AUTONOMIA NA ATENÇÃO PSICOSSOCIAL: ENTRE PRÁTICAS INSTITUCIONALIZANTES E UM CUIDADO EM LIBERDADE

Abstract

Psychosocial Care Centers (CAPS) are set up as substitute services for psychiatric hospitals and are strategic for psychiatric reform. Their fundamental principles include the promotion of autonomy, reinsertion and psychosocial rehabilitation of users, through humanized and comprehensive care, with a territorial and community focus. This study investigated the daily practices carried out by workers at three CAPS in João Pessoa-PB, with the aim of understanding the production of users' autonomy, from the workers' point of view. Individual interviews were conducted using a semi-structured script addressing issues of autonomy, comprehensiveness, intersectorality and work processes. Data collection took place between December 2023 and March 2024, totaling 21 interviews. The methodology followed a qualitative approach, using Bardin's content analysis. The categories constructed from the professionals' discourses included Conceptions of autonomy in the daily life of the services; Treatment Plan: Harm Reduction; Singular Therapeutic Project vs Frequency; Co-responsibility in care; and Therapeutic workshops: workshops as a “menu”; and Recognition of potential. The results revealed the coexistence of tutelary and emancipatory practices, especially those that promote the user's protagonism and favour their autonomy, de-hospitalization and the construction of new existential territories.