Crisis Management in the field of Mental Health Hospitality as a Clinical Modality

Abstract

In this article, we will give protagonism to the crisis and its clinical dimension as the guiding line for the problematization that we propose concerning the current public health policy scenario in Brazil. This study addresses the context that involves users of the Centros de Atenção Psicossocial [Psychosocial Attention Centers] (CAPS) with no prior history of mental illness, recognizing the particularities of the dramas and the specific individual and collective solutions of these users in relation to the profile of the regular users of this center. We have observed an increasing demand for the different services offered by the Rede de Atenção Psicossocial [Psychosocial Attention Network] (RAPS) from the former users, whose suffering is associated with traumatic events, mourning, suicide issues, amorous or professional losses. In general, most of the population does not have prior record of psychosocial disorder, circumstance which makes this theme relevant to bring up to date public mental health policies, questioning the place that the crisis and urgency has in the reformist ideology and in the daily life of the RAPS. In view of this scenario, we propose a conceptualization of crisis referring to a specific time of existence, which condenses and updates a series of affections and impasses inherent to heterogeneity that is part of life. From a clinical perspective, we postulate sheltering as a way of caring that privileges the symbolic dimension as a resource of subjectivation and treatment to serious suffering of patients without severe or continuous mental disorder.