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Cadernos Brasileiros de Terapia Ocupacional

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SILVA, Eline Vieira da; RIBEIRO, Mara Cristina  and  SOUZA, Marilya Cleonice Santos de. The performance of health professionals in a custody and psychiatric treatment hospital: the perspective of the psychosocial rehabilitation. Cad. Bras. Ter. Ocup. [online]. 2018, vol.26, n.2, pp.315-327. ISSN 2526-8910.


The Brazilian Psychiatric Reform proportionated the appearance of mental health attention services and substitutive services in psychiatric hospitals that provided the inclusion based on the Psychosocial Rehabilitation strategy. Although the Custody and Psychiatric Treatment Hospitals (CPTH) are one of the services that must be included on the set of those transformations, actions against the Psychiatric Reform are still happening, which indicates the necessity of important changes.


This paper has the objective to recognize how a CPTH team articulates with the new propositions recommended by the National Policy of Mental Health Attention and analyze if the interdisciplinary actions are being developed on the institution.


Research developed in a CPTH, as a qualitative analysis through interviews with 11 higher educated professionals for the data collection, examined by thematic analysis.


The lack of communication and understanding of the need for teamwork leads to individualized actions and disarticulation in the care, evidencing actions committed to the institutional needs and not to the needs of the patients; the speeches highlight the lack of activities aimed at the reintegration and social participation of inmates in the family and community. Although professionals claim to know the concept of Psychosocial Rehabilitation, many attribute a misleading sense, indicating it as an approach to the asylum model that aims to occupy the inmates to reduce institutional idleness.


The articulation between the professionals of the place is fragile, which prevents the actions to be carried out in an interdisciplinary and intersectoral manner, maintaining ducts in the asylum model. Occupational Therapy can act as a protagonist of changes, contributing to the achievement of objectives consistent with the Psychiatric Reform, facilitating care processes based on Psychosocial Rehabilitation.

Keywords : Mental Health; Occupational Therapy; Deinstitutionalization; Mental Health Services; Health Care Reform.

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