MODELO ANDRAGÓGICO DE FORMAÇÃO PARA O CUIDADO CENTRADO NA PESSOA NA ATENÇÃO PSICOSSOCIAL
Authors: Sousa Johnatan Martins 
Published: February 2025

In the Brazilian scenario, in relation to community psychosocial care service teams, there is still criticism of the hegemony of the biomedical model leading their practices. One possibility of breaking this hegemonic power is the adoption of the Person-Centered Clinical Method, which aims to promote the protagonism and activation of health service users in the care process to reverse this situation through the application of four related components: a) Exploring health, illness and the experience of illness; b) Understanding the person as a whole; c) Drawing up a joint problem management plan; d) Strengthening the relationship between the person and the doctor/health professional, as evidence indicates that in the mental health scenario it is still necessary to increase the participation of users in the decision-making process about their care. The objective was to understand the health team's training process on person-centered care in psychosocial care. Intervention research with a qualitative approach carried out in two stages. In the first, 17 professionals from two Psychosocial Care Centers in a municipality in the central region of Brazil participated between the months of June and August 2021, using a sociodemographic and professional profile questionnaire, in addition to a semi-structured script for an individual online interview and notes. in a field diary to survey situational diagnosis on person-centered care. The second phase of data collection consisted of a training intervention guided by the Experiential Learning Cycle on person-centered care, carried out in four meetings to equip multidisciplinary teams and took place between the months of October and December 2022 with the participation of 30 professionals of the services covered in the first stage of the study. The emerging data was organized with the help of the ATLAS.ti software and subjected to content analysis, thematic modality. From the analytical process of the situational diagnosis on person-centered care in psychosocial care, 7 thematic categories emerged: 1. Health/illness process in the light of person-centered care; 2. Practice of welcoming for person-centered care; 3. Assistance planning; 4. Enhancer aspects of the therapeutic relationship; 5. Repercussions of the therapeutic relationship; 6. Challenges for the therapeutic relationship; 7. Training process. The results highlighted potential related to person-centered care in the context of psychosocial care, however, it also highlighted some challenges that need to be overcome for the full implementation of the Person-Centered Clinical Method,especially issues related to interpersonal and relational competence. These findings made it possible to construct the second phase of the research to qualify the teams' professional practice in relation to person-centered care. The investigation showed that even in a non-systematized way, the teams at the Psychosocial Care Centers put into practice some aspects of the Person-Centered Clinical Method and demonstrate the importance of training processes for combining practice with theoretical foundations tostrengthen the model of psychosocial care.