Processo de trabalho em saúde mental: um estudo com trabalhadores de CAPS

Abstract

This study aims to investigate the mental health work process in Community Psychosocial Centers (CAPS) of Uberlandia (MG). The specific objectives are: 1) Delineating working environment and conditions in this CAPS; 2) Analysing the labour process organization of the mental health workers; and 3) Investigating aspects that influence in health-illness process of CAPS workers, especially psychological suffering. This is an exploratory qualitative research in the field of Occupational Health, in which the material was selected and processed for Content Analysis and referred to the theoretical category of Psychodynamics of Work of Christophe Dejours. For data collection, the following instruments were used: observation-participant, sociodemographic questionnaire and semi-structured individual interview. Analysis of the material was enabled to create following indicators: working environment and conditions not CAPS; labour process organization in CAPS; interpersonal relationship at work; experiences of suffering and pleasure at work. The evaluation of labour process organization was associated to: accidents risks, biomechanical risks and mental health risks. These risks are derived from excessive work hours and inadequate staff dimensioning that interfere in the process. in the operative mode of the tasks, causing changes in the work rhythm, generating overload and pressure, a framework for tracking the process of mental health workers at the CAPS mental conditions of access to the pathogenic work that are between the prescribed work and the actual work promoted. Analysis of working environment and conditions in CAPS demonstrated that building is adapted and improvised, characterizing an inadequate physical structure, just as the materials are insufficient for the development of proposed activities, being problems faced by the workers, who need to constantly adapt and undergo poor working conditions, which causes distress and dissatisfaction and intensifies the factors of mental exhaustion. In addition, CAPS mental health workers are closely connected to their work, which becomes a source of sublimation and health promotion. The present study proposes the replanning of work in CAPS.