Percepção fenomenológica dos profissionais do Centro de Atenção Psicossocial (CAPS): vivências e desafios da prática em saúde mental

Abstract

The psychiatric reform brought about a paradigm shift in psychosocial care, especially in relation to the processes of reorganization of the care model and the daily practices under way in the substitutive services. Considering interdisciplinarity as an important strategy for the organization of work in the care of CAPS users, the dimension of perceptions in the context of mental health team practices becomes relevant. Objectives: General: to understand the mental health professionals' perception about deinstitutionalization and their lived experiences in daily care practices in the context of the CAPS. The specific objectives are: to describe the perception of mental health professionals about the deinstitutionalization of the subject, to elucidate the experiences of the professionals in the daily practices of attending to the users in the CAPS and to discuss the interdisciplinary construction of the Unique Therapeutic Project, especially in relation to the reception, Bond, completeness and resolution. Methodology: This is an exploratory-descriptive field research, with a qualitative approach. The data will be collected using phenomenological interviews with 12 professionals from the multiprofessional team of two CAPS in the Lakes Region. In order to select them, those that act directly with the users, with at least one year of service in this service and, excluding those who are on vacation or leave, or those who for some reason may or not wish to participate. Subsequently, to evaluate the results, the phenomenological method by Clark Moustakas will be used. The study will be submitted to the Research Ethics Committee of the Federal University of Fluminense (UFF), with register number CAAE: 68433315.30000.5243. Results: The categories found were titled: - First Category: The senses of deinstitutionalization for the CAPS professionals, which covered two subcategories: Deinstitutionalization as a Process; A bridge in integration with family and society; and, A more humane treatment. - Second category: The deinstitutionalization of the human existence of the patient, which included: Learning to Live, no longer cloistered; Strengthening ties and bonds; Prejudice and stigma of the psychiatric patient. - Third category: Challenges of the practice of the singular care in mental health, with three subcategories: The Unique Therapeutic Project and the Interdisciplinarity; The uniqueness in the Therapeutic Workshop and not repetition; The challenger works on the rescue of citizenship. Conclusion: The study shows that the new experience of the patient deinstitutionalized and inserted in the new model, needs to relearn to live in a group, to live, once the existence of the subject is still institutionalized, showing the expressive dimension of the body that still lives the model imprisoned . The perception of professionals about the Unique Therapeutic Project points to a dimension focused on the human singularity of the user and their potentialities, denoting a personalized care