Clinical listening, Mental Health Professionals and Speech-Language Pathology: experience in the Child and Adolescent Psychosocial Care Center (CAPSij)

Abstract

Purpose: The speech therapy practice in mental health is questioned by the challenge of producing shared care strategies to, above all, expand the conditions and the communicational repertoire, the discursive and social circulation of people with mental suffering. Objective of this study was to identify the perception of clinical listening in professionals of Child and Adolescent Psychosocial Care Center (CAPSij), specifying the role of speech therapy in the care and listening of patientes. Methods: This is a participatory and dialogical research. A discussion group was used to collect data. Results: were grouped in the following categories: listening conception; listening and working process; listening effects; speech therapy and clinical listening. These professionals think of clinical listening as a central device for mental health care. The clinical listening favors reflection on the bio psychic dynamics of healthcare. It was observed contributions of speech therapy in intra and interinstitutional scopes, in the clinical-therapeutic work of the health professionals, patients and relatives. The speech therapist’s skills and knowledge about organic aspects of child development in the opinion of professionals enhance clinical listening. Conclusion: It was concluded that without teamwork, care in CAPSij would not happen in a qualified way under the public health policies: Psychosocial Care Network (PSCN) and Unified Health System (SUS) frameworks. The clinical listening is a condition of possibility of the care offered by the professionals.

Person-centered care in psychosocial care: challenges for the therapeutic relationship from professionals’ perspective

“…CAPS are part of the Psychosocial Care Network (RAPS -Rede de Atenção Psicossocial), adopting the expanded clinic as a guiding axis for mental health care, in which multidisciplinary teams share their disciplinary knowledge for a clinic centered on the person in distress, and have listening as a an essential tool to access the subjective experiences of each user. 26 Therefore, when this listening is not done properly, the people being assisted can distance themselves from the team and the service.…”

Cuidado centrado na pessoa na atenção psicossocial: desafios para a relação terapêutica na perspectiva de profissionais

“…Os CAPS fazem parte da Rede de Atenção Psicossocial (RAPS), adotando a clínica ampliada como um eixo norteador da assistência à saúde mental, em que as equipes multiprofissionais compartilham seus saberes disciplinares para uma clínica centrada na pessoa em sofrimento, e têm a escuta como uma ferramenta essencial para ter acesso às experiências subjetivas de cada usuário. 26 Portanto, quando essa escuta não é feita adequadamente, pode ocorrer um distanciamento das pessoas assistidas da equipe e do serviço consequentemente.…”