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- W83419222 abstract "The Psychiatric Reform, which was responsible for important conceptual, social, ethical, legal and institutional changes in the psychiatric attention in Brazil, was favoured and influenced by the context of crisis and paradigmatic transition in the sciences field since 80 years. With the slogan “For A Society without Madhouses” proposed by the Movement of the Workers of Mental Health, this Reform caused ruptures with the madhouse paradigm and its exclusion characteristics. As a result oftheses changes, were generated new services with innovative experiences, guided by an ethics of social inclusion and affirmation of the citizenship rights of the people with mental disorders. Entitled substitutive services because of the ruptures with the madhouses model and its references, they opened a new field of construction of other knowledge, practices, cultures and ways of relationship with the insanity.The production and increasing of new services or substitutive services in the context of SUS (Sistema Unico de Saude) appear as one of the main challenges to the principles of the Psychiatric Reform, considering the important ruptures in the madhouses model in opposition to a simple technical and assistance reform. The discussion of the meaning ofthese services, the identification of its genealogy and of its proposals were the object of this study, once the use of its terminology is not much related to its meaning. In this perspective, the objective of this study was to contribute to the discussion around the concept of substitutive, based in the recognition of the experience of the Centers ofReference in Mental Health (CERSAM) of Belo Horizonte – MG in the mental health sector and in its definition as substitutives. The research involved the investigation of the produced literature about the substitutive services, the discursive practices of regional coordinators and managers and the observation of the practice of the service works in the field.Using as theoretical reference the deinstitutionalisation while deconstruction of the Democratic Italian Psychiatry, the study showed the experiences of the Centers of Mental Health of Trieste and of the Nucleus of Psychosocial Attention (NAPS) of Santos, trying to elaborate and to reflect about the main concepts related to substitutive services." @default.
- W83419222 created "2016-06-24" @default.
- W83419222 creator A5079803860 @default.
- W83419222 date "2004-01-01" @default.
- W83419222 modified "2023-09-26" @default.
- W83419222 title "Problematização do conceito de serviços substitutivo em saúde mental: a contribuição do CERSAM de Belo Horizonte-MG" @default.
- W83419222 hasPublicationYear "2004" @default.
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