Implementação e consolidação de um CAPS AD na zona leste de Manaus

Abstract

This study aimed to understand the implementation and operational process of a Psychosocial Care Center for Alcohol and Other Drugs (CAPS AD) located in the eastern zone of Manaus, identifying the challenges and potential present in the daily routine of the service. This is a qualitative, descriptive, and exploratory study, developed through participant observation during a Psychology internship, using a field diary to record the observed experiences and practices. The data were analyzed using thematic analysis, in light of the principles of psychosocial care and the Brazilian Psychiatric Reform. The results showed that the territorial location of the service favors access and retention of users in treatment, while also imposing challenges related to social vulnerabilities, urban violence, and the increasing complexity of the demands met. Stigmatization processes associated with alcohol and other drug use were identified, as well as difficulties in the articulation between different devices of the Psychosocial Care Network (RAPS), especially in cases of dual diagnosis, and the relevance of Continuing Health Education for crisis management and knowledge sharing among workers. On the other hand, the expansion of therapeutic groups, territorial actions, matrix support with Primary Health Care, partnerships with community and cultural institutions, and the construction of Individual Therapeutic Projects articulated to the needs of users were highlighted as potential strengths. It is concluded that the CAPS AD (Psychosocial Care Center for Alcohol and Other Drugs) plays a fundamental role in the implementation of mental health policy in the eastern zone of Manaus, constituting a strategic device for the production of care in freedom, strengthening of bonds, promotion of citizenship, and the effective implementation of the principles of psychosocial care.