Potentialities and challenges of multiprofessional work in Psychosocial Care Centers

Abstract

Objective: to verify the potential and challenges of multiprofessional work in Mental Health in
the practice of services with the workers of the Psychosocial Care Centers of São Paulo, SP, Brazil.
Method: a qualitative, exploratory and descriptive study. 27 workers from nine Adult Psychosocial
Care Centers linked to the Municipality of São Paulo were interviewed. They answered four
guiding questions elaborated by the authors that were evaluated by thematic content analysis.
Results: in the Potentialities of multiprofessional team work in Psychosocial Care Centers category,
enhanced care offered by the Psychosocial Care Centers proposal, training in the area and possible
partnerships in teams, presence of interns/residents stood out; in the Challenges of multiprofessional
team work category, precarious work and worker suffering, presence of “outpatient logic”, lack of
human resources and adequate training, appreciation of medication logic, prevalence of knowledge
and medical power, lack of horizontality in relationship with users, fragility of interaction with
other equipment in the care and intersectoral network. Conclusion: there is a gap between Public
Mental Health Policies and the professionals’ effective practice, the coexistence of the biomedical
and Psychosocial Care paradigms in the services, compromising the fulfillment of the assumptions
of the Psychiatric Reform and the place of the subject of the right to the users of the services.