Resumo: o presente estudo consisteem analisar o processo de desospitalização,no interior da reforma psiquiátrica,emparticular,as representaçõessociais dos profissionaisde saúde envolvidos com a assistência ao doente mental. Remete a uma análise histórica e conjuntural, partindo-se da hipótese de que se faz necessário repensar a intervenção institucionalcomo wn dos fatoresdeterminantesno curso e prognósticoda doença mental. Envolve também a postura dos profissionais de saúde, o trabalho interdisciplinare os fatores que permeiam estas práticas, pelos preceitos do novo paradigma de desinstitucionalização e da atenção em saúde mental. Optamos por wn estudo de abordagem qualitativa, concentrada na compreensão das representações sociais evidenciadasna instituiçãosobre a assistênciaem saúde mental e os desafios impostos aos profissionais de saúde, que se empenham em promover a desospitaJi7.açãodo doente mental.Focalizamoso cotidianoinstitucionaldo CAPS(Centro de AtençãoPsicossocial), wn serviço municipalizadode SaúdeMentalem Andradas-MG,utilizando-separa a coleta de dados entrevistassemi-estruturadascomtodos osprofissionaisde saúde que compõema equipe multiprofissionalda instituiçãoe aceitaramemparticiparda pesquisa.Os resultados encontrados,a partirda análisedos dados,pontuamque a lógicamanicomialainda permeia as práticas cotidianas do CAPS e o tratamento do doente mental insere-se dentro da concepçãohegemônica da Medicina,onde os profissionaisde saúde tomam o diagnóstico psiquiátricocomo referênciapara suas intervenções,além do baixo grau de conhecimento, que os profissionaisapresentaramsobre o processo da reforma psiquiátrica.No entanto, apesar do baixo investimentogovernamentalpara a área de saúde mental do município, a redução do número de intemaçõespsiquiátricas,nos últimos tempos, apontam para uma direção favorável a desospitalização,onde a equipe consegue conduzir casos bastante complexos valendo-se apenas dos recursos existentes.Para os profissionais do CAPS - Andradas-MG, a finalidade primordial do programa refere-se à promoção da saúde do indivíduo, em adoecimentopsíquico, e identificaçãode mecanismosque apontem para a conquistade wna melhor qualidadede vida Ver menos

Abstract: The present study consists of an analysis of out hospitalization at the center of psychiatric reforrn, in particular,the social ramificationson the healthcare professionals involved in the care of the mentally addresses a historicaland "complete" analysis, beginning with the hypothesisthat it is necessary to rethink institutionalintervention as one of the detennining factorsin the courseand prognosticationof mental illness. It also involvesthe posture ofhea1thcareprofessionals,interdisciplinarywork, and the factors that permeate these practices,by the principIe of the new paradigm of out institutionalization and care in mental health. A study with the qualitative approach was selected, concentratingon the socialmanifestationsshownin the institutionrelatingto mental health care and the challengesimposed on healthcareprofessionals,which concem themselves with promoting the out hospitalization of the mentallyill. A case study was performed, focusing on the institutionalquotidian of CAPS (The Center for Psycho-Social Care), a municipalMental Hea1thservicein Andradas,Minas Gerais,collectingdata through semistructured interviews with alI of the healthcare professionals tha! make up the multidisciplinaryteam in the institution. The results encountered, beginning with the analysisof the data, point out that "asylumlogic" stillpermeatesthe day to day practicesat CAPSand the treatmentofthe menta11yillmakesup a part ofthe hegemonicconceptionof Medicine,in whichhea1thcareprofessionalsreach a psychiatricdiagnosisas a referencefor their intervention; in addition to this that the professionals demonstrate a low leveI of knowledge regarding the process of psychiatricreformo Nevertheless, the low leveI of municipal govemment investmentin the area of mentalhea1thand the recent reduction in the number of psychiatrists,point in a favorabledirectionto out hospitalizationin which the team managesto deal withvery complexcasesmakingthe most ofthe scarce resources available. For the professionalsof CAPS - Andradas, the primary ends of the program focuses on the promotion of the health of the individual in psychiatric illnesses, and identificationof the mechanismsthat aid in the conquestof a better qualityof life


Abstract: The present study consists of an analysis of out hospitalization at the center of psychiatric reforrn, in particular,the social ramificationson the healthcare professionals involved in the care of the mentallyi11.1taddressesa historicaland "complete" analysis, beginning with the hypothesisthat it is necessary to rethink institutionalintervention as one of the detennining factorsin the courseand prognosticationof mental illness. It also involvesthe posture ofhea1thcareprofessionals,interdisciplinarywork, and the factors that permeate these practices,by the principIe of the new paradigm of out institutionalization and care in mental health. A study with the qualitative approach was selected, concentratingon the socialmanifestationsshownin the institutionrelatingto mental health care and the challengesimposed on healthcareprofessionals,which concem themselves with promoting the out hospitalization of the mentallyill. A case study was performed, focusing on the institutionalquotidian of CAPS (The Center for Psycho-Social Care), a municipalMental Hea1thservicein Andradas,Minas Gerais,collectingdata through semistructured interviews with alI of the healthcare professionals tha! make up the multidisciplinaryteam in the institution. The results encountered, beginning with the analysisof the data, point out that "asylumlogic" stillpermeatesthe day to day practicesat CAPSand the treatmentofthe menta11yillmakesup a part ofthe hegemonicconceptionof Medicine,in whichhea1thcareprofessionalsreach a psychiatricdiagnosisas a referencefor their intervention; in addition to this that the professionals demonstrate a low leveI of knowledge regarding the process of psychiatricreformo Nevertheless, the low leveI of municipal govemment investmentin the area of mentalhea1thand the recent reduction in the number of psychiatrists,point in a favorabledirectionto out hospitalizationin which the team managesto deal withvery complexcasesmakingthe most ofthe scarce resources available. For the professionalsof CAPS - Andradas, the primary ends of the program focuses on the promotion of the health of the individual in psychiatric illnesses, and identificationof the mechanismsthat aid in the conquestof a better qualityof life Ver menos