Avaliação de capacitação para terapia comunitária integrativa em unidades da Atenção Primária à Saúde do município de Carmópolis de Minas

Abstract

The consolidation of a more integrated, dynamic, open and community mental health care, model proposed by the Unified Health System, should contribute to the promotion of mental health and prevention of conditions of mental illness. In this sense, the literature confirms that Integrative Community Therapy helps in the treatment of SUS users in suffering or mental illness, because it is capable of generating fundamental benefits for their empowerment. Thus, this research aimed to train nurses from Basic Health Units and physiotherapists from the Extended Family Health Center to perform Integrative Community Therapy within the scope of Primary Health Care in the municipality of Carmópolis de Minas / MG so that, through the training of professionals, it was possible to help with the users. We used the qualitative and interpretative intervention study, which was conducted in the period 2020 and 2021, in basic health units in the municipality of Carmópolis de Minas, having as participants six nurses and a physiotherapist who deal with users on a daily basis as participants. For the fieldwork, participant observation was used, and as an intervention, 13 CIT workshops were held. During the entire training process, feedback was given to the study participants as a form of formative assessment. The activities were recorded and the participants' speeches were transcribed. All collected material was analyzed using content analysis. The last step of the intervention was the summative assessment, in order to assess the participants' perception of training, through self-completion of an electronic form. However, from the point of view of the evaluation, the data provided by the participants in electronic auto-completion was very evasive. Therefore, intramethod triangulation was performed to assess the intervention, using the focus group technique. The visible data show that the participants in this study felt empowered and ready to continue on the wheels as a public policy protocol for mental health in the minicipality, however some participants considered that they did not have profile, as they are poorly communicative, but expressed their belief that the exercise become skillful. Not all associated participants are open to collective work, as proposed by the TCI. It is inferred that there is a need to change the attitude of some, so that with knowledge and skill they become competent to practice. It was possible to prove the benefits that the TCI wheels provided to the study participants, and also to the users who participated in this “pilot” project, who are motivated and interested in continuing to participate in the wheels. Overcome as difficulties and resistance of some participants, it is concluded that they are able to develop a TCI in basic health units, which will constitute a protocol for health promotion, with emphasis on mental health, in the municipality.