Integrated residency in mental health: care for the psychosocial care network

• Autor(a) principal: Evangelista, Aline Luiza de Paulo
• Data de Publicação: 2018
• Outros Autores: Frota, Amanda Cavalcante, Torres, Rafael Bruno Silva, Barreto, Ivana Cristina de Holanda Cunha
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira em Promoção da Saúde
• Texto Completo: https://ojs.unifor.br/RBPS/article/view/8774
• topic: Education; Continuing; Internship and Residency; Mental Health; Mental Health Services.; Educación Continua; Internado y Residencia; Salud Mental; Servicios de Salud Mental; Educação Permanente; Internato e Residência; Saúde Mental; Serviços de Saúde Mental.

Objective: To understand the historical, political and pedagogical context of the implementation of the Integrated Residency in Collective Mental Health of the School of Public Health of Ceará (RISMC-ESP/CE), and the way the social actors involved in its implementation perceive the reflection of this implementation on the organization of psychosocial care in four municipalities of Ceará, Brazil. Methods: Qualitative, descriptive, exploratory and analytical study, using document analysis, semi-structured interviews and thematic analysis. Results: Four categories have emerged, namely, Historical, political and pedagogical context of the implementation of RISMC-ESP/CE; Continuing interprofessional education in Mental Health (EPISM) in care networks and in the territory; Strengthening of popular participation and anti-asylum fight; and Mental health challenges. Despite the underfunding of SUS and policies that favor the dismantling of the Psychosocial Care Network (RAPS), mental health has been promoted by means of the EPISM, generating intersectoral actions, use of advanced care technologies, and stimulation of social participation in the territory. The main challenges are the social stigma of insanity, the consolidation of care strategies aimed at overcoming the mental institutions and investing in harm reduction, and the stability of health teams for continuity of the implemented actions. Conclusion: RISMC-ESP/CE is a feature to resist RAPS dismantling, and its continuity depends on the technical and scientific appropriation and defense of RAPS by workers and users.