O acompanhamento terapêutico e a intervenção em rede como estratégias que visam o fortalecimento da rede social/significativa do usuário do CAPS

Abstract

MARTINS PRADO, Felipe Kaê. The Therapeutical Accompaniment and the Network Intervention as strategies to improve the personal social network of a CAPS user. 2016. Master of Science Dissertacion -College of Nursing, University of São Paulo at Ribeirão Preto 2016.We conducted a study in a CAPSII at the city of São Paulo. This study is composed by a participatory research, using as a methodological referential the Community-Based Participatory Research (CBPR). The Psychosocial Rehabilitation (PR) was our theoretical referential, and based on the goal of emancipation of CAPS's users, we performed an action research with a user and his social network. We mapped the significant social network of this user with the Network Map of Sluzki (2006) and initiated a Therapeutical Accompaniment (TA) with him. During the process we did Network Interventions meetings and in the end we built a second Network Map, to evaluate if it changed after the interventions we performed during this research. This user's network was composed by people from CAPS e from his family, which during the process presented many resources, a network that already had used the TA and the network meetings to provide care for the user and for the network itself. We lived, during the entire period, several significant moments and identified that the user and the network were able to produce meaning in his daily life. We could observe the sharing of affection between user and network and also between the members of the network. At the same time an exchange of violence could also be observed, especially between the user and his family. Although the network was aware of the RP's precept, with the escalation of violence it was evaluated that the user was putting his and his family's life at risk. The network felt powerless to deal with this problem and acted moving away from the user and interning him. During the process we could notice that not the user alone, but the whole family have passed by a recent period of social contract loss, especially regarding work and habitation. Even though his family presents resources, it is a family that passed by a process of exclusion from the social organization system and the powerless feeling seems to be related to this process rather to the violence between them. It is tempting to charge family or the service by the lived process, but it seems a more complex process and the role of each element is not clear. We could notice that university and post-graduation research compose with what have been produced in the CAPS. Hence, more than electing the guilty ones, this lead us to suppose that is necessary that us, as part of the problem, start to understand what is our role in the process, then we perhaps might make any difference in the cycle that leads to violence, impotence and people's internment. RESUMENMARTINS PRADO, Felipe Kaê. El Acompañamiento Terapeutico y la Intervención em Red como estratégias que buscan lo fortalecimiento de la red social personal de lo usuario de lo CAPS. 2016. Tesis (Maestría en Ciencias) -Ribe...