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Revista Portuguesa de Enfermagem de Saúde Mental
Print version ISSN 1647-2160
Abstract
FEITOSA, João Bryan Alecrides et al. Models and guiding paradigms of multiprofessional work in Psychosocial Care Centers in a Brazilian municipality. Revista Portuguesa de Enfermagem de Saúde Mental [online]. 2022, n.28, pp.8-27. Epub Dec 31, 2022. ISSN 1647-2160. https://doi.org/10.19131/rpesm.343.
Introduction
The Territorial Psychosocial Care Centers, despite being substitutive services for psychiatric hospitalization, have been affected by retrograde practices, which make interdisciplinary and humanized work difficult.
Objective
To understand the care models and existing paradigms that guide the mental health work process in the Territorial Psychosocial Care Centers.
Methods
Qualitative study, with a reflective and critical approach. Participated in the study 15 secondary and higher education workers who worked in the Territorial Psychosocial Care Centers of a county in the state of Ceará, Brazil, whose reports, collected through individual, semi-structured interviews, which were recorded, had their textual bodies treated by the Iramuteq software.
Results
Reflections on empirical evidence lead us to the institutionalization and rooting of the classic psychiatric model, under the guise of the territorial psychosocial care model. Although there are no more barriers and the physical imprisonment of users of the Territorial Psychosocial Care Network, they have become dependent on almost exclusive care within the services, under a strong biomedical character, due to the difficulty in developing the interdisciplinary work process of territorial basis, with specific practices of care and drug prescription.
Final considerations
It is necessary to resume the reformist path, which strengthens the structure of the National Mental Health Policy, considering, in addition to the users, the workers, through permanent health education, in the guarantee of social and labor rights, which favor the effectiveness of the Territorial Psychosocial Care model.
Keywords : Mental health assistance; Psychiatric rehabilitation; Healthcare models.