Proposal for training to welcome users with mental health problems: concepts, potential and challenges experienced at CAPS III in the city of Natal-RN.
Reception. Mental Health. Psychosocial Care. Continuing Education in Health. Anti-asylum Model.
Mental health reception is an essential technology to ensure comprehensive and humanized care for users of the Psychosocial Care Network (RAPS). This study aimed to develop a training proposal for professionals from a CAPS III in Natal/RN, focusing on the care and reception of users with psychological distress, based on the concepts, potentialities and challenges of mental health reception. This is a qualitative study with a descriptive-exploratory approach, with the production of a technical-technological product. The study was developed in two phases: Phase 1 - Identification of the content of the course proposal: based on the perceptions of health professionals and the pillars used to implement a reception proposed by the PNH; Phase 2 - Structuring of the course proposal. The study was carried out at CAPS III Leste, located in the city of Natal, capital of the state of Rio Grande do Norte. The sample consisted of health professionals from the service, including nurses, nursing technicians, physicians, pharmacists, social workers, psychiatrists, and psychologists assigned to the aforementioned CAPS. The study was submitted to and approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion no. 6,566,565 and CAAE: 75841823.4.0000.5537. The results indicated that, although reception is widely recognized as a structuring axis of mental health care, its implementation still faces significant challenges, such as service overload, lack of ongoing training, and resistance to implementing a comprehensive care model. The perceptions of the interviewees evidenced both traditional, more bureaucratic and standardized conceptions, as well as perspectives aligned with the guidelines of the National Humanization Policy (PNH), which emphasize qualified listening, therapeutic bonds, and co-responsibility for care. Among the challenges highlighted, the following stand out: overcrowding of services, insufficient human resources and fragmentation of the network, making it difficult to coordinate between the different levels of care. On the other hand, the professionals highlighted the potential of the reception, including the construction of therapeutic bonds, the multidisciplinary approach and the possibility of expanded and humanized listening. In addition, it was identified that continuing education in health is an essential factor to qualify the reception and combat stigmas still present in mental health care. It can be concluded that professional qualification and strengthening of the RAPS are fundamental strategies to improve the reception in mental health, promoting more effective, humanized care aligned with the principles of the Psychiatric Reform and the PNH.