Delfini Patrícia Santos de Souza, Sato Miki Takao, Antoneli Patrícia de Paulo, Guimarães Paulo Octávio da Silva
Laboratório de Saúde Mental Coletiva, Departamento de Saúde Materno-infantil, Faculdade de Saúde Pública, USP.
Cien Saude Colet. 2009 Oct;14 Suppl 1:1483-92. doi: 10.1590/s1413-81232009000800021.
The objective of the article is to report an experience of partnership between a Psychosocial Care Center and three teams of the Family Health Program in the central region of São Paulo city. theoretical concepts like territory, subject, subjectivity/collective, receptiveness, bond, co-responsibility as well as the psychiatric and sanitary reform principles are the base and guide of this work. The partnership aims the promotion of mental health care based on articulated actions from different services. This way, the PSF's and mental health's workers are responsible for the demands of a territory. The strategies used in this partnership were meetings with both teams with training, case discussion about the families assisted, support to workers' difficulties and elaboration of therapeutical projects, and joint domiciliary visits. Some difficulties had been found during the research: great demand for health services and lack of institutional guidelines to guarantee the effectiveness of the partnership. The look directed to the family and the social context presents positive results compared to the look directed only to the illness. The partnership enriches the practice and a larger network of care in the territory becomes possible. It is necessary to bring up new proposals and innovative enterprises.
本文的目的是报告圣保罗市中部地区一个心理社会关怀中心与家庭健康项目的三个团队之间的合作经验。诸如地域、主体、主体性/集体性、接纳性、联系、共同责任等理论概念以及精神卫生和卫生改革原则是这项工作的基础和指导。该合作旨在通过不同服务部门的协同行动促进精神卫生保健。这样一来,家庭健康项目和精神卫生工作者负责一个地域的需求。该合作中采用的策略包括与两个团队举行培训会议、讨论所帮扶家庭的案例、帮助工作者解决困难并制定治疗方案,以及进行联合家访。研究过程中发现了一些困难:对卫生服务的需求巨大,且缺乏保证合作有效性的机构指导方针。与仅关注疾病相比,关注家庭和社会背景呈现出积极成果。这种合作丰富了实践,并使在该地域建立更大的关怀网络成为可能。有必要提出新的建议和开展创新举措。