Caminhos do Cuidado: uma análise da formação do currículo em saúde mental, crack, álcool e outras drogas para o agente comunitário de saúde e auxiliares e técnicos de enfermagem.

Abstract

This study aims to analyze the Pathways of Care Project´s curriculum Training in Crack, Alcohol and Other Drugs for Community Health Agents (ACS) and Nursing Auxiliaries and Technicians (ATEnfs), in its different dimensions: the Health Policies content of training, pedagogical and methodological choice the curriculum design and its implementation in the territory by SUS Technical Schools (ETSUS). It aims to present Polices of Mental Health, Primary Care and Integral Attention to Users of Alcohol and other Drugs, pointing their connections about the care notion, in order to expand professionals care practices for users of crack, alcohol, and other drugs. It also presents Harm Reduction as an ethical strategy of care, contextualizing it in the debate about drugs, marked by a dispute for different antagonistic, and often exclusionary, approaches. It discusses the insertion of harm reduction in the context of Primary Care, with the Street Clinic (Consultório na Rua) Teams, Basic Care Notebooks and Pathways of Care training as strategies to consolidate harm reduction with a more humanized, inclusive and integral care guideline. In the pedagogical and methodological choice, the organizational structure, work of the teams, curricular matrix and pedagogical material are presented, exploring the potentialities and critical points of the project, analyzing the curricular methodological proposal: the Integrated Curriculum, Problematization and Significant Learning, in the context of the Permanent Education Policy in Health and Professional Education in Health. At the end of the study, it was sought to rescue the challenges of curriculum implementation in the territory by ETSUS, contextualizing the role of schools in Vocational Education and education of ACS and ATEnfs, pointing out weaknesses and potentialities. Through the analysis of the reports prepared by the schools at the end of the project, we highlight the contributions that the Pathways of Care Project have brought to ETSUS in its mission in Professional Health Education.