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Researcher visitor program in nursing research group and mental health policies and discipline of critical analysis historical and social development assistance in mental health and main theoretical bases

Grant number: 16/12811-1
Support type:Research Grants - Visiting Researcher Grant - International
Duration: November 27, 2016 - December 02, 2016
Field of knowledge:Health Sciences - Nursing
Principal Investigator:Sônia Barros
Grantee:Sônia Barros
Visiting researcher: Benedetto Saraceno
Visiting researcher institution: Universidade Nova de Lisboa, Portugal
Home Institution: Escola de Enfermagem (EE). Universidade de São Paulo (USP). São Paulo , SP, Brazil

Abstract

The Psychosocial Care Network consists of several assistance devices should work in coordination and corresponds to the organizational solution proposed for the implementation of this care model in mental health in the SUS. Among these services, psychosocial care centers (CAPS) are the strategic articulators of RAPS and mental health policy in a specific territory with a view to socially include the person with mental illness. The evaluation of mental health services has been recommended by the WHO, stressing the need to assess and monitor the mental health services in search of quality of care and ensuring universal and equitable treatment to all persons with mental disorder. Brazilian researchers have proposed several evaluations for mental health services in isolation. Some of these studies seek to evaluate from the user's satisfaction with their care (WHO-SATIS-BR), the workload of mental health professionals and to evaluate the perception of psychiatric patients on the results of the treatment received in mental health services ( EMP) - which are studies of UFJF research group in partnership with USP and wHO - (FLAG & PITTA, 2000; FLAG et al, 2009), and evaluate innovative experiences composition of psychosocial care networks in the region. south (WETZEL & Kantorski, 2005). In Brazil, there are some evaluation tools for mental health in the context of outcome assessment (Donabedian, 1966) as the SATIS-BR, EMP-BR and WHOQOL. However, with regard to the actions of social inclusion, were not found Brazilian instruments mensurassem the results of these actions. Nor were found instruments to assess the quality of care in the user's perspective, that involves other dimensions than the results. In this context, the evaluation of these services in Brazil are incipient, especially in the context of social inclusion and perception of quality of care. Therefore, this project assumed the following assumption: the use of Social and Community Opportunities Profile scales (SCOPE) and Quality in Psychiatric Care - outpatients (QPC-OP) in the evaluation of Brazilian metal health services produce information that could contribute to their improvement. Thus, the purpose of this study is to indicate instruments, useful scales for evaluation of mental health services that address the Brazilian reality, in assessing the outlook for management, contributing to the improvement of these devices that are essential to the restoration of citizenship of people with mental disorders. Given this panorama, this project aims to produce ranges of versions for evaluation of mental health services in Portuguese, adapted to the Brazilian cultural context. The project in question is set up in a descriptive study of qualitative approach - cultural adaptation, which will occupy the SCOPE range of content validation and QPC-OP - and quantitative - psychometric analysis, which will occupy the construct validity of the same. The population will be users of CAPS adults in São Paulo. The study will be conducted with a minimum sample of 480 users. The scenario is all CAPS adults in São Paulo, totaling 32 units, divided into CAPS type I, type II and type III. The expected results, validate tools that can be applied in the Brazilian replacement services in order to measure and analyze how they have achieved social inclusion, human rights and participation of its users and generate indicators for evaluation of these services in order to improve the quality of results of the actions performed these services. (AU)