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Vínculo

Print version ISSN 1806-2490

Abstract

ROCHA, Tiago Humberto Rodrigues; PENA, Bárbara Vilela; MANFFRE, Marina Capucci  and  JESUS, Ludmila Madeira. Deinstitutionalization in the context of psychiatric reform and its consequences: a story about practices in a caps. Vínculo [online]. 2019, vol.16, n.1, pp. 01-16. ISSN 1806-2490.  http://dx.doi.org/10.32467/issn.1982-1492v16n1p1-16.

The history of mental health care is marked by the presence of total institutions and the existence of practices that curtail rights and reduce the autonomy of the subjects. The advent of the Brazilian psychiatric reform and of the anti-asylum movement brought several changes in the work scenario with the psychotic subject. In view of this, the present work aims to discuss how the deinstitutionalization processes have taken place in the present day, as well as to investigate how the new models of attention adopted in the Psychosocial Care Centers (CAPS) contrast with the forms of treatment that were offered in the total institutions. This is a qualitative-descriptive experience report carried out within a CAPS located in a city in the interior of Minas Gerais. A historical and theoretical panorama was elaborated that based the observations realized during the technical visits. As a result, four thematic axes have been established. These aimed at articulating the CAPS user with: (1) the professionals; (2) the therapeutic workshops; (3) society and (4) the institution. The analyzes carried out indicated that the CAPS reported here has been moving towards the rescue of the subject, considering in its action the promotion of autonomy and the resumption of subjectivation and socialization of the same.

Keywords : psychosocial attention; mental health; psychiatric reform; desinstitutionalisation.

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