Occupational Therapy in mental health in Brazilian congresses: a scope review

Ricci, Thamy Eduarda; Marques, Isabela Paschoalotto; Marcolino, Taís Quevedo

doi:10.4322/2526-8910.ctoAR1716

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Review Article • Cad. Bras. Ter. Ocup. 26 (04) • Dec 2018 • https://doi.org/10.4322/2526-8910.ctoAR1716 copy

Occupational Therapy in mental health in Brazilian congresses: a scope review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction:

The psychiatric reform has demanded to Occupational Therapy a boarder type of care focused on autonomy production of individuals facing social exclusion. Despite the wide academic production in this subject, there is lack of studies addressing professional practice on new mental health services.

Objective:

This work aims to identify occupational therapy mental health practices through a scope review of the XI to XIV annals of Brazilian Occupational Therapy Congresses.

Method:

A total of 165 abstracts were analyzed. Results: The results show predominance of reports of experience and abstracts from the Southeastern region, with more adult-oriented practices in Psychosocial Care Centers (CAPS), in group and individual strategies, with no focus on medical diagnoses, and with little explanation of theoretical references. Qualitatively, the results highlight psychosocial rehabilitation as reference, and particularities of the therapeutic process and practical experiences in professional training.

Conclusion:

We believe that the dialogue between issues and impasses about these practices encourages reflections on assistance and research in occupational therapy in Brazil in mental health field.

Keywords:
Mental Health; Occupational Therapy; Health Knowledge; Attitudes and Practices; Professional Practice

Classification	Results found
Type of methodology	71.5% of experience reports, 24.2% of qualitative research, 3.1% of quantitative research, and 1.2% of mixed method research.
Brazilian geopolitical region	46% of the Southeast region, 12.2% of the Northeast region, 11.5% of the North region, 9.7% of the South region, 3% of the Center-West region and 17.6% of abstracts did not show the region source.
Addressed population	76.4% with adult population, 18.1% with child and adolescent population, 5.5% with elderly population.
Type of service	38.2% in CAPS; 14.5% in other services, 13.3% in general hospital, 9.7% in generic name services, 9.1% in outpatient clinics, 8.5% in primary health care, 3,1% in housing, 2.4% in psychiatric hospitals, 1.2% in long-term institution for eldery.
Types of practice	50% of group, 18% of individual treatment, 15% of therapeutic workshops, 10% of labor insertion, 3% of health education, 2% of matrix support strategy, 2% of cultural actions.
Presence of medical-clinical diagnosis	60.6% are not diagnosed, 39.4% are diagnosed.
Severity of mental disorder	7.7% of mild disorders, 7.7% of moderate disorders, 30.8% of serious disorders, 23% of disorders due to alcohol and other drugs, 30.8% do not present mental disorder intensity.
Origin of the work	62.4% of works from high educational institution, 37.6% from services.
Theoretical reference	57.5% did not present theoretical references, 34% had correlated occupational therapy reference (46.4% with psychosocial rehabilitation, 16.1% with solidarity economy, 10.7% from Pichon Rivière and 26.8% with theoretical references that appeared only once, coming from Psychology, Sociology, Arts, 8.5% with reference to occupational therapy (71.4% referred to the Dynamic Occupational Therapy Method [MTOD/DOTM]).

Universidade Federal de São Carlos, Departamento de Terapia Ocupacional Rodovia Washington Luis, Km 235, Caixa Postal 676, CEP: , 13565-905, São Carlos, SP - Brasil, Tel.: 55-16-3361-8749 - São Carlos - SP - Brazil
E-mail: cadto@ufscar.br

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[1] Corresponding author:
Taís Quevedo Marcolino, Departamento de Terapia Ocupacional, Universidade Federal de São Carlos, Rodovia Washington Luís, Km 235, CEP 13565-905, São Carlos, SP, Brasil, e-mail: taisquevedo@gmail.com.