A clÌnica diante da dicotomia do ServiÁo Residencial TerapÍutico: entre a casa e a instituição

Abstract

The concept of madness was not always the same. Over the years, the view of individuals considered crazy has changed, as have the place and forms of treatement directed to them. Currently, in Brazil, there is the Psychosocial Care Network (RAPS), established with the purpose of welcoming people with mental suffering and needs arising from the use of alcohol and other drugs, within the scope of the Unified Health System (SUS). The therapeutic residential service, also known as therapeutic residence, is part of this service network. This device, in particular, is housing, preferably located in communities, intended for people with mental disorders, discharged from long-term psychiatric hospitalizations, and who do not have social or family support to return to. The therapeutic companion is one of the professionals who work in this service, making themselves available to accompany these individuals in their new social and daily lives. This work seeks to raise some questions that surround this professional, who despite having a fundamental role in clinical listening and in the articulation between the subject and the territory, perceives his clinical exercise as limited by the institution. Therefore, we ask ourselves, which clinic is possible given the specificity of this service.