Práticas integrativas e complementares no centro de atenção psicossocial: investigando racionalidades terapêuticas.

Abstract

The area of mental health in Brazil after the Psychiatric Reform has been in a growing change in the last years, starting to spread a more humanized care to those with mental disorders, providing a better quality of life for these individuals. To this end, services that substitute for the asylum model, especially the CAPS, use therapeutic means that provide the promotion and prevention of injuries to users. This study aims to Understand how the development of Integrative and Complementary Practices in the Center for Psychosocial Care, given the vision of professionals working in this service. This is a descriptive research of a qualitative approach, which was developed at the Center for Psychosocial Care – Loucos Pela Vida (CAPS I), in the municipality of Picuí-PB. For the data collection, a semi-structured interview script was used with the professionals working in the service in question. The research was carried out in May and June of 2017 and the sample was composed by 07 professionals of higher level. The empirical material analysis was based on the technique of thematic content analysis according to Bardin. Subsequent to that collected from the interviews, four categories were presented: "Integrative and Complementary Practices: discussing their concept", "Pointing to Integrative and Complementary Practices developed", "Potentials and challenges for the realization of PICS" and "The impact of PICS on life Of CAPS users. " The study clearly showed that the professionals' understanding of PICS is fundamental so that they understand the purpose of the services, since the service team can only implement a differentiated activity in the place from the moment they know it and know how to develop it, It has also been identified that professionals carry out broad-based practices in the CAPS service and that their implementation suffers from both positive interferences that result in the strengthening of their development and negative influences that may prevent their services from achieving the expected objectives. Also that the expected therapeutic results of ICPs are intertwined with the professionals' understanding of these practices. Therefore, by the present study, it was identified that PICs, when properly developed, have an impact on the life of the CAPS user, which contributes positively to the process of rehabilitation and reinsertion of the sick person. In this context, it is essential that the multiprofessional team working in the service identify the need to seek knowledge that provides the adequacy of holistic and humanized care to individuals with mental disorders.