O trabalho do assistente social na RAPS no interior da Paraíba: a perspectiva dos/as profissionais do CAPS III.

Abstract

The advances that we are witnessing today in mental health policy were the result of a trajectory of struggles on the part of discussions about old treatment models and later working-class movements, such as sector psychiatry, anti-psychiatry, which started the first experiments of deinstitutionalization in Italy, the sanitary reform in Brazil, which provided the outbreak of the psychiatric reform despite experiencing a history of ruptures with classic psychiatry and asylum.The 1988 Constitution was one of the determining factors for mental health, because from it occurred the association with public policies through the Sistema Único de Saúde (SUS), promoting new health policies and the first initiatives to implement the CAPS, resulting in in the following decade the enactment of Law 10.2016 of 2001, where mental health comes to provide effective assistance, visibility, and inclusion of the community in the treatment of people with mental disorders through CAPS.Therefore, the objective of the study was to unveil the social worker's work process against the demands of CAPS III, knowing the RAPS from Sousa, evaluating the relevance of the participation of family members and / or caregivers in the treatment process and psychosocial rehabilitation, as well as understanding the demands, competencies and difficulties faced by the Social Service in CAPS III. The method used for analysis was dialectical historical materialism. The data collection instrument was a semi-structured interview with two open question scripts. The subjects of the research were six CAPS III professionals. The collected data showed that there is a certain positive and critical perspective regarding the performance of the social worker on the part of the interviewed professionals, with the separation of attributions and competence and their due importance, but that there is still a need for a greater understanding and recognition of the promotion of mechanisms of participation and encouragement of the family in the treatment so that the excessive reproduction of the care of the social worker with the family is exclusive of that professional, not falling in conservative practices of the genesis of the Social Service in the mental health. The first chapter will show the historical trajectory of mental health. The second brings us reflections about the conception of public health in Brazil and the third one presents the results of field research.