Access, equity and social cohesion: evaluation of intersectoral strategies for people experiencing homelessness / Acceso, equidad y cohesión social: evaluación de estrategias intersectoriales para la población en situación de calle / Acesso, equidade e coesão social: avaliação de estratégias intersetoriais para a população em situação de rua
Rev. Esc. Enferm. USP
; 48(6): 1069-1076, 12/2014. graf
Article
in English
| LILACS, BDENF - Nursing
| ID: lil-736331
Responsible library:
BR1.1
ABSTRACT
Objective To understand and evaluate the work of intersectoral assistance on the insertion and the flow of people in situation of street with severe mental illness in public services of Mental Health. Method A case study developed from ten visits to a night shelter between March and April 2012. For data collection, the participant observation and semi-structured interviews were carried out with four sheltered individuals, as well as non-directive group interviews with five technicians of the social-assistance services. Results Were analyzed using Content Analysis and developing a Logic Model validated with the professionals involved. Conclusion The social assistance services are the main entry of this clientele in the public network of assistance services, and the Mental Health services have difficulty in responding to the specificities of the same clientele and in establishing intersectoral work.
.
RESUMEN
Objetivo Comprender y evaluar el trabajo de asistencia intersectorial acerca de la inserción y el flujo de personas en situación de calle, con trastorno mental severo, en los servicios públicos de Salud Mental. Método Estudio de caso, desarrollado a partir de 10 visitas a un albergue, entre marzo y abril de 2012. Para la recolección de datos fue realizada la observación participante y entrevistas semiestructuradas con cuatro albergados, además de entrevistas no directivas en grupo, con cinco técnicos de los servicios socioasistenciales. Resultados Fueron validados mediante el Análisis de Contenido y la confección del Modelo Lógico, y validados junto a los profesionales involucrados. Conclusión Los servicios socioasistenciales son la principal forma de ingreso de esa clientela a la red pública de asistencia, y que los servicios de Salud Mental presentan dificultades de responder a las especificidades de dicha clientela y establecer trabajo intersectorial. .
Acción intersectorial; Asistencia Social; Assistência Social; Avaliação em saúde; Ação Intersetorial; Evaluación en salud; Health evaluation; Homeless persons; Intersectorial action; Mental Health Services; Mental disorders; Moradores de rua; Personas sin hogar; Servicios de Salud Mental; Serviços de Saúde Mental; Social Assistance; Transtornos mentais; Trastornos mentales
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.8 Achieve universal access to health
/
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Delivery Arrangements
/
Goal 1 Equitable access to health services
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Target 3.8 Achieve universal access to health
Database:
BDENF - Nursing
/
LILACS
Main subject:
Social Welfare
/
Ill-Housed Persons
/
Health Services Accessibility
/
Mental Disorders
/
Mental Health Services
Type of study:
Diagnostic study
/
Qualitative research
Aspects:
Social determinants of health
/
Equity and inequality
Limits:
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Rev. Esc. Enferm. USP
Journal subject:
Nursing
Year:
2014
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR