Challenge in the Production of Care in a Center for Psychosocial Care and Drugs

Abstract

This article analyzes the challenges of producing care in a Psychosocial Care Center for Alcohol and Drugs (CAPSad), seeking to act in consonance with the policies that guide this service. It also focuses on analyzing the macro and micropolitical dimensions that permeate this practice and elucidates strategies of the work process that are experienced by the workers. Thus, a qualitative research was carried out with all 28 employees of the service. Eighty hours of observation of daily work were done, a collective interview session with the participation of ten workers and thirteen individual in-depth interviews followed by Thematic Analysis. Therefore, considering that the production of health care is always in relation, we find that in this service there is compromise of its effectiveness. We point out three modes of care observed: 1. Care centered on the prescriptive act; 2. Careful little relational; 3. Warm care. Therefore, we understand that to produce health care from a warm care is the task of all the professionals of CAPSad and that they must recognize in the user a subject who has desires and needs, who has values ”‹”‹and powers. However, under the conditions in which work is performed at this location, care seems compromised.