Psychiatric Reform based on the Practices of Mental Health Professionals at CAPS Ad: Between the Nosocomial and Psychosocial Models

Abstract

The object of this research is to verify the performance of the practices of the professionals of the Psychosocial Care Center (CAPS-AD), in the light of Law 10.216 / 2001, of the Psychiatric Reform, making it possible to detect possible distortions, enabling the adequacy of the requirements of the psychosocial model established by mentioned Law. Firstly, we sought to understand how professionals have applied the Psychiatric Reform Law. Second, as a secondary objective: the present research aims to detect possible behaviors that reflect practices of the asylum model, with a view to psychiatric reform. To this end, it was verified, through an interview, the performance of mental health professionals during contact with users, the development of treatments applied and the types of interventions used; aiming to improve their service and consequently minimize or stabilize social stigma. As it is a qualitative research, it used Bardin's content analysis as a method. The data collection instruments were: non-directive interviews and notes taken in a field diary. The participants of the research sample work in three shifts, in a total of 15 professionals, namely: a) Psychiatrist (1); b) Coordinator (1); c) Psychologists (04); d) Nursing technicians (03); e) General Physicians (02); f) Nurses (02), and; g) Social Assistants (02). The results obtained indicate that most professionals do not have specific training to work in the mental health area, except for the psychiatrist with specialization in mental health and chemical dependency.