Resultado da Reabilitação Psicossocial: a mudança percebida pelos usuários dos Centros de Atenção Psicossocial do Sul do Brasil.

Abstract

Introduction: As the same time there is the fortification of the Social Control in SUS, it arise the interest in the user’s participation in the process of service evaluation, as one of the main involved actors. In this meaning, the objective of this study is to seek the change realized by users from CAPS relating it with sociodemographic, economic, clinical, social support, and service characteristics. Methodology: Transversal study performed since June to December of 2011, with 1597 users of 40 CAPS from the southern region of Brazil. The change realized was defined through the Scale of Perceived change by Patient (SCR-Patient), associated to factors of sociodemographic, economical, clinical profile, social support and service characteristics. To analysis, it was obtained scores of scale SCR through calculation of averages and standard deviations of items, subscales and global scored of instrument, and logistic regression, with percentages of realized improvement, Odds Ratio (OR) crude and adjusted, confidence intervals of 95% (95% CI) and values of p from associated factors. Results: From the total of interviewed subjects, 84,85% realized the occurrence of improvement as a treatment. The global medium score of change perception was 2,51 (DP ± 0,41), and from subscales, varied from 2,40 (DP ± 0,48), in the size “Avocation and Physical Health”, to 2,60 (DP ± 0,44), in the size “Psychological Aspects and Sleepiness”. Men have 25% more chances to realize improvement in treatment when compared to women. Be from the state of Rio Grande do Sul increases in 59% the chances to realize improvement. To considerate its health in the last 4 weeks “very good” increases approximately 11 times the perception of improvement in relation to whom considerate its health “worst”. To who is favorable to the participation of family in its treatment have approximately 3 times more chances to realize the improvement from who are unfavorable. Final Considerations: Through presented results, it is possible infer a huge association of improve realized with factors related to sociodemographics characteristics, health conditions and service characteristics. This study pointed to aspects that did not present improvement or there’s a worsening, a sexuality. At the same time, it was pointed aspects that presented high improvement, demonstrating that the treatment is being effective and the psych iatric reform has effect in the transformation of care in mental health in life of these subjects.