Saúde bucal dos usuários em sofrimento psíquico: em busca da integralidade do cuidado

Abstract

The National Oral Health Policy reoriented the care model through the implementation of the Oral Health Care Network (OHCN). With the expansion of dental services, it was possible to increase the access of the population, as well as that of vulnerable groups, such as People with Special Needs, with users in psychological distress included in this group. However, oral health services must be able to provide care to users in psychological distress and rely on the support of the services of the Psychosocial Care Network (PCN). In this context, it was relevant to ask how oral health care is given to individuals in psychological distress in a Health District in the city of Salvador-Ba. Thus, considering the need to promote the articulation of the OHCN and PCN with a view to the realization of comprehensive care, the objective of the dissertation was to build a flowchart of articulation of the Primary Health Care services and the specialized network (Center for Dental Specialties and of Psychosocial Care) of the Cabula Beiru Sanitary District in the city of Salvador-Ba. The present work used the Integrality of Care as a theoretical framework and the Convergent Healthcare Research as a methodological approach. Data were collected through conversational interviews, participant observation and convergence group. For analysis, the Descending Hierarchical Classification was used through data processing by the IRAMUTEQ software. From the reports of the group participants' experiences, it was possible to understand the factors that interfere in the guarantee of comprehensive care, how the flows between the RASB and the RAPS take place, as well as the articulation between the networks. In this way, in view of the observations on the context and reflections on the work process, a flowchart of dental care for users in psychological distress was built. The articulation between the two Care Networks can provide better communication between professionals and services, favoring the construction of a collaborative care practice and therefore can promote the safety of health professionals in good care practices and case management. In this sense, the flowchart established institutionally and designed by professionals who think and perform care in the DSCB care networks greatly favors the effectiveness of comprehensive care, as the process of lining up the two networks enables an articulation that ensures that care is provided. oral conversations become real for these users and not just a possibility.