A reforma psiquiátrica e as novas praticas de cuidado em saúde mental no territorio a partir da experiencia num Caps-1

Abstract

This work aims to analyze the dynamics that the structure of a service of CAPS-I type affects the territory. Therefore, initially we proceed the construction of a theoretical framework of analysis that can serve as a basis for thinking the frame in which the bulge is located CAPS, considered central to consolidating some advances in Brazilian Psychiatric Reform as been designing to the present day. After the theoretical formulation, we propose reflections afforded by insertion into a CAPS-I result of observations on stage now proposing reveal tensions, potential, latent challenges in everyday life these services. Daily life here is understood according to its preparation by Agnes Heller, and other authors and is located at a crossroads between social autoplay and subversion, and may be open to changes that impact the overall process. The hypothesis driving this study is that, although it represents an advance indicated by the reorientation of the mental health care for the territory, the CAPS is undergoing a process of crystallization which entails the risk of settling on a model, ending several trends that may pose the stiffening of the momentum for reform, and emptying a more radical horizon as deinstitutionalization.