A expansão da terapia comunitária integrativa no Brasil e sua inserção em ações de políticas públicas nacionais

Abstract

The Integrative Community Therapy (ICT) is an approach of health attention, created in 1987 by Professor Doc. Adalberto Barreto in the Federal University of Ceará in Pirambu, suburb of Fortaleza – CE. It was raised in a punctual context, getting well known by the constitution of a integrative net of 47 centers of formation in ICT all abroad the country with proximally 33 thousand communitarian therapists trained in Brazil. This approach has national and international visibility, being recognized in all counties, states and country’s public policies. The goal of this research is to describe and analyze the expansion process of the Integrative Communy Therapy in Brazil and their inclusion in national policies. The research was exploratory-descriptive-analytic used qualitative methodology by the bibliographic revision, documentary analyzes, semi-structured interview, questionnaires, and registers of field observation. Members of 23 formation centers in ICT, including the 1 of the direction of Brazilian Association of Community Therapy, 1 of the National Bureau of Drug´s Policies, the Health Ministry, the program Vira Vida, and the Social Service of Industries, totalized 28 subjects of this research. To the data analysis, the chosen technique was content analysis. The ethic principles were respected, as it is defended by the National Council of Health, in the resolution nº196, of 1996. This research identified, about ICT, one institutional movement that made easier the insertion of it in public policies (health, education, social assistance, and others), in private institutions, and in the third sector, which identified it as a good practice of communitarian health, resulting in the investment in training and in the creation of places to perform the meetings. The research recognized, equally, the existence of a favorable field to the expansion of ICT, with the presence of important actors in this process, as the Brazilian Association of Community Therapy and the formation centers in ICT, by being spread out and integrated as a net in Brazil. However, the data achieved in this research created a debate about the efficiency of ICT’s implantation, as it has identified the fragility in the monitoring of this process of implementation seen that there isn´t mechanisms to evaluate and escort this insertion by policies that they conducted