between its various components, the strategies used to make non-institutionalized care effective, the responsibilities of the network users, and the relationships between the residents and the workers in the service and at home. In conclusion, the Alegrete network facilitates exchanges between the participants, which indicates that future work should focus on the subjects of reflection and transformation.

Assuntos