Cuidado em saúde mental, risco e território: transversalidades no contexto da sociedade de segurança

Abstract

The aim of this study is to discuss the crosscutting discursive issues among the notions of mental health care, risk and territory in the National Conferences of Mental Health (NCMH) reports, placing them in the context of safety society. It is a descriptive, exploratory study of qualitative, documentary and retrospective analysis, under the framework relevance, emphasizing the centrality of these concepts for the consolidation of a new mental health care model in Brazil. As the asylum model went into decline, in the process of the archaeology of knowledge, by Michel Foucault. From the 2nd to 4th NCMH, it is observed that the glossary on the risk as probability, care and territory, presented progressive of building up a mental health care network territorialized and community-based, the discourses about the risks emerged, being core elements of the safety device.

Produção do cuidado na atenção psicossocial: visita domiciliar como tecnologia de intervenção no território

“…Nevertheless, Psychiatric Reform led to the reorientation of mental health services, requiring added care strategies and resources, in addition to the assumption that services are supposed to meet the territory's demand 19 , aspects that are apparent in the reports of workers from CAPS:…”

“…Thus, care shifts from the biological to the social body, from the institutional to the community space. As a consequence, new forms of receiving patients and intervening in their suffering-existence are needed, to incorporate the dimension of social relationships established in the time and urban space, through the development of therapeutic proposals within the network, which together compose territorial care 19 .…”

“…Note that the circulation of these people remains a concern in the social agenda and health services, seeking ways to ensure safety and prevent harm and disorder in society. Such safety is ensured through the role played by families and by using psychotropic drugs to control undesirable behaviors 19 .…”

“…In this context, the team implements guidelines from Mental Health Policies establishing that procedural and relational dimensions should be recovered to create new routes for people with mental distress to circulate in the territory, respecting political and sociocultural uniqueness 19 .…”

Cotidiano como eixo de intervenção em saúde mental

“…This change in the way of acting creates possibilities for a differentiated welcome for those who experience mental suffering/mental illness through mental health practices that are diversified and articulated with the territory. 20 The development of mental health practices in the territory is not limited to a displacement in physical space to make the professional, it goes beyond, through an attentive and reflective look that drives the action on this scenario, with the intention of understanding what ways of life are being designed and what kind of clinic is possible. 21 The clinic needs to be reinvented as a place of commitment, accountability and construction of possibilities of life and production of subjectivities for those who suffer.…”