A construção de indicadores qualitativos de Atenção Psicossocial a partir da avaliação de quarta geração

Abstract

In the current mental health policy ordered by the Ministry of Health are instituted the Psychosocial Care Centers (CAPS). These are strategic services to organize the network of care and mental health care based on the concepts of psychosocial care, basing health actions in overcoming actions historically installed psychiatry, the flattening of the relationship, on integrality, in the territory and overcoming the ethics of user adaptation to the environment. With the growth of these services, so does the need for evaluative research to better understand the effectiveness of this new mental health policy through the use of qualitative indicators, which in this field have still scarce. The objective of this study was to construct qualitative indicators of psychosocial care from the perspective of users and their families. It is an evaluative study, a case study, with participatory qualitative approach. This study was developed at a Psychosocial Care Center Type II located in Alegrete-RS. The study included 9 users and 9 family members who participated in discussion groups, negotiation and validation of qualitative indicators. Data collection occurred from August 18 to September 2, 2014. The qualitative indicators were constructed from the analysis of data from two evaluative research - CAPSUL I (2006) and CAPSUL II (2011) - who used the fourth generation evaluation. To analyze the data we used the Constant Comparative Method. Throughout course of this research were respected the ethical principles and the project was approved by the Research Ethics Committee upon the advice nº753.374. Qualitative indicators built refer to the following topics: Autonomy, Social Reinsertion Satisfaction and Prejudgement, totaling 15 indicators, namely: Self-management of incomes, increased realization of daily activities, power voice and negotiation social participation, the existence of associations, expansion of social network, back to work, improved communication, building bonds of friendship, improvement in the quality of interpersonal relationships, not hospitalization or decrease these, wellness, empowerment for coping with prejudgement, decreased prejudgement. The psychosocial care centers are devices that use strategic actions that cause good changes and producing life causing positive results in the lives of their users and family members.