O trabalho nos centros de atenção psicossocial

This study elected as objective of investigation the practices of work of the multiprofessional staff of a Psychosocial Attention Center (CAPS), using the current context of the Psychiatric Reform development in Brazil as reference.The planned objectives were the characterization of the professional profile of the workers, the identification of the theoretical conceptions that guide their practices and the analysis of their actions mediated by the know-how in relation to the rules established by the public policies for mental health area and especially for the CAPS' services.The theoreticalmethodological fundamentals used were the historical and dialectical materialism that comprehend the social reality, the human knowledge and the work practices as historically determined, and the contradictions as needed for the processes of transformation and construction of new forms of social relation.The subjects of the research were professionals with higher education and it was used the semi constructed interview as technique for the data collection and the dialectical-hermeneutic as strategy of apprehension of reality.The workers presented a way of traditional professional formation and the analysis of the empirical material permitted to visualize that their actions are guided fundamentally by conceptions coherent with the hegemonic model, in which a dichotomy between mental health and disease exists, the object of work being the individual and his disease, without the link of the social meaning attributed to his condition.The analysis also showed that the relation between knowing and doing presents coherence, being a matter of traditional intervention, resulting in practices turned to the users of the service inside the institution.The actions that would be directed to the concrete context of their own lives, besides few representative, they do not find theoretical foundation in the revealed knowledge and they would be well founded in the knowledge resulted from the proper practice and the common sense.This way, the representation of the workers about the model of attention CAPS, translates the difficulties found for the consolidation of a substitutive service for the psychiatric internment and a service articulated to the territorial resources, resulting thus a problem of mental health policies for the staff from the service, who cannot see themselves as actors of the process.The study made clear the necessity of reviewing the processes of teamwork to make possible the construction of new knowledge, instruments and practices as well as the involvement of the workers as social actors of the Reform

Apprehension · Dialectic · Epistemology · Humanities · Mental health · Psychosocial · Psychotherapist · Social science · Sociology · Health, Nursing, Elderly Care · Psychology · Psychology and Mental Health · Youth, Drugs, and Violence

• Trabalhadores dos Centros de Atenção Psicossocial de Alagoas, Brasil

  Open Access•Maria Carolina Ribeiro, Mara Cristina Ribeiro•Interface - Comunicação Saúde…•2015

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