Saúde Mental: As interfaces e os desafios de um espaço híbrido para a atuação do serviço social

Abstract

This workpaper came from restlessness and inconsistencies that were noticed between what advocates the psychiatric reform and the way how the Juliano Moreira Psychiatric Complex have operationalized what was agreed upon, through its multidisciplinary team (hybrid). The gaps in an assistance that provides for multidisciplinary, interdisciplinary, transdisciplinary and intersectorial work, turned to protect, keep and recover the mental healthiness of persons with disorder and/or mental suffering, faced to transformation of the old asylum model. Therefore, having madness as an emblematic phenomenon to apprehend aspects related to the field of mental health, the goal is to investigate the limits and advances, factual, from law 10.216/2001, to capture and reflect about the questions that involve the mental sickness on Paraiba social context. Thereunto, we look to characterize historically the national policy of mental health; identify the expressions of the social question and its relation to mental illness, and, the care offered on institution; aim at the challengers that the social service challenges to keep horizontalized relations and the possibility at mediating social services. A theoretical and empirical study of qualitative and quantitative nature, exploratory-descriptive, taking as reference the dialectical history method. Methodologically, a bibliographic and documentary review was done, a search for epidemiological and sociodemographic data at Datasus, adopting the experience report to appreciate them and confront them with what was obtained in observation and field diary. The analyses of information has pointed out that still premente the challengers signalized by the authors at literature, such as the reduction of the process of psychiatric reform to a mere change of care model, the overcoming of the clinical model, the reflection of mental health as a complex social process, and the relationship of society to “mental illness”. Restoring problems such as the difficulty of access to treatment and the quality of care.