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Deinstitutionalizing the care and institutionalizing partnerships: challenges of Physical Education professionals at CAPS in Goiânia, Brazil, for interventions in its territory

Abstract

This article analyzes the challenges of CAPS to consolidate patient care interventions using the resources of its own territory. The survey was conducted in eight CAPS in the city of Goiânia, Brazil, in order to understand the difficulties encountered by physical education professionals for the development of activities in its territory. In order to do so, we conducted interviews with eighteen professionals and we analyzed them, using content analysis technique. The results indicate that the main challenges can be summarized and split into two interrelated categories: (1) Deinstitutionalize the care and; (2) Institutionalize partnerships. We conclude that, deinstitutionalization of patient care requires surpassing the difficulties related to stigmas, prejudices and insecurities, which are not only present in society in general, but also found among mental health professionals investigated. On the other hand, we found that the institutionalization of partnerships indicates the necessity to overcome the precarious working conditions and the fragility of management policies that hinder the formalization of inter-institutional partnerships and undertake the consolidation of Psychosocial Care Network. Therefore, we conclude that the process of deinstitutionalization of patient care is still a great challenge for the Brazilian psychiatric reform movement in Goiânia, Brazil, especially regarding development of human care, using resources of its own territory.

Keywords:
Deinstitutionalization; Territory; Center for Psychosocial Care; Psychiatric Reform

Faculdade de Saúde Pública, Universidade de São Paulo. Associação Paulista de Saúde Pública. Av. dr. Arnaldo, 715, Prédio da Biblioteca, 2º andar sala 2, 01246-904 São Paulo - SP - Brasil, Tel./Fax: +55 11 3061-7880 - São Paulo - SP - Brazil
E-mail: saudesoc@usp.br