"Quadro de Internação Psicótica": estudo de caso sobre a internação psiquiátrica compulsória infanto-juvenil no Rio de Janeiro.

Abstract

In order to investigate the phenomenon of compulsory psychiatric hospitalization in Brazil, a case study was developed with agents and institutions in the education sector, health and justice in Rio de Janeiro. This admission mode is provided for in Law 10.216/2001, as well as voluntary and involuntary. Thus aimed to answer the following research problem: how to characterize the intervention of state-judicial agents that result in compulsory psychiatric hospitalization in the field of attention to children and adolescents? Therefore, the present study sought to understand a specific way of state-judicial decision, the compulsory psychiatric hospitalization of children and adolescents, from the perspective of those involved in the case Jessica between 2010 and 2014. The research methodology consisted of: (i) 5 interviews (expert psychiatrist, public defender, psychologists and psychiatrist); (ii) document analysis (school record, court records and medical records). In literature review was presented a description and analysis of 31 studies of the national scientific production developed in the fields of law, public health, psychology and psychiatry. Part of this scientific production deals with the case Jessica, as well as other cases of compulsory juvenile psychiatric hospitalization, as an example of double imputableness - a mental disorder and the age of 18 years - involving aggression, diagnosis of conduct disorder and personality, low condition socioeconomic and black. Unlike the others, the Jessica case has no connection with the use of illicit drugs. Characterized by versions as a "psychiatric adolescent" by some, a "risk for all citizens" by others, as well as a "patient" with "personality and mood disorder" and also as the daughter of a "progenitor" with path institutional "domestic violence" and the daughter of a "father" who begins to "pay the pension" only under the pressure of a Specialized Reference Center for Social Work. Thus becomes an "emblematic case" in the network of mental health care in Rio de Janeiro the year 2010 s after the "aggression" episodes, "attempted suicide" and "leaks" that raised hearings, referrals, hospitalizations and sheltering. Sought to highlight both the different age classifications of "psychiatric adolescent", considered "a threat to all citizens" when the "surge", as the weight of different legal, psychiatric and administrative categories in the definition of its institutional history and especially in state-judicial decision to hospitalize her compulsorily. Finally, the study sought to highlight the practices of social control in the Brazilian current context, evidenced in state-judicial decisions Jessica s case, posing in game age ratings as well as legal, psychiatric and administrative categories, referring to a process of judicialization of abnormality, as well as a committed juridicization process of children and adolescents in special protection measure.