Residências multiprofissionais em saúde mental no Brasil: formação para saúde mental na atenção básica

Abstract

Multiprofessional Residency Programs in Mental Health (PRMSM) are strategic in training for psychosocial care in the Unified Health System. The training in Mental Health in Primary Care by the Multiprofessional Residency Programs in Mental Health in Brazil was analyzed. The study was carried out in four stages: theoretical study of the dismantling of the National Policy on Mental Health, Alcohol and other Drugs (2016 to 2022) and its interfaces with training by the PRMSM in Brazil; documentary study of seventeen Pedagogical Projects of the PRMSM in Brazil; exploratory study through interviews with seventeen PRMSM coordinators; evaluability study with 20 experts to validate the Criteria Matrix through the Delphi Consensus. The results of this thesis are divided into four articles. Advances consist of dialogue with the National Policy on Mental Health, Alcohol and Other Drugs in defense of the human rights of people with mental health problems and/or who make harmful use of alcohol and other drugs, in addition to innovation in educational processes based on learning through experience. Trends are directed towards the decolonial debate on madness and training for practices in Mental Health in Primary Care. Challenges are part of the disputes over models of mental health care and the capitalist-colonial subjectivity that impact the implementation of interprofessionality. Residencies raise new subjectivities for work in the territory in search of the implementation of the sociocultural dimension of the Brazilian Psychiatric Reform. However, for such implementation, investments and public policies are necessary to guarantee the return of professionals trained by the PRMSM to the Psychosocial Care Network.