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Fatores que influenciam a saúde mental de mulheres usuárias de Centros de Atenção Psicossocial (CAPS): uma revisão narrativa
(Universidade Federal de São Carlos, 0025-12-16) Ianuci, Larissa Mascarin; Morato, Giovana Garcia; https://lattes.cnpq.br/2928616003881655
The understanding of women's mental health transcends the traditional boundaries of gender studies, expanding into an approach that recognizes the complexity of female identities, identifying how factors such as social class, race, sexual orientation, and many other elements interact to shape individual experiences. In the context of CAPS (Psychosocial Care Centers), understanding these factors is essential to identify the specific challenges faced by women, which include not only clinical aspects but also social and gender dimensions that affect their mental health. This Course Conclusion Work aimed to investigate and understand the factors that influence the mental health of women users of Psychosocial Care Centers (CAPS). This is a Narrative Literature Review, conducted based on searches in the BVS, Scielo, and CAPES Periodicals Portal databases using the following descriptor combinations: "women AND CAPS AND mental health"; "women AND CAPS AND psychological distress" and "women AND CAPS". At the end of the searches, reading process, and analysis of the studies, the review was composed of 10 articles, which were organized into three categories for discussion, namely: 1) Mental Health and Gender; 2) Psychoactive Substance Dependence and Social Vulnerabilities; and 3) Impacts of Work and Precarization on Mental Health. The results highlighted that female psychological distress is deeply linked to gender inequalities, violence, overload of social roles, and the persistence of stigmas and social barriers. It was found that the professionals' approach in CAPS services must go beyond symptoms, recognizing the social dimensions and the intersection of factors such as race, class, and sexual orientation that accentuate the users' psychological vulnerability. It is concluded that understanding these factors is essential for CAPS practices to become more sensitive and inclusive, questioning the asylum logic and deterministic models, promoting more equitable and effective support for women.
A promoção da contratualidade social no trabalho com grupos: um relato de experiência de uma estudante de terapia ocupacional em um Centro de Atenção Psicossocial
(Universidade Federal de São Carlos, 0025-12-16) Delmunde, Júlia Martins; Morato, Giovana Garcia; https://lattes.cnpq.br/2928616003881655
Social contractuality, as formulated by Benedetto Saraceno, refers to the social conditions that enable individuals to circulate within community spaces, engage in exchanges, and assume socially recognized roles, representing a central goal of Psychosocial Care. Within Brazil’s Psychosocial Care Centers (CAPS), group practices and everyday-life-oriented interventions serve as powerful mechanisms for fostering relationships, encouraging the exploration of new occupations, and strengthening connections beyond the institutional setting, which are core elements in the reconstruction of contractual agency. This paper presents an experience report from the perspective of an Occupational Therapy student participating in activities with a user group in a CAPS II, aiming to describe and reflect on how the actions developed within the group contributed to supporting early movements toward social contractuality. Based on records produced throughout the extension project and organized into three intervention scenes, small yet meaningful developments were identified, shaped by shared doing, collective activities, and the strengthening of group identity, elements that mobilized processes of lending contractual power on the part of the team. The analysis of these reconstruction processes, articulated with the literature, showed that these movements emerged primarily within the domains of social networks and work. However, the limited availability of community social spaces and the lack of intersectoral coordination restricted the exercise of contractuality within the dimension of inhabiting everyday community life. The findings reinforce the relevance of group practices in CAPS and highlight the contribution of Occupational Therapy in mediating processes that expand participation and belonging, emphasizing the importance of integrating theory and practice in professional training.