Clinical listening, Mental Health Professionals and Speech-Language Pathology: experience in the Child and Adolescent Psychosocial Care Center (CAPSij).

Caroline Lopes Barbosa,Cristiana Beatrice Lykouropoulos,Vera Lúcia Ferreira Mendes,Luiz Augusto de Paula Souza

doi:10.1590/2317-1782/20202019201

Abstract

The speech therapy practice in mental health is questioned by the challenge of producing shared care strategies to, above all, expand the conditions and the communicational repertoire, the discursive and social circulation of people with mental suffering. Objective of this study was to identify the perception of clinical listening in professionals of Child and Adolescent Psychosocial Care Center (CAPSij), specifying the role of speech therapy in the care and listening of patientes. This is a participatory and dialogical research. A discussion group was used to collect data. were grouped in the following categories: listening conception; listening and working process; listening effects; speech therapy and clinical listening. These professionals think of clinical listening as a central device for mental health care. The clinical listening favors reflection on the bio psychic dynamics of healthcare. It was observed contributions of speech therapy in intra and interinstitutional scopes, in the clinical-therapeutic work of the health professionals, patients and relatives. The speech therapist's skills and knowledge about organic aspects of child development in the opinion of professionals enhance clinical listening. It was concluded that without teamwork, care in CAPSij would not happen in a qualified way under the public health policies: Psychosocial Care Network (PSCN) and Unified Health System (SUS) frameworks. The clinical listening is a condition of possibility of the care offered by the professionals.

Highlights

The Psychosocial Care Network (PSCN) challenges the practice of its professionals and draws its own institutional and clinical outlines, arising from the anti-asylum movement and its unfolding in health policies and practice.Such outlines aim to overcome the hospital-centered mindset – focused on medicalized care and institutionalized isolation – and build health care capable of welcoming and caring for people with mental disorders
The effort is due to the psychopathological dimensions involved and to the amplitude of the social andsubjective conditions that cause, maintain, and/or intensify the subjects’ psychic suffering in their contexts, lifestyle, and history. It is in this aspect that the PSCN undertakes the Broadened Clinic as one of its guidelines in mental health care, summoning its professionals to make their disciplinary knowledge available in a clinic centered on the suffering subjects, on listening to the subject and the experiences and events that constitute who they are – either sustaining or not their subjectivity
As the speech-language-hearing sciences participate actively in this debate at the cy-Psychosocial Care Centers (PSCC) and the clinical unfolding generated by it, this study aimed to identify, through clinical listening to the cases, how the health team perceives speech-language-hearing, its role in the multiprofessional work, and the health care follow-up

Summary

Introduction

The Psychosocial Care Network (PSCN) challenges the practice of its professionals and draws its own institutional and clinical outlines, arising from the anti-asylum movement and its unfolding in health policies and practice.Such outlines aim to overcome the hospital-centered mindset – focused on medicalized care and institutionalized isolation – and build health care capable of welcoming and caring for people with mental disorders. The Psychosocial Care Network (PSCN) challenges the practice of its professionals and draws its own institutional and clinical outlines, arising from the anti-asylum movement and its unfolding in health policies and practice. The effort is due to the psychopathological dimensions involved and to the amplitude of the social and (inter)subjective conditions that cause, maintain, and/or intensify the subjects’ psychic suffering in their contexts, lifestyle, and history (personal, family, social) It is in this aspect that the PSCN undertakes the Broadened Clinic as one of its guidelines in mental health care, summoning its professionals to make their disciplinary knowledge available in a clinic centered on the suffering subjects, on listening to the subject and the experiences and events that constitute who they are – either sustaining or not their subjectivity. In the perspective of the Broadened Clinic, listening is defined as the investigation of the reasons that led to the patients’ disease, as well as their feelings and response to the symptoms and suffering, in order to understand the disease and become (co)responsible for producing their health in the care process(1)

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