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Advisor(s)
Abstract(s)
Devido ao processo de desinstitucionalização, a prestação de cuidados ao nível da
saúde mental está a deixar de acontecer em hospitais psiquiátricos, para ser
desenvolvida na comunidade. Os cuidados hospitalares estão a ser integrados em
hospitais gerais mas, mais do que tratar a sintomatologia, é necessário que a pessoa
com doença mental seja encarada em toda a sua globalidade, de forma integrada,
considerando a sua história e contextos de vida, e seja respeitado o direito de ser
cidadã de pleno direito, com voz ativa e participativa em tudo o que a envolve. Assim
sendo, práticas psicossociais com base na relação de ajuda desenvolvidas na
comunidade são imprescindíveis. Para que tal suceda, é necessário que o olhar dos
profissionais não esteja somente focado na doença, mas no potencial de mudança da
pessoa.
O presente relatório reflete o desenvolvimento do Projeto “Reabilitar em Saúde
Mental: Uma abordagem integrada, integral e participada”, realizado no
Departamento de Saúde Mental (DSM) do Hospital Pedro Hispano (HPH) assente na
metodologia de investigação ação participativa. Teve como finalidade alterar as
práticas do DSM do HPH para o desenvolvimento de intervenções mais integradas,
participativas e comunitárias, orientadas para a reabilitação psicossocial das pessoas
com doença mental grave.
O projeto desenvolveu-se em dois eixos: um centrado na organização do serviço,
da equipa e das práticas para um olhar comunitário, e o segundo eixo inclui duas
intervenções psicossociais que visaram a reabilitação psicossocial de dois sujeitos
com doença mental grave, realizadas nos seus contextos de vida.
Due to the deinstitutionalization process, the mental health care is no longer happening in psychiatric institutions, to be developed in the community. The hospital care is being integrated in general hospitals but, more than treating the symptomatology, it is necessessary to face the person with a mental illness as a whole, in a integrated manner, considering one´s story and environment, respecting their right to be a full-fledged citizen, with an active and participative voice in everything that involves them. Therefore, psychosocial approaches based in a help relation developed in the community are essential. In order for that to happen, it is necessary that the perspective of the professionals don´t focus only in the illness, but also in the potential change of the person. The current report reflects the development of the project “Rehabilitate in mental health: an integrated, holistic and participatory approach”, executed in the Mental Health Department (MHD) of Pedro Hispano Hospital (PHH), anchored in the principles of participatory action research methodology. The project aimed changing the practices of the MHD of the PHH in order to develop integrated, participatory and community interventions, oriented for the psychosocial rehabilitation of people with severe mental illness. The project developed in two axis: one centered in the organization of the service, of the team and of the practices to a community viewpoint, and the second axis includes two psychosocial interventions that aim a psychosocial rehabilitation of two subjects with severe mental illness, executed in their contexts of life.
Due to the deinstitutionalization process, the mental health care is no longer happening in psychiatric institutions, to be developed in the community. The hospital care is being integrated in general hospitals but, more than treating the symptomatology, it is necessessary to face the person with a mental illness as a whole, in a integrated manner, considering one´s story and environment, respecting their right to be a full-fledged citizen, with an active and participative voice in everything that involves them. Therefore, psychosocial approaches based in a help relation developed in the community are essential. In order for that to happen, it is necessary that the perspective of the professionals don´t focus only in the illness, but also in the potential change of the person. The current report reflects the development of the project “Rehabilitate in mental health: an integrated, holistic and participatory approach”, executed in the Mental Health Department (MHD) of Pedro Hispano Hospital (PHH), anchored in the principles of participatory action research methodology. The project aimed changing the practices of the MHD of the PHH in order to develop integrated, participatory and community interventions, oriented for the psychosocial rehabilitation of people with severe mental illness. The project developed in two axis: one centered in the organization of the service, of the team and of the practices to a community viewpoint, and the second axis includes two psychosocial interventions that aim a psychosocial rehabilitation of two subjects with severe mental illness, executed in their contexts of life.
Description
Keywords
Saúde mental Programa Integrar Reabilitação psicossocial Relação de ajuda Mental health Integrate Program Psychosocial rehabilitation Help relation
Citation
Publisher
Instituto Politécnico do Porto. Escola Superior de Educação