A prática social na saúde mental

• Ano de defesa: 2017
• Autor(a) principal: Fernandes, Juliana Cristina
• Orientador(a): Rodrigues, Maria Lúcia
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Serviço Social
• Departamento: Faculdade de Ciências Sociais
• País: Brasil
• Palavras-chave em Português: Saúde mental; Serviços de saúde mental; Política de saúde mental
• Palavras-chave em Inglês: Mental health; Mental health services; Mental health policy
• Área do conhecimento CNPq: CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL
• Link de acesso: https://tede2.pucsp.br/handle/handle/20630

The Psychiatric Reform, instituted as national policy in 2001, restructured mental health care in the country under the legal, political, social and care aspects. The reform brought the establishment of a network of assistance replacing the asylum system, with emphasis on the creation of Psychosocial Care Centers (PSCC). Guided by the community logic of social inclusion of people with mental disorders, PSCC should prioritize citizenship, access to rights and social participation of its users. However, due to the past of the treatment of mental health in the country, the stigma that falls on the population with mental disorders and in function of the political, social and economic context of the population that uses mental health services, the consolidation of the psychiatric reform and the accomplishment of appropriate social practices within the health services still face great difficulties. At that, the objective of this research was to study and analyze the social practices of the PSCC teams in relation to the social demands of users of these services, in a municipality of the state of São Paulo. This qualitative research considered the multidimensionality of the object of study, focusing in the 'making’ of the multi-professional teams, on the variety of social situations presented to them routinely. During the research, in-depth interviews were conducted with professionals from different training areas, as well as a discussion group and cursive observations of the work processes of the referred teams. We tried to examine the meanings attributed to the social; the social practices effectively implemented and its elaboration/execution dynamics. The conclusion was that the tutelary and “assistencialism” or “social handout” dimensions still appear in the social practices of the services addressed, although they appeared in a diluted and re-signified way by the professionals. The advancement of practices aimed at citizenship and the access to social rights of service users remain a major challenge in terms for the insertion of madness in contemporary society