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Psychosocial care in children’s mental health field: deconstructing knowledge and reinventing health

ABSTRACT

The article proposes a discussion on psychosocial care in the field of mental health for children and adolescents, in the current Brazilian scenario, underlining the tension inherent in their practices and involving the various actors and networks, seeking to reflect on the meaning of caring and reinventing health. Taking the model of psychosocial care in the Brazilian Psychiatric Reform as reference, it seeks to articulate the concept of health and disease in intersectoral work, in the construction of the Singular Therapeutic Project. Through the case study methodology, it is presented an attended clinical case at a Psychosocial Care Center for children and adolescents. The Brazilian Psychiatric Reform engenders the psychosocial model of care, breaking with the biomedical model, modifying the way in which we conceive the subject in the health-disease process. In the field of mental health for children and adolescents, marked by historical invisibility in public policies, there are tensions over the way of conceiving care in the various institutions, a field marked by the exercise of guardianship. The article emphasizes the perspective of reinvention in health, the appropriation by the user of his therapeutic project as the subject of the treatment itself. Networking and intersectoral work present itself as a powerful tool for transforming crystallized knowledge and practices, in a micropolitical movement, as proposed by the Brazilian Psychiatric Reform.

KEYWORDS
Comprehensive health care; Mental health services; Intersectoral collaboration. Right to health

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