Laboratório de Inclusão: espaço multidisciplinar e intersetorial em um CAPS Infantil no município de São Paulo. (Inter) Invenções possíveis entre Saúde, Educação e Assistência

Abstract

Our research focused on an intersectional collaboration program that takes place in a psychosocial Brazilian public service for children, CAPSi – Centro de Atenção Psicossocial infantil – in the extreme South of the city of São Paulo, in which twenty-eight Public Health, Education and Assistance Workers, who work with children and/or adolescents with psychic suffering participated. The Inclusion Laboratory is a recognized program by the network in its area of coverage as an important environment, in which workers can share cases and difficulties in the treatment and in the daily life with children and adolescents with psychic suffering. These workers arrive at the Inclusion Laboratory in severe and critical moments, that is, when the conflicts or impasses originated from the relationship with children and/or adolescents with psychic distress become unbearable or uncontrollable, assigning to them the responsibility of the maladjustment. The research and conduction of the meetings were carried out by the author/professional who is guided by theoretically based psychoanalysis in his management and understanding of the phenomena presented. This approach gave the Laboratory participants greater implication in the process and broadened the singular look of the case by case. The method that was used was the research-intervention from case study. The data was collected from sixteen recorded meetings, transcribed and, then, analyzed with a psychoanalytical and public health theoretical reference; there were also used an initial questionnaire and interview. The results were demonstrated step by step, since the arrival of the participants in the Laboratory, the dynamic of the meetings, until its effects. There were defined three categories of analysis: i) arrival; ii) process; iii) arrival and process. We noticed important displacements between the arrival of the participants in the Laboratory and the process experienced by them, in this program. Initially, they have presented fragilities in the emotional aspect that disabled the relationship with the children and/or adolescents with psychic suffering: they believed that their technical capacities were insufficient in dealing with this population and the condition of discomfort showed up as a result of anunease, fruit of the daily routine. The meetings provided to the participants relief, reflection and creativity, elements that changed the way they were thinking about this children and started to see them as subjects with difficulties and potentials. Therefore, there was demonstrated the interest in being with them in a welcoming and inclusive way. We demonstrated how the conduction of an analyst in the institution, specifically in the Inclusion Laboratory produced these movements. We noticed significant changes in the emotional condition of the participants, which arrived distressed and left relieved. They stopped to assign the responsibility of the maladjustment only to the other e began to share the responsibility by the dynamic and the relation. Finally, we demonstrated the applicability of the studied program, its relevance in the mental health field, as an important room for debate.