Building social participation with a support group users: challenges of care qualification in a Psychosocial Care Center (CAPS)

• Main Authors: Vitor Corrêa Detomini, Renata Bellenzani
• Format: Article
• Language: English
• Published: Universidade Federal de São Carlos 2015-09-01
• Series: Cadernos de Terapia Ocupacional
• Subjects: Social Participation; Health Public Policy; Legislation; Mental Health.
• Online Access: http://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/1093
• ISSN: 0104-4931; 2238-2860

The literature points out a lack of studies describing practical experiences approaching the role of social participation, even though, the subject Brazilian Health System (SUS) as a principle is valued by theoretical-conceptual works. The lack of studies is especially observed in mental health care services, where the existing studies focus on the users’ management engagement as part of psychosocial rehabilitation. Thus, this article introduces an experience developed in a Center for Psycho-Social Attention (CAPS), in the state of Mato Grosso do Sul, aiming to address the issue of social participation in care qualification, in accordance to legislation and technical standards. Thisstudy focused on two types of sources. 1) Internship Final Report of a Psycology Student including 54 sessions of a support group, 2) technical and legal documents concerning the SUS and the National Mental Health Policy and Humanization. The service aspects were analyzed through technical and legislative foundations - focusing the needs and claims on group discussions, classified as structure and process, used to assess the health care quality. Most concerns were listed on normative Ordinances and Regulations. Achieving social participation was not an institutional premise and, among the main difficulties was the medical/outpatient centered model and the representation of “crazy”/”CAPS users” as incapable. It requires: i) integration of “clinic” and “politics”; ii) intensification of interdisciplinary and psychological care; iii) respect the citizenship of mental health users, and, finally, iv) that the collective participation spaces do not exhaust themselves. Therefore, the collective participation spaces need practical recommendations in order to improve the structures and work processes and meet the users’ needs.