O processo de alta de crianças e adolescentes em CAPSij na perspectiva de terapeutas ocupacionais
![Thumbnail](/bitstream/handle/ufscar/11295/Dissertacao_Raissa_Versao_Final_PDF.pdf.jpg?sequence=7&isAllowed=y)
Visualizar/ Abrir
Data
2019-02-25Autor
Richter, Raíssa Herold Matias
Metadata
Mostrar registro completoResumo
Current health policies and guidelines have highlighted the relevance of a
practice that is efficient, effective, and resolutive. This trend has been established throughout
the Health Care Network, including the Psychosocial Care Network. Thus, a scenario is
developed that calls for the expansion of the discussion about discharging processes, also in the
services of mental health care for children and adolescents of Unified Health System (SUS). In
the national and international literature, there is a shortage of studies that address the theme of
the contribution of occupational therapy in the discharging process of children and adolescents
in the field of mental health, as well as discharging processes in general. Thus, the objective of
this study was to understand the children and adolescents’ discharging process at Child
Psychosocial Care Centers (CAPSij) from the perspective of occupational therapists. For this
purpose, a descriptive and exploratory field study was carried out with a qualitative approach.
The target population consisted of 15 occupational therapists working at CAPSij in the city of
São Paulo, with experience for at least one year. Data were collected through a semi-structured
interview and analyzed using the Collective Subject Discourse (DSC) technique. The results of
this study demonstrated how the discharge process of children and adolescents occurs at
CAPSij, considering the aspects related to the understanding and use of the term “discharge” in
this context, the description of how it happens, the reflection on its criteria and its challenges
in practice; in addition to the perception of children, adolescents and families regarding the
discharge process. It was also identified that the occupational therapists involved in this study
participate in the discharging processes in the context of the CAPSij in which they work, either
as a member of the multi-professional team or as a professional in the area of occupational
therapy. It was observed that the contribution of occupational therapy in the discharging process
is related to a more extensive and contextualized evaluation and analysis of the child /
adolescent candidate for discharge, to the strengthening of the families, to acting as a technical
reference of the users, to the work shared with the interdisciplinary team and the empowerment
of the subjects for appropriation of the social spaces extra-wall CAPSij. It was found that the
implementation of the technical reference function, the active participation of the child /
adolescent / family, the articulation of the CAPSij with the intersectoral network, and the
reflection about the concepts of "discharge" and "referral" in the context of child and adolescent
mental health are determining factors for the process of discharging children and adolescents
who experience psychic suffering to occur in an implicated, co-responsible and safe manner.
Regarding the participation of occupational therapy in the discharging process, there was
progress in relation to the actions of these professionals within the scope of the child and
adolescent mental health, which have been highlighted in an expanded, concrete and
contextualized way, in response to the current demands of this field. It is considered that this
research was able to deepen the understanding and discussion about the discharging process,
either approaching it in its specificities, or in its broader aspects, thus contributing both to the
production of knowledge in the field of child and adolescent mental health as well as to health
mental and occupational therapy.