publicado em 15/05/2012 às 20h12:00
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'Setbacks' rekindle the struggle to end the asylums in Brazil

Week of anti-asylums, which ends Friday (18th), takes up the debate in defense of the humanization of psychological distress

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Proposals for compulsory hospitalization, such as those promoted by the city of Sao Paulo for crack users, and strengthening of therapeutic communities with a strong religious bias, that may receive public funds, mental health specialists worried. Term setbacks like these show that the interests manicomiais are making a comeback, laments psychologist Roger Giannini, president of the Association of Psychologists of São Paulo (Sinpsi).

To intensify the debate on measures to replace the asylums for alternative humane, inclusive and effective, the State Asylum Front, which are part of the Sinpsi Workers Union and Public Health in the State of São Paulo (Sindsaúde) promotes the Week Anti-Asylum, which began Saturday (12) and runs until next Friday (18).

Activities and demonstrations are planned to call the attention of society and governments to the importance of treatment of psychological distress without segregating or excluding the sick person's social life. It is proven that this method does not work. After all, hiding the problem when you must face it together with the set of factors that trigger, says Giannini.

He said an alternative treatment that is already showing good results was implemented in 14 municipalities, including St. Bernard, in the ABC Paulista. Is the program Consultório Street SUS, combined with the service network of the Unified Health System This is a strategy for increasing access to care and drug users in a situation of social vulnerability, involving mental health professionals , basic health and at least one social worker, activities and educational and psychosocial interventions in the street, next to drug users. The team has inputs available for the treatment of common clinical situations, dressing materials, medicines and more frequent use of condoms, and educational material.

The office in the street shows that you can meet in a humanized way, through dialogue, confidence, training links, says Giannini, who defends investments in inclusive and humane public policies that respect the autonomy, the right to freedom, the regional and individual differences.

Law no. 10216/2001 laying down the Psychiatric Reform, provides for the protection and rights of persons with mental disorders and redirects the mental health care model for a network replacement asylums, that instead of treating them so humanized, imprisoned excludes from social and kills.

The objective of this network service is to articulate prevention, treatment and rehabilitation, housing and income generation, and propose investment in the rehabilitation of the subject and family reorganization. In its assessment, the CAPS (Psychosocial Care Center), a federal government program, are successful alternative to the model of assistance to users of mental health service. The work happens through actions aimed at families, in favor of social inclusion projects.

A Week of Anti-Asylum, which has the support of municipal governments and scientific bodies and social experience with this theme, will be closed with the Health Act does not sell, nothing to do crazy who is sick is the social system in the clearance of the MASP , the state capital. The mobilization will bring together users of mental health services and industry professionals who support the reform of psychiatric asylums in order. After 14h, the protesters will walk to the building of the Secretariat of Health of São Paulo, next to the Hospital das Clinicas, in protest against the compulsory hospitalization.

<b> Contramão </ b>

As the Union of Psychologists of Sao Paulo, last month the ABC region walked in the opposite direction of the humanization of mental health care. The state board of health has expanded to 70 the number of psychiatric beds contracted hospital Lacan, in St. Bernard. Three years ago, the state government had hired 30 of the same psychiatric hospital beds, disregarding federal law and the Code of Health of São Paulo. Also according to the Sinpsi, the opening of new beds took place without any pact with municipal SUS Greater ABC region under the Regional Commission Interfederativa and disrespects the single command and legislation that restricts the expansion of psychiatric beds in Brazil.

   Palavras-chave:   Mental health    Mental asylums    Psychiatry    Psychologists' Union of São Paulo    Sinpsi   
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