The prevalence of medical/clinical technology over psychosocial care actions in outpatient mental health services

The scope of this study was to evaluate how aspects of mental health policy in Brazil have been conceived and implemented in outpatient services, such as the Regional Outpatient Mental Health Clinic and the Psychosocial Care Center II, both in Ribeirão Preto, São Paulo. Semi-direct interviews and fo...

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Bibliographic Details
Published in:Ciência & saude coletiva 2013-10, Vol.18 (10), p.2957-2963
Main Authors: Fiorati, Regina Celia, Saeki, Toyoko
Format: Article
Language:English
Subjects:
Ambulatory Care
Brazil
Clinics
Health Policy & Services
Health services
Humans
Mental disorders
Mental Disorders - therapy
Mental health care
Mental Health Services
Outpatient care facilities
Patients
Primary care
Professionals
Psychology
Rehabilitation
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Summary:The scope of this study was to evaluate how aspects of mental health policy in Brazil have been conceived and implemented in outpatient services, such as the Regional Outpatient Mental Health Clinic and the Psychosocial Care Center II, both in Ribeirão Preto, São Paulo. Semi-direct interviews and focus groups were conducted with 22 health professionals. The theoretical method and data analysis were supported by the dialectical hermeneutic framework of Jürgen Habermas. The following aspects were detected: considerable technological advancement in health actions and centrality of clinical-medical technology in relation to other nonmedical therapeutic actions; the prioritization of treatment options emphasizing pathology and drug therapy, and a process of mounting precariousness in labor relations. With respect to psychosocial rehabilitation, analysis revealed that instrumental and technically-oriented treatment is imposed upon the practical and dialogical rationale proposed by Brazilian Psychiatric Reform. As an alternative, participatory evaluative research is required in order to unify clinical and psychosocial rehabilitation actions in therapeutic projects, while establishing mechanisms to promote the improvement of care based on the psychosocial care model.
ISSN:1413-8123
1678-4561
1678-4561
1413-8123
DOI:10.1590/S1413-81232013001000020