Mental health and interdisciplinary work: the experience in 'Candido Ferreira', in Campinas, State of Sao Paulo, Brazil

摘要

This article analyses the process on the psychiatric reform, with a focus on the interdisciplinary work developed by the health professionals from the health service "Dr. Candido Ferreira"in Campinas, Brazil. This is a philanthropic institution which contributes significantly to public mental health network in this city. Even though the service is integrated to the Unified Heath System (SUS), it presents a financial, administrative and managerial independence, which allows implementing some therapeutic experiences and managerial innovations. More specifically, this article focuses on the process of decision making by the interdisciplinary team, involving diagnosis and therapeutic process. Other themes, related to the organization of the service in the process of dehospitalization, are considered, such as the transfer of patients into residences outside the institution, the maintenance of these units, the management of the workshops in the institution which allows a financial income for the patient, and the beginning of the institution as a three years residence in Psychiatry. The methodological approach of the research is essentially qualitative, drawing from interviews and participant observation, related the professionals from this service.