MUDANÇAS NA ABORDAGEM DE CRISES PSÍQUICAS: A EXPERIÊNCIA DO DIÁLOGO ABERTO EM CONTEXTO BRASILEIRO Changes in the approach to psychic crises: the experience of Open Dialogue in a brazilian context

Abstract

Faced with the growing challenges in the field of mental health, Open Dialogue (OD) has been considered a promising approach for the treatment of psychotic crises and other psychological crises. This article focuses on presenting the findings from the document analysis conducted in a case study at the Psychosocial Care Center (CAPS I) in Carmo do Cajuru, Minas Gerais, where the DA approach was implemented. Using the documentary analysis methodology, our focus was on 37 medical records of users treated under the auspices of the OD during the year 2021, covering both first crisis situations and re-examination episodes. The results indicate that 54.1% of users were experiencing their first crisis, while 45.9% had flare-ups. It was observed that 80% of first crises and 41.1% of flare-ups achieved stabilization within three months. The use of psychotropic drugs was recorded in 27.8% of cases of first crisis, with subsequent deprescription in 80% of these cases. The results highlight the effectiveness of OD in reducing the stabilization time of crises, reducing the use of psychotropic drugs and promoting a recovery that is more integrated into the user's social context. This study contributes to the debate on innovative practices in Mental Health, offering information on the implementation of OD in the Brazilian context.