Psychiatric Reform in the Northeastern semiarid region Care production based on encounters with guide-users

Abstract

The report is based on a research directed to a microvectorial analysis of the impact of the National Mental Health Policy (PNSM) in a city in the Pernambuco backlands, highlighting the effects on the existential trajectories of users of the Psychosocial Care Network (RAPS). In a scenario of setbacks in this field, assessing the effects of PNSM on the lives of those who use the system is assumed to be a fruitful route. The method was based on the valorization of the encounters, assuming itself as an interference-research. The user-guide tool was used as the main instrument, with the participation of five users. Three Interpretative Trails were outlined, which communicate evaluative aspects of the care production: I. The tensions of the autonomy production in territorial care, indicating the power of caring in freedom, even though crossed by disputes between logics of care within the scope of the paradigmatic transition produced by the Brazilian Psychiatric Reform; II. Challenges to the reinvention of the clinic and work processes, highlighting the displacements necessary for the care production in the reference of Psychosocial Care and the Harm Reduction Paradigm and III. Living networks and territorialization of care, emphasizing the fertility of approaching “territory” as a place of life and the recognition of these networks for the care production. The importance of inventiveness was highlighted, translated into actions that go beyond walls and blur borders, characterized as the most activators of life.