Um estudo da RAPS local a partir dos itinerários terapêuticos

Abstract

herapeutic itineraries seek to analyze the individual and collective resources that an individual uses to seek answers to their health problems. Therefore, having knowledge about the therapeutic itineraries of a population can be very beneficial in understanding how the health network in that territory is functioning and what its weaknesses are. Thus, the present study falls within the field of qualitative approaches, with the objective of investigating and describing ways of (dis)articulation of the Psychosocial Care Network (RAPS) of São Carlos - SP, based on the therapeutic itineraries of users of this network . To this end, data collection and production was done online through semi-structured interviews. One user from each Psychosocial Care Center (CAPS) in the city participated in the study: a CAPS for alcohol and drugs, a CAPS II and a CAPS for children and youth, their respective companions and professionals, totaling eight participants. The interview data were processed based on the thematic content analysis technique, allowing the production of analytical categories linked to each other. The main results show that there is a gap between the RAPS points, with little articulation of shared care, especially in relation to basic care and with a vacuum in the care of children and adolescents; there are difficulties for CAPS in elaborating and developing care in the psychosocial model, especially in acute situations of psychological suffering, when the local RAPS uses asylum strategies such as hospitalizations and excessive medicalization. As possible responses to these difficulties encountered, we have the training of professionals, the strengthening of continuing education, the presence of managers engaged with mental health, care for workers' mental health and actions that encourage the participation of civil society.