Itinerâncias, Itinerários E Interações Sociais Como Diretivas Na Construção Do Caso Clínico Em Saúde Mental

Abstract

The city constitute a privileged space for the development of clinical practices in mental health sustained by inclusion, incentives to encourage the (re)structure of social networks and patients’ freedom to choose their own itineraries. This qualitative research used the clinical case study with the purpose to report and discuss the development of the clinical case of a patient in Belo Horizonte’s only reference center for crisis care services. The research, whose theoretical reference is Carlos Viganò, covers an eight month period between July-November 2017 (hospitalization) and December 2017-March 2018 (medical follow-up after discharge). The external interventions were proposed with the benchmark of the Therapeutic Follow-up strategy. The results demonstrate the effectiveness of the proposal, given the patient managed to make choices and accomplished his purpose of living in a boarding house and forming a new social network. We concluded that interventions to stimulate social interaction, in relation to appropriation of the city´s real and symbolic spaces, with the elaboration of new maps by the patients, should be endorsed by the professionals during all the treatment and also after medical discharge.