Residências terapêuticas no município de Jataí: com a palavra, os cuidadores em saúde

• Ano de defesa: 2014
• Autor(a) principal: Lima, Leandra Assis Borges
• Orientador(a): Miranda, Fábio Jesus
• Banca de defesa: Costa Neto, Sebastião Benício da , Lemos, Moisés Fernandes
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de Goiás
• Programa de Pós-Graduação: Programa de Pós-Graduação STRICTO SENSU em Psicologia
• Departamento: Ciências Humanas
• País: BR
• Palavras-chave em Português: Reforma Psiquiátrica; Desinstitucionalização; Residências Terapêuticas; Cuidadores
• Palavras-chave em Inglês: Psychiatric Reform; Deinstitutionalization; Therapeutic Residences; Caregivers
• Área do conhecimento CNPq: CNPQ::CIENCIAS HUMANAS::PSICOLOGIA
• Link de acesso: https://tede2.pucgoias.edu.br/handle/tede/1870

In Brazil the campaign for deinstitutionalization of severe mentally ill patients and their reintegration to the community began with Psychiatric Reform and Health Reform in the 1970s and intensified in the 1980s. But it was only in 1988 with the creation of the Single Health System (SUS) which has as guiding principles to universality, comprehensiveness, and fairness, that creates lwas and programs for all areas of public health. Subsequently the SUS creates, organizes and regulates programs of deinstitutionalization, as: De volta para casa (Back at home), Programa de Reestruturação dos Hospitais Psiquiátricos (Restructuring Program of Psychiatric Hospitals) and Serviço Residencial Terapêutico (Therapeutic Residential Service (SRT)). The present work focuses on one of these services created by the SUS, the Home-based Therapeutic Service (SRT); by comprehending that this is an essential device in consolidating the process of deinstitutionalization of the treatment of people with mental disorders. The creation of this device was done with the objective of replacing the leitos moradias (ward beds) (long-term care facilities) in psychiatric hospitals and subsequently begin to accommodate users of Centers for Psychosocial Care (CAPS) that in some way were unable to live with their families. Also specifically within the SRTs, the study focused on the caregivers, on the understanding that these professionals are present in the various day-to-day situations in the home, and deal directly with people who have been in the context of exclusion and chronification of asylums. Therefore, their work is essential to the process of deinstitutionalization. The present study aimed to get to know the Psychiatric Reform and the process of deinstitutionalization in the Municipality of Jataí while investigating the RT device. For both, we attempted to get to know the caregivers of the Therapeutic Residential Services and their work. It was researched the three SRTs that created in 2006, in the municipality of Jataí. It is a study of a case, of descriptive character, and exploratory. Participate in the study, the caregivers of three Therapeutic Residences of the municipality, in additional to the psychologist responsible for the team. Semi-structured interviews and participant observation have been used, the data were submitted to Phenomenological Interpretative Analysis (AFI). From the analysis and interpretation of the transcribed interviews was built a theme class of Living in homes experience . In it were grouped three strands of discussion that are interlinked and intertwined, being them: work experiences, experiences with the locals and the experiences with the support network. The main final considerations relate to the need of instrumentalization, empowerment, listening, and creating of spaces for supervision to support the work of caregivers.