A ação territorial do Centro de Atenção Psicossocial (CAPS) enquanto indicativo de sua natureza substitutiva
The present dissertation aims to investigate the possibilities of action of a 
Psychosocial Care Center (CAPS) in relation to its territory. The theoretical reference 
provided by the Italian Democratic Psychiatry and by the experience from Santos of a 
mental health program introduces services which act as a replacement for the madhouse 
model as they promote a rupture concerning the psychiatric hospital work. The territory 
becomes a strategic actor to the transformation of the relationship among psychiatry, 
insanity and society. As a group of social references, of intrapersonal functioning codes 
which confront a social imaginary and reality that include or exclude the different, the 
territory is a stage of exercise to the cultural transformation in relation to the 
phenomenon of madness. 
In the context of SUS (Sistema Unico de Saude), the CAPS, created in order to 
replace the continuous treatments in psychiatric hospitals, is included in the category of 
health services by the ministerial decrees, and is spread nationally as a place of 
reference and treatment for people who suffer from psychiatric disorders. The 
production of substitutive services related to SUS challenges the services to break with 
a trajectory of a reform reduced to a technical-assistance dimension, in order to 
approach again to the ethical, conceptual, judicial and social transformations which are 
part of the Brazilian Psychiatric Reform movement. Therefore, it is necessary to go 
beyond the traditional clinic view, and include in the praxis different ways of knowing 
the patients, families and territory. 
A CAPS in the state of Rio de Janeiro was taken as a field of investigation in 
order to verify how its everyday praxis is organized, investigating the possibilities of its 
actions, either inside the institution or in relation to the territory, strengthen 
transformations in the ways of conceiving and dealing with insanity. A participant 
observation was used as well as semi-structured interviews with some professionals 
who work in the CAPS. The investigation emphasizes the importance of making the 
everyday work reach an understanding of the transformations it can operate.
Território e serviço comunitário de saúde mental: as concepções presentes nos discursos dos atores do processo da reforma psiquiátrica brasileira
Uma das proposicoes dos Centros de Atencao Psicossocial (CAPS), servicos substitutivos de assistencia a saude mental de base comunitaria e territorial, , e a intervencao no contexto de vida dos usuarios, buscando explorar os recursos existentes para a viabilizacao dos projetos terapeuticos, os quais devem possibilitar transformacoes concretas no cotidiano. Nesse contexto, foi desenvolvida a pesquisa que tem como referencial metodologico a teoria da vida cotidiana, proposta por Agnes Heller, e as categorias analiticas, territorio e reabilitacao psicossocial. Trata-se de um estudo de caso com a finalidade de identificar e discutir as possibilidades das praticas territoriais na producao de mudancas no cotidiano dos usuarios. Nesse artigo, buscamos discutir um dos objetivos delineados no estudo: compreender a representacao que a equipe multiprofissional tem sobre "territorio" e "servico de saude mental de base territorial". O campo do estudo constituiu-se em um dos CAPS III da cidade de Campinas/SP e os colaboradores desta pesquisa foram os trabalhadores de saude mental, os usuarios e nao usuarios do servico. Os dados foram coletados por meio de entrevistas semiestruturadas e sessoes de grupo focal. Na analise dos dados, sob o enfoque da Analise do Discurso, obteve-se como resultado o reconhecimento de tres categorias empiricas, dentre as quais o territorio. As acoes no territorio e que dao significado para o cotidiano do servico e nisso reside a importância dessas intervencoes, as quais diferenciam um hospital psiquiatrico de um servico comunitario.
Targeting oral anticoagulation
Clinical Pharmacology & Therapeutics (2000) 68, 4–5; doi: 10.1067/mcp.2000.108197