Artículos de revistas
Autonomous Medication Management: An Analytical Intervention In Mental Health Care Services [a Gestão Autônoma Da Medicação: Uma Intervenção Analisadora De Serviços Em Saúde Mental]
Registro en:
Ciencia E Saude Coletiva. , v. 18, n. 10, p. 2889 - 2898, 2013.
14138123
10.1590/S1413-81232013001000013
2-s2.0-84884571358
Autor
Onocko-Campos R.T.
Passos E.
Palombini A.L.
dos Santos D.V.D.
Stefanello S.
Goncalves L.L.M.
de Andrade P.M.
Borges L.R.
Institución
Resumen
In a context of high rates of medicalization of the population and in light of the scantly critical use of psychiatric medications in mental health services, this paper reports aspects of a qualitative study that had the opportunity to intervene in care practices in three major Brazilian cities. Following the principle of Brazilian Psychiatric Reform championing users' rights to participate in decisions about their treatment, the research intervened in psychosocial care centers (CAPS) seeking the empowerment of the users regarding the use of drugs in their therapeutic projects. Interviews were conducted and focus groups set up. From this recorded material, the paper analyzed some situations that, among other things, attested to the difficulty of avoiding the exercise of power over users via the administration of psychotropic drugs. Little dialogue about drugs, and the existence of stigmatization spaces where user rights are inhibited or "accepted with caution," was also detected in the services surveyed. 18 10 2889 2898 Jacob, K.S., Sharan, P., Mirza, J., Garrido-Cumbrera, M., Seedat, S., Mari, J.J., Sreenivas, V., Saxena, S., Global mental health 4-mental health systems in countries: Where are we now? (2007) Lancet, 370 (9592), pp. 1061-1077 Onocko Campos, R., Gama, C.A., Ferrer, A.L., dos Santos, D.V.D., Stefanello, S., Trape, T.L., Porto, K., Mental health in primary care: An evaluative study in a large brazilian city (2011) Cien Saude Colet, 16 (12), pp. 4643-4652 Elliot, C., (2003) Better then well: American medicine meets the american dream, , New York: W. W. Norton Bell, S.E., Figert, A.E., Medicalization and pharmaceuticalization at the intersections: Looking backward, sideways and forward (2012) Soc Sci Med, 75 (5), pp. 775-783 Conrad, P., Leiter, V., Medicalization, markets and consumers (2004) J Health Soc Behav, 45 (SUPPL.), pp. 158-176 Illich, I., (1975) A expropriação da saúde: Nímesis da mecicina, , 2a Edição. Rio de Janeiro: Nova Fronteira Elliot, C., (2010) White coat, black hat: Adventures on the dark side of medicine, , Boston: Beacon Press Conrad, P., Barker, K.K., The social construction of illness: Key insights and policy implications (2010) J Health Soc Behav, 51 (SUPPL.), pp. S67-S79 Conrad, P., McKie, T., Mehrotra, A., Estimating the costs of medicalization (2010) Soc Sci Med, 70 (12), pp. 1943-1947 Fulford, K.W.M., Bringing together values-based and evidence-based medicine: UK department of health initiatives in the 'personalization' of care (2011) J Eval Clin Pract, 17 (2), pp. 341-343 Deegan, P.E., Drake, R.E., Shared decision making and medication management in the recovery process (2006) Psychiatr Serv, 57 (11), pp. 1636-1639 Lopes, T.S., Dahl, C.M., Serpa Jr., O.D., Leal, E.M., Campos, R.T.O., Diaz, A.G., The process of recovery in the perspective of persons with schizophrenia spectrum disorders and of psychiatrists working at psychosocial health care services (2012) Saúde Soc. São Paulo, 21 (3), pp. 558-571 Onocko Campos, R.T., Palombini, A.L., Silva, A.E., Passos, E., Leal, E.M., Serpa Jr., O.D., Marques, C.C., Stefanello, S., Multicenter adaptation of the guide for autonomous management of medication (2012) Interface (Botucatu), 16 (43), pp. 967-980 (2006) Balises pour une approche alternative des pratiques de soutien communautaire en santé mentale, , Regroupement des ressources alternatives en santé mentale du Québec (RRASMQ), Québec: RRASMQ Vasconcelos, E.M., Dispositivos associativos de luta e empoderamento de usuários, familiares e trabalhadores em saúde mental no brasil (2007) Revista Vivência, (32), pp. 173-206 Campos, G.W.S., (2000) Um método para análise e co-gestão de coletivos, , São Paulo: Hucitec Onocko Campos, R.T., Campos, G.W.S., Co-construção de autonomia: O sujeito em questão (2006) Tratado de Saúde Coletiva, pp. 669-714. , In: Minayo MCS, Akerman M, Drumond Júnior M, Carvalho YM, organizadores., São Paulo: Hucitec Passos, E., Barros, R.B., A cartografia como método da pesquisa-intervenção (2009) Pistas do método da cartografia: Pesquisa-intervenção e produção de subjetividade, pp. 17-31. , In: Kastrup V, Escóssia L, organizadores, Porto Alegre: Sulina Lourau, R., Objeto e método da análise institucional (2004) Analista em tempo integral, pp. 66-86. , In: Altoé S, René Lourau R, organizadores., Campinas: Hucitec Onocko Campos, R.T., Furtado, J.P., Narratives: Use in qualitative health-related research (2008) Rev Saude Publica, 42 (6), pp. 1090-1096 Ricouer, P., (1997) Tempo e narrativa, , Campinas: Papirus Corin, E., Se rétablir après une crise psychotique: Ouvrir une voie? Retrouver sa voix? (2002) Santé Mentale Au Quebéc, 27 (1), pp. 65-82 Rodriguez, L., Nouveaux paramètres pour l'élaboration des pratiques de soutien communautaire: Contribuition des organismes communautaires et alternatifs au québec (2011) Santé Mentale Au Quebéc, 36 (1), pp. 35-56 Santos, N.R., Public healthcare policy in brazil: Crossroads and choices (2008) Cien Saude Colet, 13 (SUPPL. 2), pp. 2009-2018 Davidson, L., Drake, R.E., Schmutte, T., Dinzeo, T., Andres-Hyman, R., Oil and water or oil and vinegar? Evidence-based medicine meets recovery (2009) Community Ment Health J, 45 (5), pp. 323-332 Onocko Campos, R.T., Campos, G.W., Ferrer, A.L., Correa, C.R., Madureira, P.R., Gama, C.A., Dantas, D.V., Nascimento, R., Evaluation of innovative strategies in the organization of primary health care (2012) Rev Saude Publica, 46 (1), pp. 43-50 Goncalves, R.W., Vieira, F.S., Delgado, P.G., Mental health policy in brazil: Federal expenditure evolution between 2001 and 2009 (2012) Rev Saude Publica, 46 (1), pp. 51-58 Bleger, J., (1984) Psico-higiene e psicologia institucional, , Porto Alegre: ArtMed Editora Figueiró, R.A., Dimenstein, M., The daily life of users of CAPS: Empowerment or capture? (2010) Fractal: Rev. de Psicologia, 22 (2), pp. 431-446 Carson, D., Good enough risk taking (1997) Int Rev Psychiatry, 9 (2-3), pp. 303-308 Silva Melo, A.K., Godoy, M.G.C., Bosi, M.L.M., Ximenes, V.M., Carvalho, L.B., Inovação em saúde mental sob a ótica de usuários de um movimento comunitário no nordeste do brasil (2012) Cien Saude Colet, 17 (3), pp. 643-651