ABSTRACT
This article analyses the process on the psychiatric reform, with a focus on the interdisciplinary work developed by the health professionals from the health service "Dr. Candido Ferreira"in Campinas, Brazil. This is a philanthropic institution which contributes significantly to public mental health network in this city. Even though the service is integrated to the Unified Heath System (SUS), it presents a financial, administrative and managerial independence, which allows implementing some therapeutic experiences and managerial innovations. More specifically, this article focuses on the process of decision making by the interdisciplinary team, involving diagnosis and therapeutic process. Other themes, related to the organization of the service in the process of dehospitalization, are considered, such as the transfer of patients into residences outside the institution, the maintenance of these units, the management of the workshops in the institution which allows a financial income for the patient, and the beginning of the institution as a three years residence in Psychiatry. The methodological approach of the research is essentially qualitative, drawing from interviews and participant observation, related the professionals from this service.
Subject(s)
Mental Disorders/therapy , Patient Care Team , Brazil , Health Care Reform , Humans , Mental HealthABSTRACT
Este artigo analisa o processo de reforma psiquiátrica a partir de um foco dirigido ao trabalho interdisciplinar dos profissionais de nível superior do serviço de saúde Dr. Cândido Ferreira, em Campinas. Trata-se de uma instituição filantrópica que contribui expressivamente com a rede de assistência à saúde mental deste município. Embora integrada à rede de assistência de saúde mental desta cidade, o serviço apresenta certa independência financeira, administrativa e gerencial em relação à ela, o que lhe permite implementar algumas experiências terapêuticas e inovações gerenciais. Mais especificamente, este artigo focaliza o processo de tomada de decisão da equipe interdisciplinar, envolvendo diagnóstico e processo terapêutico. Também aborda a organização do serviço no processo de desospitalização, como o remanejamento de pacientes em residências fora da parte central do serviço, a manutenção dessas unidades, o gerenciamento das oficinas de trabalho na instituição, que preveem um rendimento financeiro para o paciente, e a implementação de um programa de três anos de residência em psiquiatria na instituição. A abordagem metodológica da pesquisa é essencialmente qualitativa, constituindo-se de entrevistas e observação participante relacionados com os profissionais desse serviço de saúde.
This article analyses the process on the psychiatric reform, with a focus on the interdisciplinary work developed by the health professionals from the health service "Dr. Candido Ferreira"in Campinas, Brazil. This is a philanthropic institution which contributes significantly to public mental health network in this city. Even though the service is integrated to the Unified Heath System (SUS), it presents a financial, administrative and managerial independence, which allows implementing some therapeutic experiences and managerial innovations. More specifically, this article focuses on the process of decision making by the interdisciplinary team, involving diagnosis and therapeutic process. Other themes, related to the organization of the service in the process of dehospitalization, are considered, such as the transfer of patients into residences outside the institution, the maintenance of these units, the management of the workshops in the institution which allows a financial income for the patient, and the beginning of the institution as a three years residence in Psychiatry. The methodological approach of the research is essentially qualitative, drawing from interviews and participant observation, related the professionals from this service.
