Programa "De Volta para Casa" in a council of the State of São Paulo / Programa "De volta para casa" em um município do Estado de São Paulo - suas possibilidades e limites

AUTOR(ES)
DATA DE PUBLICAÇÃO

2008

RESUMO

In recent decades, assistance to mental health in Brazil, backed by the conventional model of social exclusion, which cut the person of their daily living, through hospitalizations in psychiatric institutions, is going through changes, and the emphasis is on a community assistance and territorial, with the inclusion of that person in the plans of rights and social life. These changes characterizing the movement for deinstitutionalization, which includes shares of deinstitutionalization policies and proposes to rethink the subject, not only from the disease, but considering that there are also implications cultural, social, ethical, political and human and, especially, valuing the idea of asserting their rights of citizenship, concerning itself with its exit from psychiatric institutions and the development of instruments of financial and social support. In this context, the programme "De Volta para Casa" is part of strategy and policy in Brazil since 2003 and aims to social inclusion from people of long hospitalizations in psychiatric hospitals, through the aidpsychosocial rehabilitation. The objective of this study was to examine the process of implementing the programme "De Volta para Casa" in the city of Ribeirão Preto-SP, pointing their possibilities and limits. The methodology of a qualitative nature, was conducted by six (6) semi-structured interviews with the health team that coordinates the program. The results are presented and discussed the process of implementation of the Programme "De Volta para Casa" in the city of Ribeirão Preto and analysis of the following topics: the use of aid psychosocial rehabilitation, the limitations of the beneficiaries resulting from the institutionalization and De Volta para Casa"- their progress and challenges. Given the analysis, the process of deployment and difficulties occurred with its initial development showed inconsistency between the proposed social reintegration and their implementation in the municipality. It opens opportunities for beneficiaries to participate in social spaces and expansion of power exchange, but some limits were set in relation to psychosocial and physical limitations of users, which requires, the team of health, the development of actions not only focus no welfarism, but involving the monitoring, with creativity and flexibility in the daily lives of beneficiaries, as well as continuous assessments of them and the programme as a whole.

ASSUNTO(S)

desinstitucionalização programme de volta para casa deinstitutionalization psychiatric nursing programa de volta para casa mental health saúde mental enfermagem psiquiátrica

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