Articulação entre saúde mental infanto-juvenil e atenção básica em Natal-RN: limites e possibilidades

In the case of Brazilian Psychiatric Reformation, mental health juvenile reveals itself as a great challenge, with major gaps in terms of needs, services and actions on mental illness in children and adolescents. This research is a qualitative study of descriptive and exploratory, having to analyze the actions and practices of mental health juvenile articulated between the Psychosocial Care Center juvenile (Caps i) and the basic care in Natal-RN, and specific, identify the limits and possibilities for an important precedent of the care network. After submission to the Research Ethics Committee (CEP) of the University Hospital Onofre Lopes (HUOL) of the Federal University of Rio Grande do Norte (UFRN) obtained approval contained in opinion number 777.067 / 2014. For the data collection, it was initially carried out a documentary research in the Municipal Health Department of Christmas about the phenomenon under study, and subsequently, applied semi-structured interviews with the subjects of the research, which were workers Caps i of Natal-RN. The analysis was woven as the thematic analysis technique, understood within the method of content analysis. The results and discussions were organized by categories and subcategories, namely: CATEGORY 1: Limits and weaknesses in the linkage between the Caps i and basic care, with the subcategories: 1.1 Lack of specialized services and devices articulators in network, 1.2 The diversity of situations in the demand juvenile assisted; CATEGORY 2: possibilities for an effective network, with the subcategory: 2.1 Intersectoral collaboration as a strategy for solving attention. The analysis revealed that the integration and coordination of mental health services juvenile and primary care in the city of Natal-RN, has incipient initiatives and/or inadequate for the resolvability intersectoral, where the devices of attention to health involved cannot establish bonds effective and long-lasting in the perspective of co-responsibility and sharing of care. On the other hand, it appears that the existing shares and practiced, configure an exercise in approximation to the dialog between mental health juvenile and basic care. It is highlighted that the shared care and the establishment of intersectoral collaboration within and outside of the health sector is possibility of facilitating the necessary dialog between the services and professionals involved, thus, enabling a better prospect of resolvability of the Network of Psychosocial Care for the youth in reality being investigated.

“É acompanhante ou usuária?” Implicações sobre a posição da família no atendimento a crianças e adolescentes em um Centro de Atenção Psicossocial da Infância e Adolescência - CAPSi

This study emerged and founded itself with the aim to analyze the position taken by the family – and the implications in this subjective area – in attending children and adolescents in a Childhood Psychosocial Care Center (CAPSi). A secondary goal has come up as the comprehension surrounding the institutional representation made about the family and the service offered to children, adolescents and relatives. For such, the historical perspective on the relation between the State (laws and institutions) and the family was resumed, and the understanding of how it was reconciled by the medical knowledge and attended the ideological and political means. The social and ideological transformations of the 20th century culminated in the need of change required by the Psychiatric Reform and the achievement of patients on the right to return home and to their families. This new situation, permeated by the attempt of building an assistance model in Mental Health, presented a peculiarity–the close relationship between family and Mental Health services. The observations and conversations at CAPSi that were the investigation objects in this research, intended to learn on the quotidian of families and the possible treatment alternatives that would take into account the family circumstances. Conceiving the status of the families in Mental Health services is a germinal matter yet to be adjusted among the active knowledge in the post-Reform devices. The discussion about the family bonds, anchored in the theoretical perspective of Binding Psychoanalysis brought up elementary concepts such as psychic heritage, denial pact, unconscious alliances, the familiar psychic set, among other. The concept of family organizer helped to think of the family trajectories and stablishes a sort of identity for the family, as well as interferes in the establishment of its boundaries. The family path within the institution, as well as the status they establish facing the institutional approach, reflect the ghosts and the organizers shared by the group-family. It follows that the family is an important protagonist to be considered in the current therapeutic and political processes and, thus, is key to welcome the family bonds for the alliances act over the affective destinations, as well as try to remain sealed from the proposed changes.

Internação involuntária e o abuso de substâncias psicoativas - o pathos familiar

The use and abuse of Psychoactive Substances (PAS) in contemporaneity corresponds to a social issue and a public health issue. Few social phenomena entail more costs with justice and health, family difficulties, and appearances in the media than the PAS abuse comsumption. The government power has been facing this situation allocating investments and developing public policies. Despite the current Mental Health Policy, based on the principles of Psychiatric Reform that prioritizes outpatient services, the number of investments from various government spheres and families requests for admissions continue increasing. This study aimed to understand the pathos experienced by an individual toward the involuntary internment of a family member who is an abusive user of PAS. The research also aimed to investigate what led that individual to choose this type of treatment. The Psychoanalysis was the theoretical basis of this work, and the exercise of the psychoanalytic method, from the collection of bibliographic references up to the interpretation of the semi-structured interview, conducted in depth, was intended. The findings of this research gave us the oportunity of thinking about how the social callings to the family were made, especially in regard of atention and care with their family members who are user of PAS and how it affects this family individual. It also allowed to discuss how the public policies that preconize involuntary internment, affectivity, prohibitionist and mono-disciplinarity – that cross the State in the attention given to this issue – are formulated and implemented. The interview analysis showed us how happen the agencying of pathos, the libidinal aspects of joy and guilt, the desire to punish and atonement, working in family relations and in caring relations, especially in the decision for involuntary internment. The survey also made possible to understand how a mother, facing the chaotic scene of public health, helpless, finds in the involuntary internment a way to reverberate her affections.

Saúde mental e gênero em um CAPS II de Brasília : condições sociais, sintomas, diagnósticos e sofrimento psíquico

Tese (doutorado)—Universidade de Brasília, Instituto de Psicologia, Departamento de Psicologia Clínica, Programa de Pós-graduação em Psicologia Clínica e Cultura, 2016.

Orçamento público semi-impositivo para transferências voluntárias : diagnóstico, perspectivas e proposta de mudanças

Diagnóstico do modelo legal de transferências voluntárias realizadas pelo Governo Federal para os entes subnacionais, em face das recorrentes irregularidades relatadas pelos órgãos de controle. Questiona os motivos pelos quais o modelo vem sendo mantido há décadas diante da notória ineficiência. O fim da descentralização tutelada é a solução recomendada pela pesquisa.

Orçamento semi-impositivo para transferências voluntárias : diagnóstico, perspectivas e proposta

O estudo tem por base a monografia apresentada pelo autor no Curso de Especialização em Processo Legislativo do Centro de Formação, Treinamento e Aperfeiçoamento (CEFOR) da Câmara dos Deputados, concluído em novembro de 2009. Banca examinadora formada pelos Professores Eduardo Fernandez Silva, orientador e José Roberto Afonso, examinador.

Políticas públicas para fontes alternativas e renováveis para geração de energia elétrica

Consultoria Legislativa - Área XII - Recursos Minerais, Hídricos e Energéticos.

Certificação florestal

Consultoria Legislativa - Área VI - Direito Agrário e Política Fundiária.

Conselhos de fiscalização profissional e respectivas anuidades

Consultoria Legislativa - Área IV - Finanças Públicas.

Organizações não-governamentais : fiscalização

Consultoria Legislativa - Área IV - Finanças Públicas.

A participação do idoso no mercado de trabalho brasileiro

Consultoria Legislativa - Área V - Direito do Trabalho e Processual do Trabalho.

Ecossistemas costeiros e marinhos : ameaças e legislação nacional aplicável

Consultoria Legislativa - Área XI - Meio Ambiente e Direito Ambiental, Organização Territorial, Desenvolvimento Urbano e Regional.

Promulgação de emendas à Constituição : análise das divergências entre os textos aprovados em cada Casa do Congresso Nacional

Aborda o processo legiferante relativo às propostas de emendas à Constituição, no que diz respeito às diferenças entre os textos aprovados na Câmara dos Deputados e no Senado Federal. Discute a constitucionalidade da promulgação fracionada, ou seja, a prática de se promulgar apenas a parte da emenda constitucional aprovada nas duas Casas do Congresso Nacional, suprimindo-se o restante do texto que não obteve a exigida aprovação na segunda Casa Legislativa.

Terceirização de mão-de-obra na Câmara dos Deputados : elementos quantitativos e financeiros dos contratos

Investiga se o crescimento da despesa com terceirização de mão-de-obra na Câmara dos Deputados poderia ser consequência do aumento do número de servidores ativos em cargos de nível superior. Apresenta dados sobre os quantitativos e as despesas envolvendo os contratos de terceirização de mão-de-obra no órgão supracitado, analisando sua evolução nos últimos dez anos. Sugere que o aumento contínuo da mão-de-obra terceirizada pode ter sido consequência da diminuição do número de servidores ativos ocupantes de cargos de nível médio.

Consciência do papel e motivação : sua interferência no desempenho funcional

Analisa, à luz das teorias do papel funcional e da motivação, a pesquisa de avaliação de desempenho dos servidores da Coordenação de Segurança Legislativa, realizada no ano 2000 pelo Centro de Formação Treinamento e Aperfeiçoamento da Câmara dos Deputados (Cefor).