The dynamics of mental health care: health professionals' signs, meanings, and practices in a Center for Psychosocial Care in Salvador, Bahia State, Brazil

Cadernos de saúde pública
Mônica NunesMônica Santana

Abstract

This article analyzes the system of signs, meanings, and practices concerning mental health used by health professionals at a Center for Psychosocial Care (CAPS) in Salvador, Bahia State, Brazil. A nine-month ethnographic observation was conducted at the center, complimented by interviews and focus groups involving all staff with university and secondary schooling. Three models of care coexist at the center: the humanized biomedical model; the psychosocial model, with an emphasis on the institution; and the psychosocial model, with an emphasis on the territory, thus highlighting elements of conflict between professionals in their perception of the desired psychiatric reform and the practices to be adopted in this perspective. When compared to the asylum-based model, there is unquestionable evidence of a transformation in the care provided, mainly based on a "clinic of encounter", rooted in questioning, thinking-through, and experimenting dialogical interpersonal relationships as well as the ability to listen to the other, which explains the clinical and social impact of this approach.

Citations

Jun 4, 2010·Revista brasileira de enfermagem·Wania Regina Veiga Martines, Ana Lúcia Machado
Aug 20, 2014·International Review of Psychiatry·João Maurício Castaldelli-MaiaArthur Guerra de Andrade
Sep 26, 2013·Ciência & saúde coletiva·Mônica de Oliveira Nunes, Maurice de Torrenté
Dec 22, 2017·Ciência & saúde coletiva·Eurides Santos PinhoElizabeth Esperidião
Nov 30, 2011·Ciência & saúde coletiva·Marcio Wagner CamattaJacó Fernando Schneider
Oct 21, 2016·Cadernos de saúde pública·Juarez Pereira FurtadoSilke Kapp
Apr 20, 2013·Revista gaúcha de enfermagem·Eduardo Oliveira Salinas DuarteJacó Fernando Schneider
Jul 27, 2010·Revista brasileira de enfermagem·Leandro Barbosa de PinhoLuciane Prado Kantorski
Jan 9, 2021·Journal of Religion and Health·Amine Lopes BenevidesKatia Nunes Sá
Mar 18, 2021·Ciência & saúde coletiva·Ana Patrícia Pereira MoraisAna Ruth Macedo Monteiro
Sep 7, 2013·Revista brasileira de enfermagem·Priscylla Araújo AlmeidaMaria de Oliveira Ferreira Filha

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