O trabalho interprofissional na saúde mental: particularidades do município de Parnamirim/RN

Abstract

The particularities of the health area make it a space where it is necessary to discuss interprofessional work, considering its intense process of specialization between professional categories and procedures. Therefore, discussing this issue is fundamental, given the effects produced by the new morphology of work and the scrapping of public services. These factors are intensified by neoliberal ideas that increasingly compromise the legitimacy of social rights and labor relations. From this perspective, the research sought to analyze interprofessional work in mental health services in the municipality of Parnamirim/RN, in order to provoke reflection on the reality and contribute to this practice being absorbed as a fundamental element in these devices. It also sought to analyze the organization of work in mental health services in the aforementioned municipality, as well as to grasp its particularities, identify the main challenges for its implementation in the face of the current situation in Brazilian society and identify mental health professionals' understanding of work in its interprofessional modality. To this end, a qualitative-quantitative approach was used, guided by the dialectical-critical method. It was based on a literature review and primary data collection through semi-structured interviews with the professionals who make up the service teams, and data analysis was carried out using the Content Analysis technique (Bardin). In this study, it was possible to identify that most of the devices are based on multi-professional work, without necessarily exercising interprofessionality, as they remain centered on individual actions, without exchanges and integrated actions between professionals. The challenges revealed express the fragility of the municipality of Parnamirim/RN in maintaining the recommendations of the National Mental Health Policy, given the structural and functional precariousness of the RAPS devices, with intense repercussions for working relationships and the quality of care offered. This situation points to a complex and challenging scenario for the materialization of interprofessional work, considering the lack of an organized, effective and resolutive health network that guarantees continuous and articulated actions and services.