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Saúde mental das equipes de referência que atuam nos centros de referência especializado de assistência social da grande Florianópolis
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| 36106 | 3.24 MB | Adobe PDF |
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Abstract(s)
Apesar de existirem inúmeras pesquisas na área de saúde mental do trabalhador, ainda se faz necessário sua expansão para outros contextos profissionais, em especial, para profissionais que atuam nos Centros de Referência Especializado de Assistência Social – CREAS. Os CREAS são equipementos públicos, que integrando o Sistema Único de Assistência Social - SUAS, especificamente, a política de média complexidade, que atende indivíduos e famílias com direitos violados (Ministério do Desenvolvimento Social, 2011). Os CREAS são constituídos por equipes de referência, formadas por profissionais efetivos, que são diretamente responsáveis por organizar e estruturar o SUAS, considerando o número de famílias ou indivíduos referenciados (Ferreira, 2011). Diante disso, o objetivo da presente pesquisa foi identificar os fatores que podem favorecer e os fatores que podem prejudicar a saúde mental positiva e o bem-estar, e aumentar a doença mental e sintomas de psicopatologia das equipes de referência, que atuam nos Centros de Referência Especializados de Assistência Social – CREAS da Grande Florianópolis. Trata-se de um estudo exploratório, através do método misto, desenvolvido junto das equipes de referência dos CREAS, instalados nos municípios de médio e grande porte da microrregião de Florianópolis. A coleta de dados foi realizada por meio de um protocolo de pesquisa, contendo: questionário sociodemográfico e de trabalho, roteiro de focus group, guião para entrevista semiestruturada, versão reduzida da Escala de Ansiedade Depressão e Estresse - DASS-21, Maslach Burnout Inventory General Survey, Escala de Bem-Estar Mental de Warwick-Ediburgo, Escala Continuum de Saúde Mental versão reduzida (MSC-SF). Os dados quantitativos foram analisados através de procedimentos estatísticos, já os dados qualitativos, foram sujeitos a uma análise de conteúdo de acordo com as orientações de Bardin. Como resultados temos que a saúde mental positiva teve uma M = de 56,85, apresentando resultados acima da média para o bem-estar emocional e bem-estar psicológico, no entanto, a maioria dos profissionais está abaixo da média para o bem-estar social. No que se refere ao bem-estar mental, foi constatado que a maioria dos profissionais encontra-se acima da média para o bem-estar mental (M = 49,53), com percentual significativo de 47,0% dos profissionais com bem-estar mental abaixo da média. No que se refere à psicopatologia, apesar dos valores normal/leve serem superiores em todas as subescalas da DASS-21, se identificou altos percentuais de profissionais com algum indício de perturbação: 31,3% apresentaram sintomas depressivos, 40% sintomas de estresse e 30,4% sintomas de ansiedade. No que diz respeito ao burnout, foi identificado que 70,4% dos profissionais apresentaram incidência entre moderado e alto para burnout, enquanto apenas 29,6% dos profissionais apresentaram baixa incidência para burnout. Os resultados das entrevistas com coordenadores ou diretores e os focus group, apontam que os profissionais, em sua maioria, se encontram adoecidos, em especial pelas condições de trabalho, ocasionadas pela sobrecarga de trabalho e pressão por resultados, porém, foi identificado, que grande parte dos profissionais gosta do que faz principalmente, do contato com os indivíduos e famílias. Através dos resultados concluímos que um número significativo de profissionais das equipes de referência dos CREAS da Grande Florianópolis, estão adoecidos, em especial, no que se refere a síndrome de burnout, sendo necessário pensar estratégias de prevenção em saúde mental no ambiente de trabalho.
Although there are numerous researches in the area of worker’s mental health, it is still necessary to expand it to other professional contexts, especially for professionals who work at the Specialized Reference Centers for Social Assistance - CREAS. CREAS are public facilities that integrate the Unified Social Assistance System - SUAS, specifically, the medium complexity policy that serves individuals and families with violated rights (Ministry of Social Development, 2011). CREAS are made up of reference teams, made up of effective professionals, who are directly responsible for organizing and structuring SUAS, considering the number of families or individuals referenced (Ferreira, 2011).Thus, the aim of this research was to identify the factors that can favor and the factors that can undermine the positive mental health and well-being, and increase mental illness and symptoms of psychopathology of reference teams, which act the Specialized reference Centers of Social Assistance -. CREAS of Florianópolis. This is an exploratory study, through the mixed method, developed with the reference teams CREAS installed in medium and large cities in the micro-region of Florianopolis a. data collection was conducted through a research protocol containing: survey sociodemographic and work, focus group script, screenplay for semi-structured interview, reduced version of the Anxiety Scale Depression and Estresse - DASS-21, Maslach Burnout Inventory General Survey, Scale Wellness Mental Warwick-Ediburgo, Health Continuum Scale Mental reduced version (MSC-SF). quantitative data were analyzed by statistical procedures, and qualitative data were subjected to content analysis according to Bardin guidelines. As a result we found a mean positive mental health of 56.85, presenting above average results for emotional and psychological well-being, however, most professionals are below average for social well-being. Regarding mental well-being, it was found that most professionals are above average for mental well-being (M = 49.53), with a percentage of 47.0% of professionals below average mental well-being. Regarding psychopathology, although normal / mild values were higher in all subscales of DASS-21, we identified high percentages of professionals with some indication of disturbance: 31.3% had depressive symptoms, 40% symptoms of estresse and 30.4% anxiety symptoms. Regarding burnout, it was identified that 70.4% of professionals had a moderate to high incidence for burnout, while only 29.6% of professionals had a low incidence for burnout. The results of the interviews with coordinators or directors and focus groups, indicate that most professionals are sick, especially due to working conditions, caused by work overload and pressure for results. Professionals mainly like what they do and like the contact with individuals and families. From the results, we concluded that a significant number of professionals of CREAS reference teams of Greater Florianópolis are sick, especially with regard to Burnout Syndrome, being necessary to think about prevention strategies in mental health in the workplace.
Although there are numerous researches in the area of worker’s mental health, it is still necessary to expand it to other professional contexts, especially for professionals who work at the Specialized Reference Centers for Social Assistance - CREAS. CREAS are public facilities that integrate the Unified Social Assistance System - SUAS, specifically, the medium complexity policy that serves individuals and families with violated rights (Ministry of Social Development, 2011). CREAS are made up of reference teams, made up of effective professionals, who are directly responsible for organizing and structuring SUAS, considering the number of families or individuals referenced (Ferreira, 2011).Thus, the aim of this research was to identify the factors that can favor and the factors that can undermine the positive mental health and well-being, and increase mental illness and symptoms of psychopathology of reference teams, which act the Specialized reference Centers of Social Assistance -. CREAS of Florianópolis. This is an exploratory study, through the mixed method, developed with the reference teams CREAS installed in medium and large cities in the micro-region of Florianopolis a. data collection was conducted through a research protocol containing: survey sociodemographic and work, focus group script, screenplay for semi-structured interview, reduced version of the Anxiety Scale Depression and Estresse - DASS-21, Maslach Burnout Inventory General Survey, Scale Wellness Mental Warwick-Ediburgo, Health Continuum Scale Mental reduced version (MSC-SF). quantitative data were analyzed by statistical procedures, and qualitative data were subjected to content analysis according to Bardin guidelines. As a result we found a mean positive mental health of 56.85, presenting above average results for emotional and psychological well-being, however, most professionals are below average for social well-being. Regarding mental well-being, it was found that most professionals are above average for mental well-being (M = 49.53), with a percentage of 47.0% of professionals below average mental well-being. Regarding psychopathology, although normal / mild values were higher in all subscales of DASS-21, we identified high percentages of professionals with some indication of disturbance: 31.3% had depressive symptoms, 40% symptoms of estresse and 30.4% anxiety symptoms. Regarding burnout, it was identified that 70.4% of professionals had a moderate to high incidence for burnout, while only 29.6% of professionals had a low incidence for burnout. The results of the interviews with coordinators or directors and focus groups, indicate that most professionals are sick, especially due to working conditions, caused by work overload and pressure for results. Professionals mainly like what they do and like the contact with individuals and families. From the results, we concluded that a significant number of professionals of CREAS reference teams of Greater Florianópolis are sick, especially with regard to Burnout Syndrome, being necessary to think about prevention strategies in mental health in the workplace.
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Keywords
CREAS Equipes de referência Saúde mental Saúde mental positiva Bem-estar Sintomas de psicopatologia Síndrome de burnout Reference teams Mental health Positive mental health Welfare Psychopathology symptoms Burnout syndrome