0885/2012 - The prevalence of the medical/clinical technology over psychosocial care actions in extra-hospital mental health services Predominância da tecnologia médico-clínica sobre ações de atenção psicossocial em serviços extra-hospitalares de saúde mental
• regina celia fiorati - Fiorati, R.C. - Ribeirão Preto, São Paulo - Escola de Enfermagem de Ribeirãoi Preto, Universidade de São Paulo - <reginacf@fmrp.usp.br>
Coautor(es):
• Toyoko Saeki - Saeki, T. - Universidade de São Paulo - <maryto@eerp.usp.br>
Área Temática:
Saúde Mental
Resumo:
Os hospitais psiquiátricos têm sido substituídos por serviços assistenciais caracterizados por ações de atenção psicossocial. O objetivo deste trabalho foi avaliar de que forma aspectos da política de saúde mental brasileira têm sido construídos e efetivados em serviços extra-hospitalares, como o Ambulatório Regional de Saúde Mental de Ribeirão Preto (ARSMRP) e o Centro de Atenção Psicossocial II (CAPSII), do município de Ribeirão Preto, São Paulo. Entrevistas semidiretivas e grupos focais foram realizados com 22 profissionais da saúde. O método teórico e a análise dos dados apoiaram-se no referencial hermenêutico dialético de Jürgen Habermas. Observou-se alta tecnificação das ações de saúde, centralidade da tecnologia médico-clínica em relação a outras ações terapêuticas não médicas, priorização de formas de tratamento com ênfase na patologia e na terapêutica medicamentosa e um processo de precarização das relações de trabalho. Com relação à reabilitação psicossocial, foi observado que o tratamento instrumental e tecnificado se impõe à racionalidade prática e dialógica preconizada pela Reforma Psiquiátrica Brasileira. Como alternativa para transpor a problemática é necessário a realização de pesquisa avaliativa participativa com objetivo de unir ações clínicas e de reabilitação psicossocial em projetos terapêuticos e de criar mecanismos que favoreçam a melhoria da assistência
Psychiatric hospitals have been replaced by welfare services characterized by psychosocial care activities.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
Predominância da tecnologia médico-clínica sobre ações de atenção psicossocial em serviços extra-hospitalares de saúde mental
Resumo (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.
Palavras-chave (keywords):
Mental Health
Extra-Hospital Mental Health Services
Psychosocial Care
Psychosocial Rehabilitation
Fiorati, R.C., Saeki, T.. The prevalence of the medical/clinical technology over psychosocial care actions in extra-hospital mental health services. Cien Saude Colet [periódico na internet] (2012/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/the-prevalence-of-the-medicalclinical-technology-over-psychosocial-care-actions-in-extrahospital-mental-health-services/10382?id=10382