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Occupational Therapy

E to leave some ideas in open as sketch to think the politics of mental health. Capszao I believe that in the theoretical conception of the CAPS it has perhaps not previsible vieses in the theory, but that they go if becoming evidentes in the practical one. In the CAPS-AD they had been capszao . The institution works as a hospital day, where the patients, in accordance with the program of treatment considered for each one, can pass the day and come back at night toward the house. During the day, they participate of activities of Occupational Therapy, Workshops of Art, Groups of Therapy, Games, and Consultations.

The problem is that the criteria to define which patient ones go to frequentar such activities and in which days many times something is subjective. Many patients if accomodate, if they accustom, they start to like to frequentar the CAPS daily, after all, they take coffee, they lunch, they take snack, they practise sport, they participate of workshops, they receive attention and, while they are under treatment, generally they obtain removal of the work. It is much more convenient to continue moved away and to participate of all the activities of the CAPS of what> back in the patio they talk as to obtain removal or retirement . This comodismo harms the devotion of the patient to the treatment that, in secret, continues drinking, frequentando the CAPS and moved away from the work. A dependence of the CAPS is created. The criteria for high also are subjective. However, if the patient still drinks or uses drugs and has partner-familiar difficulties, the trend of the team is to keep it in the treatment program, which turns a vicious circle. He wants to say: the patient never receives high and if cronifica in the CAPS.

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