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Silva LCL. Psychiatric hospital ́s place in the city of São Paulo subjected to the process of restructure of the psychiatric assistence model in Brazil through worker ́s voice [dissertação]. São Paulo: Escola de Enfermagem da Universidade de São Paulo; 2007. The object of study of this qualitative research is the understanding of the psychiatric hospital's workers about the Psychiatric Reform and how they deal with this process. The purpose of the study is to contribute for the expansion of the Psychiatric Reform's theoretical-practical arsenal and propose new lights to its analyses. Objectives are: know what the psychiatric hospital's workers think about the psychiatric hospital in the context of the Psychiatric Reform; understand how mental health workers deal with the process of desinstitutionalization in their practices. The scenery of this study were two psychiatric hospitals, one public and the other private, nonprofit, integrated to SUS and placed in the city of São Paulo. 12 (twelve) workers (medium level and high education) participated in the study. Empirical data were gathered through semi-structured individual interview. The empirical material was analyzed according to the categories: institution, transition, desinstitutionalization and crises, according to Minayo. Data's analyses originated the categories: a) the psychiatric hospital: the crisis's place; b) crisis' hospitalization; c) desinstitutionalization: knowledge's deconstruction ; d) the hospital and the net in crisis; e) hospital-centered culture's persistence; f) the psychiatric hospital and the family in crisis g) the psychiatric hospital and society. Workers described a new hospital, which's function is welcoming of crises and short-term hospitalization; it's identified reformist's technical and administrative measures in the hospital, such as: humanization; attendance of clientele's specialization ; short term hospitalization regime X chronic ness; muldisciplinary intervention x isolated work; physical structure's and human resource's improvement; environment's improvement; therapeutic project implantation; hospital wards' reduction, due to the attendance of Ministry laws. It leads to the understanding of desinstitutionalization as deshospitalization. Interviewed's speech show articulation in crisis between the psychiatric hospital and the substitutive mental health care net, community based. Workers deal with difficulties in the process of des-hospitalization of patients with serious social problematic. The psychiatric hospital has been the contradiction itself in the current mental health care model in the city of São Paulo and, therefore, in this perspective has in itself many contradictions that come from it's own genesis as an institution, added to current condition in which it "doesn’t exist" in the net. The psychiatric hospital: the crisis's place because the place of contradictions.

O lugar dos hospitais psiquiátricos no município de São Paulo frente ao processo de reestruturação do modelo de assistência psiquiátrica no Brasil pela voz dos trabalhadores