01
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A construção de um projeto terapêutico singular com usuário e família: potencialidades e limitações
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2012 Mato Grosso |
• Embracement as a way of approaching users aiming at link building; • Importance of home visit to include family members in care. |
02
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A prática do apoio matricial e os seus efeitos na Atenção Primária à Saúde
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2016 Espírito Santo |
• Search for immediate answers aimed at healing, referring to the biomedical model; • Difficulty creating links with users; • Matrix support as a facilitator of qualified listening, co-responsibility for care, and reduction of unnecessary referrals. |
03
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Apoio matricial: dispositivo para resolução de casos clínicos de saúde mental na Atenção Primária à Saúde
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2013 Ceará |
• Team stigma in seeing mental health demands; • Importance of the link to the discussion of issues little explored; • Need to expand the therapeutic offer; • Team search in broadening the dialogue and listening; • Importance of matrix support for mental health care; • Importance of light technologies, affection clinics and co-responsibility. |
04
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Apoio matricial, projeto terapêutico singular e produção do cuidado em saúde mental
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2015 Ceará |
• Centered-medical work and intense influence of classical psychiatry geared towards medicalization, but difficulty of physicians in prescribing psychotropics; • Articulation with devices of the territory to compose PTS and punctual attempts of articulation in network; • Unpreparedness and impotence of professionals in dealing with clinical cases of mental health; • Lack of user participation in the elaboration of their PTS; • Need for permanent education for the Family Health Strategy (FHS) team; • Encouraging interdisciplinary work at FHS. |
05
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O projeto terapêutico nos CAPSs de Mato Grosso: uma análise documental
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2009 Mato Grosso |
• Performances on an authoritarian, repressive and punitive basis with emphasis on pre-established rules and norms; • User has the possibility of disconnection or suspension of the service if it exceeds the number of allowed faults; • Lack of family support; • Concern about identifying those responsible for users; • Lack of linkage and participation of users in PTS construction, considering that only one document brought the participation of users in the decisions of its therapeutic project. |
06
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O Projeto Terapêutico Singular e as práticas de saúde mental nos Núcleos de Apoio à Saúde da Família (NASF) em Guarulhos (SP), Brasil
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2013 São Paulo |
• Lack of physical space for extended meetings and basic communication technologies such as telephone and computer; • Lack of capacity to perform primary health care and mint health; • Absence of PHC physicians at meetings with the NASF; • Meetings guided by referral guides, without information from users and without preparation of the team to discuss the cases taken to the matriciamento; • Embarrassment, distrust and detachment between teams; • NASF team work overloads; • Lack of intersectoral involvement and networking; • Feeling of professional dassessment. |
07
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Os desafios da integralidade em um Centro de Atenção Psicossocial e a produção de projetos terapêuticos
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2011 São Paulo |
• Deficiency of records in medical records; • Lack of sharing of PTS information among team members; • Difficulty of night shift being present at case discussion meetings; • Need for interventions with family members and home visits; • Need for a less compartmentalized practice. |
08
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Projeto terapêutico de usuários de crack e álcool atendidos no centro de atenção psicossocial
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2015 Ceará |
• Individual and group approaches; • Performance of multidisciplinary team in the development of activities; • Risk of fragmentation of care and need for interdisciplinary action; • Assessment of therapeutic projects through consultations with the medical clinic; • Active search through home visits to redeem the link; • Incomplete information in records, with inadequate filling and unreadable letter. |
09
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Projeto terapêutico em Saúde Mental: práticas e processos nas dimensões constituintes da atenção psicossocial
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2016 Ceará |
• Participation of the team in decisions and planning of actions from the political guidelines of the Psychosocial Care Center (CAPS - Centro de Atenção Psicossocial); • Underestimation of sociocultural aspects; • Fragmentation of care evidenced by specialization in action organization and lack of knowledge interlocution; • Lack of user participation in the process of discussion and elaboration of its therapeutic project; • Lack of linkage and co-responsibility, evidencing the lack of interventions in the socio-affective field; • Preponderance of the biomedical model evidenced by the formatting of the supply of care strategies; • Challenge to ensure the construction of PTS that promotes psychosocial care and can cover the affective dimension. |
10
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Projeto terapêutico singular na produção do cuidado integral: uma construção coletiva
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2011 Ceará |
• PTS is based on the mutual effort between health-user-family worker; • Users interact at any moment in the process; • Prioritization of networking; • There are meetings to discuss the work process; • Consideration of the social spaces of users; • Hosting based on active listening and bonding; • Interconnection between ESF and CAPS to identify care needs of users; • PTS considers the opinions, dreams and purposes of the user's life, establishing a horizontal relationship between worker-user-family; • Responsibility for monitoring PTS does not lie solely with the Reference Technician (RT). |
11
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Projeto terapêutico singular no âmbito da saúde mental: uma experiência no curso de graduação em medicina
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2014 São Paulo |
• Semi-structured interview for bonding; • Follow-up of the case through meetings with sequential themes; • Challenge in enabling users a moment of listening and therapeutic orientation according to their own demands. |
12
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Projeto terapêutico singular para profissionais da estratégia de saúde da família
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2016 Santa Catarina |
• Difficulty organizing teamwork as an obstacle in the elaboration of PTS as routine; • Non-standardized records and parallel information hampering communication; • Lack of joint organization and planning of care actions for users and family; • Excess demand from users; • The need for a computerized interconnected system for recording information shared between CAPS and FHS. |