User embracement in practices care in psychosocial care centers the perspective of local managers

Abstract

Introduction: Psychosocial care centres (CAPS), strategic IN articulation of psychosocial care network and health system gateway, propose to the reorganization of health practices, by adopting a new ethic of care, based on respect to the singularity of the subjects and in the reception to the health needs of the users. Reception is a device for transforming practices and humanizing health care.Objective: To analyse the operation of the host users of CAPS from the perspective of local coordinators in Fortaleza, Ceará, Brazil.Method: Qualitative research with case study design, performed with CAPS coordinators of the city of Fortaleza, Ceará, Brazil. Data were collected through semi-structured interviews and observation, being submitted to the analysis of thematic content. Results:The host constituted innovative device in mental health practices, as triggered the construction of new ways of dealing with the subject in psychological distress, by incorporating technologies such as qualified listening, building autonomy, with attention focused on the user. Provided a reorientation of work and service processes, requesting the articulation for network care. In addition, it was configured as a strategy for humanization in the CAPS. Was presen- IntroductionIn the last three decades, Brazilian mental health policies have prioritized the establishment of a network of substitutive services to psychiatric hospitals, currently called the Psychosocial Care Network. Among its points of attention, the Family Health Strategy (FHS) and the Psychosocial Care Centres (CAPS) demarcate an interface between mental health and collective health, being considered strategic in the reorientation of the care model. As public health services, SUS members must act to materialize the principles that guide this system, guaranteeing universality, equity, integrity, decentralization, democratic participation of the different actors (managers, workers, users and their families) and the solubility of the assistance.According to their strategic character, they assume a central position in the articulation of the care network, constituting the gateway to the health system. Should, therefore, act to establish integration between the three health care levels, the local routing policies and mental health programs and the promotion of continuous reflections on the work of the management model, care model and clinical Operated in their daily lives [1,2,3,4].In the context of internal sector reforms, driven by the Brazilian Psychiatric Reform Movement, the CAPS propose to reorganize the mental health services network, making the implementation of substitutive services a priority on the political agenda and adopting a new ethic and aesthetic of the care, based on respect for the singularity of the subject, in the struggle for social reintegration and in the construction of the citizenship of those with mental disorders, with a view to the implementation of the psychosocial care model.At the heart of this process is the incorporation of some technol...