Desafios e práticas dos psicólogos na rede básica de saúde do município do Rio de Janeiro

Abstract

The object of this study are professional practices of psychologists in the Comprehensive Health Care System (SUS), particularly in primary care services. The study adopts three assumptions: (1) the need of developing new practices in the public health services that can go beyond the individual psychotherapeutic care (2) the inadequacy of Psychology graduate schools in preparing professionals to work in the public health system and (3) the understanding that changes in the education and professional practice can be concurrent. The design of the study is qualitative and exploratory. Research methods included: (1) participant observation, (2) individual semi-structured interviews (3) questionnaire axis occupational characterization. The setting were the psychology services of the primary health network in Rio de Janeiro, the Boards of Mental Health and the supervision of Territory. The research subjects were system managers and psychologists of a programatic area (AP 5.0). The data were analyzed from the content analysis of Bardin. Three analytical axis were set up:(1) Challenges to professional practices, (2) Training and professional practice relation (3) Permanent Education Initiatives. The results show that the challenges to the practices in the basic health network are intrinsically related to the demand of prioritizing the treatment care of the serious cases, an amendment of the Psychiatric context, (2) a trained and graduated psychologist needs to be continually revising its own training, in order to fit the needs of the Unified Health System (3) the Boards of Mental Health and Territory supervision are moving in the direction of the proposed Education Committee, creating these essential spaces for discussion and changes for the psychologist work process on its field. It s been necessary the continuity of the discussions on the professional practice of the psychologist in Health as a way to assist the resolution of the difficulties found in daily work.