Departamento Científico de Enfermagem Psiquiátrica e Saúde Mental da ABEn

Abstract

In Brazil, as well as around the world it is remarkable the discussion of the model change of Mental Health care offered to people who, at some point in life, need specialized care in the area. These reflections bring challenges for everyone involved in this process: managers, health carers, human resources trainers, service providers, besides users of the health system and their families. The 10.216/2001 lawlegitimizedredirectionofactions in the areaof Mental Health, puttingfortha new assistance reality, oriented to the psychosocial modelin which opens servicesareprovided, community-based, aclear practices transition movementofferedasonly inhospitalsettings. It is based on aperson’sinclusion movementand featuresassistanceinconceptual foundations ofsocial reintegration. These changeshaveinfluencedthe Psychiatric Nursing practicerequiring from the professional an assertivepositionontheassistentialcare paradigmdefendedby theNational Mental HealthPolicy. Consequently, it is necessary that nursesreorganizetheirwork processesandrethinktheir role, given the need todevelopconvergent actionswith the psychosocial purpose, engaging, with competence,therapeutic projectsbuilt with the other professionals in thehealthcare team, in the perspective ofpracticalinterdisciplinary. The ideaof interdisciplinaritybringsitselfto overcome thesharingof knowledge, notabdicatingthespecific skillsof each profession, but seeking tointegrate themin order tobetter understandthe complexityof the area andallowthe transformationsin attendancedespite thenumerousdifficulties that arise in the assistentialBrazilian scenario. Given thechanges inpractices and knowledgein the Mental Health field itis also expected thatNursing professionalsengagein developingtheir skills andengageininterdisciplinarycontext, evoking thepsychosocial care modelcomprisinga horizontalityrelationsandcollective practices, always with theuser involvement andfamily. Their actions shouldprioritizelight technologies, focused onrelationalknowing, which highlighted thewelcoming of users, establishing bondsoftrust and the appreciationof interpersonal relationshipsbetweenusers and their families, besides the policy participationindecisions involvingthe mental health field. The nurse insertioninPsychosocial Care Centers(PCCs) is provided in the 336/02 Ministerial Decreewhichcarriesthe mandatorypresence of thisprofessionalas a team member, with the need ofa graduationin Mental Healthespecially forPCCstype II, IIIandPCCsAD. It is noteworthythat,in this context ofparadigm changes, it isincreasinglydiscussing theMental Healthnot onlyas a specialty, but as across-sectional areain thedisease processof the human being, demanding ofprofessionalknowledge, skillsand attitudesin the conductionof full carehealth. Based on this background and in view of the request of nurses working in the area of management, care and human resources training, ABEn created the Scientific Department of Psychiatric Nursing and Mental Health. Regimentally, it will consist of nurses associated with operations in health care, public administration, education and research in the field of Psychiatric Nursing and Mental Health. Among its objectives, it aims to defend the interests of society and Nursing in the context of Public Policies and the Unified Health System with emphasis on Mental Health. This initiativeprovides an opportunityforpossibilitiesto broadenthe discussionofissuesthat unsettlethe category, as well as enables theexchange of knowledgebetween mental healthand otherareas of theNursing performance, especially in times ofintense changesin Mental Healthand Psychiatric care. Scientifi c Department of Psychiatric Nursing and Mental Health of ABEn