Itinerários terapêuticos dos sujeitos em sofrimento psíquico e qualidade do cuidado na rede de atenção psicossocial: experiências de usuários de Fortaleza-Ceará

Abstract

The mental health care network results from the interaction of the subject with territory and offered services. It also provides various arrangements and ways how the subject connects, goes in search to producing of attention his suffering. Therefore, the analysis and understanding of how these services are interacting, the quality of care for the constitution of care network to users are critical to the expansion and qualification of access and care to this population. Thus, this work aims to understand, from therapeutic itineraries of individuals in psychological distress, as it reveals the quality of care in the integrality and humanization dimensions, the Network for Psychosocial Care in their interfaces with the networking in Fortaleza-Ceará. This is a qualitative research approach, aligned to the critical-interpretive perspective, developed through analysis of medical records, systematic observation and narrative interviews with users and their families of the three services of Psychosocial Care Network of Fortaleza-CE. The categorization of the empirical material led to three central themes: a) therapeutic itineraries; b) Quality of care and; c) (Dis) networking. The results indicate the diversity of concepts and therapeutic care of psychological distress, with an emphasis on hospital-centered model; the humanization and integrality dimensions as categories that reveal the quality of care in their formal, qualitative and relational aspects present in the practices and ways to care for and; the need for change in individual care for networking, with a view to ensuring the quality of care devices model. It is concluded that only network guided by quality of care, with its potential for collective construction of therapeutic itineraries is able to cope with the complex demands and ensure resolution and the promotion of autonomy and citizenship for people with psychological distress.