The Psychosocial care in childrens mental health field: deconstructing knowledge and reinventing health

Abstract

This article proposes a reflection on the concept of health-disease and its consequences in networking and intersectoral work. Using the psychosocial care model and the Brazilian Psychiatric Reform as a reference, it seeks to reflect on how juvenile mental health enters the Brazilian scenario. To this end, it analyzes a clinical case attended at a Child and Youth Psychosocial Care Center, seeking to articulate the concept of health and disease and intersectoral work with the Brazilian Psychiatric Reform paradigm. The Brazilian Psychiatric Reform represents the deconstruction of psychiatric knowledge and (re)insertion of madness in the City. With this, we see the emergence of the psychosocial model of care to the detriment of the biomedical model, changing how we conceive the subjects and the health-disease process. These changes are accompanied by tensions since the deconstruction of knowledge and asylum practices is an ongoing process, involving several social actors. This equation is complexed in the field of mental health for children and adolescents due to the historical invisibility of this clientele in public policies. In this sense, networking and intersectoral work represent a powerful tool for transforming crystallized knowledge and practices, in a micropolitical movement, as proposed by the Brazilian Psychiatric Reform.