Os caminhos e os descaminhos da Reforma Psiquiátrica em Goiás

Abstract

This thesis sought to understand how part of the Brazilian Psychiatric Reform in the State of Goiás is going. For this study, a cut into the Psychosocial Care Network (RAPS) was made, focusing in two of its devices. The Psychosocial Care Centers (CAPS) and the Therapeutics Residence (RTs), which deal with the issues of deinstitutionalization in their daily lives. In the year (2019) in which we celebrate 32 years of struggle for a society free of asylums, there is a moment of confrontation against the setback in the achievements in the field of mental health policy, period designated by authors of counter reform, in which there is a strong performance of the "bedding industry" in the commodification of suffering and underfinancing of the Single Health System (SUS). This thesis proposed, as a general objective, to know how the Psychiatric Reform is progressing in part of the RAPS network, having defined as object of study the CAPS and the RTs, in the State of Goiás. For that, it was organized in three articles. Article 1 "Brazilian deinstitutionalization" a under construction process: literature review. It has been constructed with the purpose of knowing how the national literature reports experience and reflections developed in favor the deinstitutionalization. Article 2 " The workers of the Psychosocial Care Centers (CAPS)", it had as a goal, to describe and to understand based on the worker's discourse, the work aspects they developed in favor of the deinstitutionalization and the Psychiatric reform, as well as the Psychiatric reform's path. At last the Article 3 "The work of the Psychosocial Care Center's teams with the Residential Therapeutics Services (SRT). It has been built based on an empirical research intending a better understanding on how it has worked out the link between the CAPS and the Residential Therapeutics Service and how the deinstitutionalization process is going. The analysis and discussions allowed us to perceive how the workers have been struggling in their workplace to keep the services working, once they value the well-being of the services users and the RTs residents. In this sense, it is necessary to emphasize the perception that the local difficulties found are part of a larger whole, making it necessary to establish collective spaces and meetings with workers of all over the State that they may exchange experiences, share their anguish and strengthen their arguments in their struggle for better work conditions.