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Previous issue date: 2016-04-22 / O presente trabalho teve por objetivo analisar o cen?rio hist?rico de constru??o das pol?ticas de sa?de mental para a crian?a no Brasil, desde sua matriz at? a cria??o do CAPSi. Teve como ?nfase a realidade de Natal/RN, escolhida em virtude da recenticidade da implanta??o do CAPSi, servi?o de sa?de mental de vanguarda na proposta de substitui??o ao modelo m?dico asilar historicamente estabelecido. Foram objetivos espec?ficos: a) resgatar e analisar, pela perspectiva da sa?de mental infantil, os documentos produzidos a partir das Confer?ncias Nacionais de Sa?de (CNS) e de Confer?ncias Nacionais de Sa?de Mental (CNSM); b) analisar o cen?rio hist?rico que perpassou a cria??o dos CAPSi no Brasil e na capital do Rio Grande do Norte (RN); c) identificar e analisar as pr?ticas e os discursos utilizados para legitimar a??es no CAPSi Natal. Para isso, submeteu-se ? an?lise de discurso foucaultiana dados de pesquisa documental em relat?rios e documentos oficiais, e de entrevistas semiestruturadas com t?cnicos respons?veis pela implanta??o do CAPSi Natal. Os relat?rios das CNS evidenciaram estas como espa?o de discuss?o sobre a crian?a, primeiramente a crian?a deficiente e posteriormente a crian?a diagnosticada com transtornos neur?ticos e psic?ticos graves, passando pela sa?de da parturiente enquanto pol?tica de controle da sa?de mental infantil. J? as CNSM se inseriram no processo pol?tico de reforma do modelo psiqui?trico, abrindo espa?o para o debate direto e efetivo do projeto de implanta??o dos CAPSi?s. Em Natal, esse projeto tem origem na demanda jur?dica para enfrentamento ao problema social do adolescente adicto. Gra?as ? luta travada pelos t?cnicos, o CAPSi Natal se efetivou com uma proposta de desinstitucionaliza??o e inclus?o, assumindo caracter?sticas efetivas de pol?tica em sa?de mental para a inf?ncia e juventude, as quais, atravessadas pela heran?a de exclus?o, encontram no s?culo XXI espa?o privilegiado para efetivas mudan?as, igualmente seu maior desafio. / The objective of this study is to analyze the historical setting of the development of mental health policies for children in Brazil, from initial initiatives to the implementation of CAPSi. The study focuses on the context of Natal / RN, which was chosen due to the recent inauguration of CAPSi, an innovative mental health service, aimed at replacing the traditional medical asylum model. The specific objectives of the study are to: a) collect and analyze, from the perspective of children's mental health, the documents produced from the National Conferences of Health (CNS) and the National Conference of Mental Health (CNSM); b) analyze the historical setting that led to the creation of CAPSi in Brazil and the capital of Rio Grande do Norte (RN); c) identify and analyze the practices and discourses used to legitimize actions in CAPSi Natal. To this end, a Foucaultian discourse analysis was carried out on bibliographic data, including research reports, official documents and semi-structured interviews with the officials responsible for the implementation of CAPSi Natal. CNS' reports provide evidence of these as places to discuss children, primarily disabled children, and children diagnosed with severe neurotic and psychotic disorders, even addressing health practices regarding women in labor, as well as policy control of infant mental health. The CNSM already implemented, in the political process of reform of the psychiatric model, paving the way for a direct and effective debate of the CAPSi's deployment project. In Natal, this project comes from the legal demand to face the social problem of substance abuse in the adolescent population. Thanks to the struggle waged by the technicians, the CAPSi Natal was accomplished with a proposal of de-institutionalization and inclusion, taking on effective policy features in mental health for children and youth, which, living through a heritage of exclusion, to find in, the XXI century, privileged space for effective change, also its greatest challenge.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22777 |
| Date | 22 April 2016 |
| Creators | Cabral, Clariana Morais Tinoco |
| Contributors | 01979845840, Amorim, Ana Karenina de Melo Arraes, 02126900436, Pinheiro, Angela de Alencar Araripe, 08186430300, Silva, Carmem Virginia Moraes da, 94385670625, Leite, Jader Ferreira, 51954710372, Francischini, Rosangela |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM PSICOLOGIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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