Author:

• regina celia fiorati - Fiorati, R.C. - Ribeirão Preto, São Paulo - Escola de Enfermagem de Ribeirãoi Preto, Universidade de São Paulo - <reginacf@fmrp.usp.br>

Co-author(s):

• Toyoko Saeki - Saeki, T. - Universidade de São Paulo - <maryto@eerp.usp.br>

Thematic Area:

Saúde Mental

Abstract:

Psychiatric hospitals have been replaced by welfare services characterized by psychosocial care activities. The purpose of this study was to evaluate how aspects of mental health policy in Brazil have been constructed and implemented in outpatient services, such as the Regional Mental Health Clinic of Ribeirão Preto and the Psychosocial Care Center II of Ribeirão Preto city, São Paulo. Semi-direct interviews and focus groups were conducted with 22 health professionals. The theoretical method and data analysis were supported by the dialectical hermeneutic framework of Jürgen Habermas. It was observed high technification of health actions and centrality of clinical-medical technology in relation to other nonmedical therapeutic actions, prioritizing treatment options emphasizing pathology and drug therapy, together with a process of increasing precarity in labor relations. Regarding psychosocial rehabilitation, analysis revealed that instrumental and technified treatment imposes the practical and dialogical rationality recommended by the Brazilian Psychiatric Reform. As an alternative to transpose the problem, participatory evaluative research is required in order to unify clinical actions and psychosocial rehabilitation in therapeutic projects, while establishing mechanisms to promote the improvement of care based on the psychosocial care model.

Keywords:

Mental Health Extra-Hospital Mental Health Services Psychosocial Care Psychosocial Rehabilitation

Content:

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