Reflections on psychosocial care in the field of children and adolescents mental health

• Published in: Cadernos de Terapia Ocupacional da UFSCar 2020-01, Vol.28 (2), p.725-740
• Main Authors: Fernandes, Amanda Dourado Souza Akahosi, Matsukura, Thelma Simoes, Lussi, Isabela Aparecida de Oliveira, Ferigato, Sabrina Helena, Morato, Garcia
• Format: Article
• Language: English
• Subjects: Child & adolescent mental health; Child development; Children & youth; Health care policy; Medical ethics; Mental health; Occupational therapy; Population; Psychiatry; Public policy; Subsidies; Teenagers
• ISSN: 0104-4931; 2238-2860
• DOI: 10.4322/2526-8910.ctoARF1870

Palavras-chave: Política de Saude, Saude Mental, Criança, Adolescencia. 1 Introduction The historical path of child and adolescent mental health care constitution in Brazil shows that it is quite unique and late, when compared to the same service for adults, so that the specific public policies aimed at this segment were built and proposed mainly in recent years (Taño & Matsukura, 2015). [...]our position here is sharing the concern and willingness to cope with the guarantee of what we have invested and developed in the field of Brazilian mental health. [...]we consider that reflecting on the mental health care of children and adolescents based on their paradigms and its socio-historical determinants is a necessary investment not only for the particularities and specificities presented by the population of children and adolescents, who request a singular look at their needs and care strategies, but also because the history of this segment care has been built, for a long time, distant from the whole critical process to the hegemonic psychiatric model in the field of mental health in Brazil. In this pot of knowledge and experiences, influences and investments, Psychosocial Care has been constituted, currently established in the country as the term that designates the public mental health policy of the Ministry of Health, delimiting, in recent decades, "[...] a field of knowledge and practices crossed by an ethical-political ideology that replaces hospital and medical-centered psychiatry, ideologically subordinated, but still dominant in everyday practices" (Costa-Rosa, 2013, p. 9). In this direction, the four main parameters are presented as: 1) Ways of conceiving the "object" and working instruments - which concern the way in which health-disease-cure trinomial is understood, as well as the instruments used in interventions; 2) Characteristics of the institution's organization - refers to the forms of intra-institutional relations and, consequently, to the different ways of managing powers; 3) Characteristics of the types of relationships established with the population served - refer to the different possibilities of exchange between the individual and care equipment; 4) Characteristics of the results produced by the interventions undertaken with regard to therapy and ethics - brings together the political and sociocultural purposes arising from the practice performed.