Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES
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Data de Publicação: | 2009 |
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Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Textos & contextos (Porto Alegre) |
Texto Completo: | https://revistaseletronicas.pucrs.br/ojs/index.php/fass/article/view/4818 |
Resumo: | Abstract – This research analyzes the attention allotted to mental health related issues in state of Espírito Santo, Brazil utilizing the Psychiatric Clinic located in the district of Cachoeiro de Itapemirim, ES as a point of reference. The methodology employed in the undertaking of this research included a case study utilizing documental research, simple observation and interviews with the current director of the institution and a former employee. Initials findings indicate, in addition to the inexistence of an efficient system of admittance to the Clinic, a “hospitalcentric culture” lacking any strategies or therapies designed to reintegrate its residents with society. Our conclusions further indicate that the lack of an efficient system of admittance, strategies geared toward social reintegration and overpopulation as observed at the Psychiatric Clinic are the antithesis of efficient and desirable Mental Health policies and practices. Furthermore, it became evident that the social actors whose demands were not satisfied during the elaboration of mental health policies (in this case, the owners of private hospitals and clinics) return to the political scene during the process of executing such policies, employing strategies and tactics of resistance that hinder the effective and concrete implementation of desirable mental health policies. Key words – Mental health policy. Public policy analyzes. Health policy. |
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Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ESResistindo à reforma psiquiátrica brasileira: um estudo de caso de uma clínica psiquiátrica privada/ESAbstract – This research analyzes the attention allotted to mental health related issues in state of Espírito Santo, Brazil utilizing the Psychiatric Clinic located in the district of Cachoeiro de Itapemirim, ES as a point of reference. The methodology employed in the undertaking of this research included a case study utilizing documental research, simple observation and interviews with the current director of the institution and a former employee. Initials findings indicate, in addition to the inexistence of an efficient system of admittance to the Clinic, a “hospitalcentric culture” lacking any strategies or therapies designed to reintegrate its residents with society. Our conclusions further indicate that the lack of an efficient system of admittance, strategies geared toward social reintegration and overpopulation as observed at the Psychiatric Clinic are the antithesis of efficient and desirable Mental Health policies and practices. Furthermore, it became evident that the social actors whose demands were not satisfied during the elaboration of mental health policies (in this case, the owners of private hospitals and clinics) return to the political scene during the process of executing such policies, employing strategies and tactics of resistance that hinder the effective and concrete implementation of desirable mental health policies. Key words – Mental health policy. Public policy analyzes. Health policy.Pretende-se analisar a atenção em saúde mental no Estado do Espírito Santo, tendo por locus uma clínica psiquiátrica conveniada ao Sistema Único de Saúde, localizada no município de Cachoeiro de Itapemirim/ES. Para o estudo de caso dessa clínica, utilizamos pesquisa documental, observação simples e entrevista com o gestor da instituição e com o ex-técnico. Na análise feita, consideramos as características das demandas recebidas, a estrutura de funcionamento da Clínica e o Projeto Terapêutico. Os resultados apontaram a existência de porta de entrada para internação na própria instituição, a presença da cultura hospitalocêntrica e a ausência da prática ressocializadora. Concluímos que a Clínica constitui-se no reverso do processo de implementação da Política de Saúde Mental, ao colocar-se como pólo de resistência à operacionalização das propostas da Política de Saúde Mental, da não-redução do número de leitos psiquiátricos, assim como a inexistência de um sistema de porta de entrada para internação fora dos domínios da instituição. Desse modo, foi possível evidenciar que os atores sociais que perderam o status até então alcançado com o processo de formulação dessa política (nesse caso, os donos de hospitais privados), posteriormente, retornam à cena política no momento de sua implementação, retomando estratégias e táticas de resistência à sua efetiva concretização. Palavras-chave – Política de saúde mental. Análise de política pública. Política de saúde.Editora da PUCRS - ediPUCRS2009-01-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/ojs/index.php/fass/article/view/4818Textos & Contextos (Porto Alegre); Vol. 7 No. 2 (2008); 199-220Textos & Contextos (Porto Alegre); v. 7 n. 2 (2008); 199-2201677-9509reponame:Textos & contextos (Porto Alegre)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUC RS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/ojs/index.php/fass/article/view/4818/3620Souza, Jackeline da SilvaGarcia, Maria Lucia Teixeirainfo:eu-repo/semantics/openAccess2017-08-21T20:40:54Zoai:ojs.revistaseletronicas.pucrs.br:article/4818Revistahttps://revistaseletronicas.pucrs.br/ojs/index.php/fassPUBhttps://revistaseletronicas.pucrs.br/ojs/index.php/fass/oaitextos@pucrs.br1677-95091677-9509opendoar:2017-08-21T20:40:54Textos & contextos (Porto Alegre) - Pontifícia Universidade Católica do Rio Grande do Sul (PUC RS)false |
dc.title.none.fl_str_mv |
Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES Resistindo à reforma psiquiátrica brasileira: um estudo de caso de uma clínica psiquiátrica privada/ES |
title |
Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES |
spellingShingle |
Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES Souza, Jackeline da Silva |
title_short |
Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES |
title_full |
Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES |
title_fullStr |
Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES |
title_full_unstemmed |
Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES |
title_sort |
Resisting the Brazilian psychiatric reform: a case study of a private psychiatric clinic/ES |
author |
Souza, Jackeline da Silva |
author_facet |
Souza, Jackeline da Silva Garcia, Maria Lucia Teixeira |
author_role |
author |
author2 |
Garcia, Maria Lucia Teixeira |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Souza, Jackeline da Silva Garcia, Maria Lucia Teixeira |
description |
Abstract – This research analyzes the attention allotted to mental health related issues in state of Espírito Santo, Brazil utilizing the Psychiatric Clinic located in the district of Cachoeiro de Itapemirim, ES as a point of reference. The methodology employed in the undertaking of this research included a case study utilizing documental research, simple observation and interviews with the current director of the institution and a former employee. Initials findings indicate, in addition to the inexistence of an efficient system of admittance to the Clinic, a “hospitalcentric culture” lacking any strategies or therapies designed to reintegrate its residents with society. Our conclusions further indicate that the lack of an efficient system of admittance, strategies geared toward social reintegration and overpopulation as observed at the Psychiatric Clinic are the antithesis of efficient and desirable Mental Health policies and practices. Furthermore, it became evident that the social actors whose demands were not satisfied during the elaboration of mental health policies (in this case, the owners of private hospitals and clinics) return to the political scene during the process of executing such policies, employing strategies and tactics of resistance that hinder the effective and concrete implementation of desirable mental health policies. Key words – Mental health policy. Public policy analyzes. Health policy. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-01-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/fass/article/view/4818 |
url |
https://revistaseletronicas.pucrs.br/ojs/index.php/fass/article/view/4818 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/ojs/index.php/fass/article/view/4818/3620 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Textos & Contextos (Porto Alegre); Vol. 7 No. 2 (2008); 199-220 Textos & Contextos (Porto Alegre); v. 7 n. 2 (2008); 199-220 1677-9509 reponame:Textos & contextos (Porto Alegre) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUC RS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUC RS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Textos & contextos (Porto Alegre) |
collection |
Textos & contextos (Porto Alegre) |
repository.name.fl_str_mv |
Textos & contextos (Porto Alegre) - Pontifícia Universidade Católica do Rio Grande do Sul (PUC RS) |
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textos@pucrs.br |
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