The prevalence of medical/clinical technology over psychosocial care actions in outpatient mental health services Predominância da tecnologia médico-clínica sobre ações de atenção psicossocial em serviços extra-hospitalares de saúde mental
نویسندگان
چکیده
The scope of this study was to evaluate how aspects of mental health policy in Brazil have been conceived and implemented in outpatient services, such as the Regional Outpatient Mental Health Clinic and the Psychosocial Care Center II, both in Ribeirão Preto, São Paulo. Semi-direct interviews and focus groups were conducted with 22 health professionals. The theoretical method and data analysis were supported by the dialecti-cal hermeneutic framework of Jürgen Habermas. The following aspects were detected: considerable technological advancement in health actions and centrality of clinical-medical technology in relation to other nonmedical therapeutic actions; the prioritization of treatment options emphasizing pathology and drug therapy, and a process of mounting precariousness in labor relations. With respect to psychosocial rehabilitation, analysis revealed that instrumental and technically-oriented treatment is imposed upon the practical and dialogical rationale proposed by Brazilian Psychiatric Reform. As an alternative, participatory evaluative research is required in order to unify clinical and psychosocial rehabilitation actions in therapeutic projects, while establishing mechanisms to promote the improvement of care based on the psychosocial care model.
منابع مشابه
Brazilian Men’s Integral Health Attention: using indicators for monitoring health’s promotion and attention Uso de indicadores para o monitoramento das ações de promoção e atenção da Política Nacional de Atenção Integral à Saúde do Homem (PNAISH)
1 Tecnologia e Insumos Estratégicos, Secretaria de Ciência, Ministério da Saúde. Esplanada dos Ministérios Edifício Sede/ sala 851, Esplanada. 70070-600 Brasilia DF. [email protected] 2 Centro de Ciência da Saúde, Universidade Federal do Recôncavo da Bahia. 3 Faculdade de Ciências da Saúde, Universidade de Brasília. Brazilian Men’s Integral Health Attention: using indicators for monitoring health’s...
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