Abstract
Objective: The aim of this study was to investigate the care provided to people in crisis situations in the mental health services in Brazil, according to reports of workers of these services. Methods: Qualitative research, which analyzed reflective portfolios of 156 workers taking the Urgency and Crisis in Mental Health Course. Results: The workers describe care as taking place, primarily, by means of drug containment, followed by mechanical restraint and hospitalization, actions that prioritize symptom reduction, devaluing suffering and putting those who suffer into the background. Conclusion: The study reveals the existence of a gap between the reality of the services and the criteria professed by the mental health policies in the country. It demonstrates implications for the mental health care practice and in the consolidation of care modalities established on psychosocial care based on the right to liberty and on respect for human dignity.
Highlights
Mental health, for a long time, was established as an exclusion field
Discussions regarding the users' chronicity, biomedical model, violation of human rights and citizenship have raised political, scientific and social initiatives that come to surface a new form of thinking about the health-disease process by the valorization of care to the subject. One of these strategies was the implantation of the Psychosocial Care Network (PCN), which proposes a reorganization of mental health services in an integrated manner, expanding and diversifying health actions and equipment and, aiming to warrant the universal access and comprehensive quality care for people in psychological distress[1]
The aim of this study was to describe the care provided by workers in mental health services to people in crisis situations
Summary
For a long time, was established as an exclusion field. discussions regarding the users' chronicity, biomedical model, violation of human rights and citizenship have raised political, scientific and social initiatives that come to surface a new form of thinking about the health-disease process by the valorization of care to the subject. The aim of this study was to describe the care provided by workers in mental health services to people in crisis situations.
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