Articulação saúde mental e economia solidaria: relato de experiência de um projeto de inclusão social pelo trabalho.

Abstract

Psychiatric Reform is a complex social movement, a new paradigm in mental health, anchored in concepts such as institutionalization and psychosocial rehabilitation, through the construction of new modalities of mental health care, based on solidary principles of citizenship and life production. One of the main devices is the enhancement of work as an instrument of social inclusion through experiences of a solidarity character. The Solidarity Economy shows itself as an important instrument in the mental health care network, since it converges to the proposal of income generation within the principles of psychiatric reform. This study sought to characterize the socioeconomic, epidemiological profile and the craftsmanship skills of patients who participate in the Extension Training Project for Users of the Psychosocial Care Center of Cajazeiras - PB (CAPS II) for the Production of Artifacts; describe the experience and activities developed in the referred Project; and verify the importance of this extension project for improving the user's quality of life. This is an exploratory-descriptive study, with a quantitative approach. The study subjects were 15 CAPS II patients from the Municipality of Cajazeiras - PB who participate in the Extension Project. The instrument for data collection was a questionnaire containing objective questions together with the medical records and reports of the service. Quantitative data were analyzed using the frequency and percentage index. The activities developed in the extension project were described in detail and some speeches from users about the importance of that project in the process of autonomy and psychosocial rehabilitation were highlighted. The researcher faithfully followed the ethical observances of Resolution 196/96 of the National Health Council. It was found that the study subjects are of both genders, are mostly in the age group 41 to 50 years old and being people unmarried. Most have no children and in relation to the level of education, few have completed primary school. As for family income, most of them claim to have an income of 1 to 2 minimum wages, as they also worked before being CAPS users. Through the survey of medical records, diverse types of diagnoses were found, with schizophrenic disorders being the most frequent. Most participate in therapeutic activities reporting some type of craftsmanship. All of them report a great contribution from the Project to improve their quality of life. In the second stage of the research, the activities developed during the execution of the Project were reported, such as training and courses taught. It was noticed that in the meetings some users expressed their feelings and the difficulties encountered were overcome, favoring social inclusion, autonomy, income generation and improvement in the quality of life of each one. There is an urgent need to implement municipal public policies that promote the articulation between mental health and solidary economy, the awareness of society and municipal managers, contributing to reflections on health care for people in psychological distress and their autonomy process and (re) social insertion.