Internações compulsórias: um estudo sobre a operacionalização do “Projeto Saúde - Santa Maria (saúde mental)” no CAPS AD cia do Recomeço

Abstract

The present study addresses compulsory hospitalizations (CH) from the perspective of the Psychiatric Reform of freedom care formalized by brazilian law system as “Law 10.216/01”. Through this study were evaluated the effectiveness and efficiency of the development of Projeto Saúde – Santa Maria (Mental Health) created by Defensoria Pública de Santa Maria (DP) in partnership with Secretaria Municipal de Saúde de Santa Maria (SMS) and Centros de Atenção Psicossocial (CAPS), with the goal to reduce the number of CH in the city. To this end, we sought to understand how the operationalization of this project takes place at CAPS AD Cia do Recomeço, in order to identify the results obtained so far as the result of this work. This research was structured with literary revision about the theme and documental research on the medical records at CAPS AD Cia do Recomeço, as well as documents from DP and SMS. It is based on a theoretical framework which comprehends compulsory hospitalization as a tool of imprisonment founded on prohibitionist ideology, considering the use of psychoactives as a phenomenon that takes specific shapes for maintaining the capitalist society’s status quo. Finally, it is noted that the project analysed is efficient regarding the reduction of CH in the city of Santa Maria, however it shows limitations within its efficiency related, mainly, to how the project is evaluated, to its disparity on operationalization means and the blank spaces related to the lack of investment in mental health in the face of substantial economy of resources obtained through the project’s operationalization.