Hori Alice Ayako, Nascimento Andréia de Fátima
Departamento de Medicina Social, Diretoria da Faculdade, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil,
Cien Saude Colet. 2014 Aug;19(8):3561-71. doi: 10.1590/1413-81232014198.11412013.
Various studies describe the Singular Therapeutic Project (STP) as a powerful instrument of care for the users of specialized mental health services. It is also put forward as a tool to organize and support the activities of the Family Health Support Centers (FHSC), based on the concepts of co-responsibility and comprehensive care. The article seeks to analyze the development of STP by mental health teams of FHSC and its articulations with services of Primary Health Care (PHC), psychosocial services and other sectors of society. It involved qualitative research performed in Guarulhos in the state of São Paulo in 2012 by systematic observation and conducting semi-structured interviews with mental health professionals from support centers. The content analysis method was employed for interpretation of the findings. The STP in FHSC faces obstacles related to lack of definition of work object (attention or management?), precarious working conditions and overlapping functions. It is necessary to analyze the technological feasibility of the STP based on the peculiarities of PHC, avoiding straightforward transposition of technological tools among the different services that comprise the psychosocial care network.
多项研究将单一治疗项目(STP)描述为为专业心理健康服务使用者提供护理的有力工具。它还被提出作为一种基于共同责任和综合护理概念来组织和支持家庭健康支持中心(FHSC)活动的工具。本文旨在分析FHSC心理健康团队对STP的开展情况,及其与初级卫生保健(PHC)服务、心理社会服务和社会其他部门的联系。这涉及2012年在圣保罗州瓜鲁柳斯进行的定性研究,通过系统观察以及对支持中心的心理健康专业人员进行半结构化访谈来开展。采用内容分析法对研究结果进行解读。FHSC中的STP面临着与工作对象定义不明确(关注还是管理?)、不稳定的工作条件和职能重叠相关的障碍。有必要根据初级卫生保健的特点分析STP的技术可行性,避免在构成心理社会护理网络的不同服务之间直接移植技术工具。