The meaning of the referrals to the CAPS III in Santos: the professionals' point of view

Authors

  • Neuza Gonzaga Universidade Federal de São Paulo
  • Eunice Nakamura Universidade Federal de São Paulo; Departamento de Políticas Públicas e Saúde Coletiva

DOI:

https://doi.org/10.1590/S0104-12902015000100018

Abstract

The objective of this study was to understand the meaning of the referrals to the CAPS III in Santos according to the opinion of health professionals who work in these services. A qualitative research was conducted, prioritizing the ethnographic method. The in depth interviews technique with a semi-structured script was used to collect information from these professionals. The research was carried out with 12 professionals – four psychiatrists and eight professionals from other areas – covering the five CAPS III in the city of Santos. In the professionals' opinion, the meanings of the referrals are related to the mistaken and inappropriate ways they occur, with few data and without any specific criteria. For them, the inadequacy of those referrals, made by professionals from others services, is due to the lack of accurate listening, to the hurry to refer patients and to the lack of knowledge about the CAPS III. These inadequate referrals cause an excessive demand to CAPS III, a service overload and professionals' restraint to care severe ill patients, who are considered priority in these kinds of services. There is a contradiction between the interviewees' discourse and their practice as the new demands, the common disorders cases, are attended. When referring to CAPS III as a welcoming place that offers safety and security, respondents indicate how they deal with this inversion of priorities in their practices. When defining the CAPS, their place of professional experience, with the notion of a welcoming, a “native category”, the interviewees seem to explain the contradiction between discourse and practice.

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Published

2015-03-01

Issue

Section

Articles

How to Cite

The meaning of the referrals to the CAPS III in Santos: the professionals’ point of view. (2015). Saúde E Sociedade, 24(1), 232-243. https://doi.org/10.1590/S0104-12902015000100018