Desafios e dificuldades na efetivação da alta dos usuários dos centros de atenção psicossocial: uma revisão integrativa

Abstract

The Psychosocial Care Centers (CAPS), established from the Psychiatric Reform, have as one of their main objectives, to offer health care following the psychosocial model, seeking to establish strategies to enable increased autonomy, social participation and protagonism of users, considering the different contexts in which these subjects are inserted, in conjunction with the territory and other sectors of society. However, psychosocial care in the Brazilian scenario presents challenges, the effectiveness of user discharge is one of them. The present study aims to investigate, analyze and reflect on the possible difficulties involved in the effective discharge of users from CAPS in Brazil, through an integrative literature review. The data collection was performed in the LILACS and SCIELO databases. The established time frame was the period from 2012 to 2022. Three studies were selected. Through analysis and categorization, three main thematic axes were established: Challenges in the Psychosocial Care Network, Challenges in the articulation of CAPS with the Intersectoral Network, and Lack of Social Support Network. The possible difficulties found were: articulation of the intra and intersectoral network, disagreements between the team, bonding, lack of social and family support, instability and insecurity of patients, prejudice of professionals, articulation of the psychosocial care network, interruption of drug treatment, insecurity in promoting the transfer of care, and little planning for discharge. The results express the dimension of care, related to the discharge process in CAPS, which is characterized by social, cultural, economic, emotional, subjective, and institutional aspects.