A reabilitação psicossocial na rede oeste do município de São Paulo: potencialidades e desafios

Abstract

Results: Three classes emerged that address the potential and scarcity of therapeutic residential services as a space to resume the daily life; importance of cultural activities for the exchange of identities and care beyond the scope of health; the potential of projects to generate work and income to regain the contractual power. Conclusion:The strategies contribute to the construction of subjectivity and the resumption of the citizenship. In order to sustain the Psychosocial Rehabilitation it is necessary to overcome the weaknesses of human, physical and structural resources. Still, there is potential in the collaborative work and accountability of the teams.

Resources, objectives and guidelines in a Psychosocial Care Network structure

“…As an axis of the PR Strategy, projects for access to work and income are developed through Solidary Economy, and contribute to reinsertion and reestablishment of the individual's contractual power, benefiting their inclusion, autonomy and citizenship, as well as strengthening the user-user and professional-user bond (14) . Operationalization of this strategy cooperates for construction of subjectivity and makes it possible to open avenues for the resumption of citizenship (6) . At the Western RAPS, these projects, along with culture/art projects and programs that work on stigma/ prejudice are fragile in PC and completely out of phase in EC, and are mostly met by the PSC, which has CAPS.…”

“…CAPS stand out as a safe environment by offering a protected area of social interaction of users, where these, familiar and embraced in their needs, do not deal with adverse situations related to socializing, such as exclusion, prejudice and discrimination (14) . Due to concentration of daily activities within the CAPS, it is necessary to encourage territory appropriation by users, allowing experimentation of new menus in community living (6) . However, there is a need for intersectorial actions in Western RAPS, which promote access to culture/art to users and is not restricted to the CAPS space.…”

“…However, there is a need for intersectorial actions in Western RAPS, which promote access to culture/art to users and is not restricted to the CAPS space. It allows access to other services available in the city, such as CECCOs, thereby favoring circulation by the city and the autonomy (6) .…”

“…Considering the particularities of an RAS, a recent qualitative research on the functioning of RAPS, from professionals/users' perspective, evidenced deficits in relation to communication among network points, lack of Regulatory Flows (RF) to conduct referrals, human/physical/ structural resources (5)(6) , simplifying paradigms in listening to psychic suffering. In addition, there is implementation of MH actions in primary care and in different network points, in addition to limited access by users to them, lack of articulation and effectiveness of integrated care in services, and centralization of care in specialized services (7) .…”

Dupla Tarefa Na Doença De Parkinson: Revisão De Literatura

“…Na percepção deMacedo (2017), o preconceito é um julgamento imediato, sem devidas investigações acerca do fato ou indivíduo em questão ocasionando muitos erros em meios específicos. O preconceito perpetuase nos próprios locais em que o usuário faz tratamento, a situação de rejeição se reflete até mesmo nos profissionais de saúde que não são capacitados para atender essa população(SILVA, MARCOLAN, 2018).Com base nos artigos encontrados, foi possível observar alguns fatores que propiciam aos usuários em saúde mental serem excluídos do âmbito social.Observou-se que o preconceito é uma das barreiras para inserção social no qual em virtude do seu contexto histórico em que a desinformação do desconhecido, acarreta assim uma figura do doente mental como imprevisível e agressivo, visto como uma ameaça a sociedadeMARCOLAN, 2018) Nóbrega (2018). defende que a exclusão do indivíduo com transtorno mental, está atrelada a uma visão social de tratamento em hospitais psiquiátrico em modelo asilar, no qual o isolamento é a solução.…”