Abstract
Objective: to understand the perceptions of the technical team about social inclusion in the Psychosocial Care Center. Methods: qualitative research, developed with 20 health professionals. A semi-structured interview technique and non-participant observation were used. Data analyzed through the descending hierarchical classification and content thematic analysis, processed in the Analyse Lexicale par Contexte d’un Ensemble de Segments de Texte software. Results: three categories emerged: Social inclusion, family participation in inclusion/exclusion and income generation; Therapeutic activities: inclusion inside and outside the Psychosocial Care Center; and Challenges of inclusion: service management and professional training. Conclusion: prejudice or discrimination in this field, coupled with the difficulties of support of the management with service and stiffening of the work process with centrality in the psychiatric consultation, jeopardize attempts at rehabilitation and social inclusion of users and families.
Highlights
The Psychiatric Reform is a worldwide phenomenon that guides the re-signification of mental health care, aiming at overcoming the asylum model by network care with substitutive health services, supported by the paradigm of deinstitutionalization which strengthen social reintegration and coexistence in the territory[1]
In the perspective of the National Mental Health Policy, under the aegis of the doctrinal principles of the Unified Health System, Psychosocial Care Centers are substitutive services that propose the development of social inclusion actions for people with mental disorders and/or users of psychoactive substances and families, producing interferences in everyday life and territory, with new discourses and practices, in accordance with the presuppositions of the Psychiatric Reform, aiming at deinstitutionalization and social inclusion[3]
The corpus processed by ALCESTE obtained 60.0% of the material, considered optimal, with 105 Elementary Context Units (ECU) analyzed
Summary
The Psychiatric Reform is a worldwide phenomenon that guides the re-signification of mental health care, aiming at overcoming the asylum model (hospital and closed) by network care with substitutive health services (community and open), supported by the paradigm of deinstitutionalization which strengthen social reintegration and coexistence in the territory[1]. In the perspective of the National Mental Health Policy, under the aegis of the doctrinal principles of the Unified Health System, Psychosocial Care Centers are substitutive services that propose the development of social inclusion actions for people with mental disorders and/or users of psychoactive substances and families, producing interferences in everyday life and territory, with new discourses and practices, in accordance with the presuppositions of the Psychiatric Reform, aiming at deinstitutionalization and social inclusion[3] In this sense, substitute services must develop strategies for rehabilitation and reintegration that promote the protagonism of users, initiatives articulated with the resources of the territory, in the fields of work/solidarity economy, habilitation, education, culture and health. It is up to the health services to devise strategies to promote quality of life in different dimensions and at a social level, in addition to establishing plans for reinsertion of this user[5]
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