Restabelecimento da vida: a estratégia de Recovery na atenção psicossocial

Abstract

The Psychiatric Reform in Brazil was started in the 1970s and gave rise to several social transformations, allowing a new model of mental health care. In this perspective, Recovery emerges as a process of paradigm shifts in mental health and also as a guide in the reformulation of the role and practices of professionals of this service, contributing to the empowerment of users with mental disorders in the community. Objectives: To analyze the movement of Recovery in mental health through international publications and cross-cultural adaptation of the Providers Survey instrument for use in Brazil. Methodology: To understand the scope of the term Recovery, an Integrative Review of international literature was conducted over the past six years. The review phases took into consideration the selection of the thematic question, establishment of inclusion and exclusion criteria of articles, sample selection, analysis and interpretation of results. The search strategy involved crossing the keywords Recovery and Psychosocial Rehabilitation and Peer Support. Free, full English articles were included and 24 publications were selected. The other study of this dissertation aimed to perform the crosscultural adaptation of the Providers Survey instrument for use in Brazil, consisting of six steps: 1 - Translation of the instrument from the source language to the target language; 2-Realization of the synthesis of translated versions; 3 -Analysis of the version synthesized by expert judges; 4 - Reverse translation to the source language (backtranslation); 5 - Pre-test and 6 - pilot study - phase conducted with 56 higher education and high school health professionals at the points of the Psychosocial Care Network (RAPS) in the city of Montes Claros, MG. For data analysis, the Wilcoxon test was used to verify the level of significance between the means of the five answers considered most important and the five answers considered less important by the interviewees. Results: The Integrative Review evidenced interventions and facilitating strategies for the analysis. rehabilitation orientation in Mental Health services, such as family support, friends network, community support, self-help groups, work / employment, social networks, spiritual beliefs, self-care, self-management, artistic activities and professional support. The results of these studies showed positive impacts on the restoration of the user in the community and the achievement of a significant quality of life. In the Cultural Adaptation process, in the results of the Pilot, the professionals evaluated as the most important activities, 'hosting', 'carrying out case follow-ups', 'providing a case management reference technician', which possibly related with the care models provided for in Brazilian public policies. As for the less important classifications considered by professionals, 'being financially independent', 'being abstinent from drugs and alcohol,' being employed in formal work '. These are probably justified due to the lack of recovery strategies allied to the experiences of clinical practice or even by existing stigmas in the Brazilian context. The adaptation of the Providers Survey demonstrates the importance of adapting mental health instruments, especially on Restoration, as well as the importance of further studies on Recovery and the creation of public policies in Brazil for the inclusion of users in work / employment.