Banca de QUALIFICAÇÃO: DIEGO HENRIQUE BRILHANTE DE MEDEIROS

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : DIEGO HENRIQUE BRILHANTE DE MEDEIROS
DATE: 02/04/2025
TIME: 14:00
LOCAL: meet.google.com/zee-cpop-bab
TITLE:

FROM MEDICALIZATION TO MORE EFFECTIVE AND SAFER ASSISTANCE PRACTICES IN THE CONTEXT OF THE PRISON SYSTEM: A PROPOSAL FOR A CURRICULAR COMPONENT

KEY WORDS:

Incarcerated Individuals, Psychotropic Drugs, Medicalization, Medical Education, Healthcare Assistance.

PAGES: 126
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

The Brazilian prison system faces structural and healthcare challenges that compromise the health and dignity of the incarcerated population. Medicalization, particularly through the use of psychotropic drugs, reflects an institutional strategy of behavioral control, often disconnected from comprehensive and humanized care. In this context, training healthcare professionals to work in this environment becomes essential to ensure safer and more effective healthcare practices. This study aims to develop a proposal for a curricular component for the Medical School of the Multicampi School of Medical Sciences at the Federal University of Rio Grande do Norte (EMCM/UFRN), titled Effective and Safe Healthcare Practices for Incarcerated Individuals. The research was conducted through an integrative literature review and direct observation of healthcare practices in a state penitentiary located in Seridó Potiguar. Data analysis revealed that the use of psychotropic drugs in prisons extends beyond their therapeutic function, being employed as an institutional control mechanism, compromising the autonomy of incarcerated individuals and raising ethical and legal concerns regarding psychiatric care in this context. Additionally, the observation of the prison unit's routine highlighted structural and organizational challenges in the workflow, such as a shortage of human and material resources, bureaucratic barriers to healthcare access, and the lack of well-defined protocols for mental health management. The confinement conditions, coupled with deficient healthcare assistance, create a scenario in which medicalization becomes an institutional response to mental health demands, often without proper follow-up or integration with non-pharmacological therapeutic strategies. The experiences of incarcerated individuals also revealed significant mental health impacts of imprisonment, particularly due to the loss of family ties, overcrowding, and the disciplinary environment. Psychological distress, often disregarded as a legitimate healthcare demand, results in care practices focused on symptomatic containment, reinforcing medication as the primary clinical management tool. Given this scenario, the proposed curricular component aims to train future physicians to work critically and competently in prison healthcare, addressing clinical-pharmacological, ethical-legal aspects, and interdisciplinary strategies for managing mental health in incarceration settings. The course is structured around active learning methodologies, such as Flipped Classroom and Team-Based Learning, fostering case discussions based on real-life prison healthcare scenarios. It is expected that implementing this course will contribute to training professionals better prepared to tackle the challenges of prison healthcare, promoting care that respects human rights and the principles of equity and comprehensiveness within the Unified Health System.

COMMITTEE MEMBERS:
Presidente - 1803442 - ALMARIA MARIZ BATISTA
Interno - 3050262 - MARCELO VIANA DA COSTA
Externa à Instituição - ELIANA ELISABETH DIEHL - UFSC