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Este estudo objetiva explorar o cenario de (des)institucionalizacao piauiense, como fruto da Reforma Psiquiatrica, a partir das Equipes de Avaliacao e Acompanhamento de Medidas Terapeuticas Aplicaveis a Pessoa com Transtorno Mental em Conflito com a Lei (EAPs). Para tal o debate se centraliza em explicitar as EAPs como configuracao peculiar estabelecida pelas necessidades do Estado do Piaui em torno do segmento de pessoas com transtornos mentais em conflito com a lei. A pesquisa caracterizou-se por ser de natureza qualitativa, com emprego da observacao simples, de entrevista semiestruturada e pesquisa documental. Os achados sinalizam que o processo de desinstitucionalizacao consolidado no Piaui, revela, alem das demais estrategias de desinstitucionalizacao como estabelecido em legislacao, uma realidade singular manifestada pela formacao das EAPs que tem executado um processo de trabalho circundado de desafios, porem com produtos que apontaram para a construcao da vertente desinstitucionalizante como (des)construcao. Palavras-Chave: Reforma Psiquiatrica. Desinstitucionalizacao. EAPs. ABSTRACT This study aims to explore the scenario of Piaui's (de) institutionalization, as a result of Psychiatric Reform, from the Teams of Evaluation and Monitoring of Therapeutic Measures Applicable to the Person with Mental Disorder in Conflict with the Law (WBS). To this end, the debate focuses on making EAPs explicit as a peculiar configuration established by the needs of the State of Piaui around the segment of people with mental disorders in conflict with the law. The research was characterized by being of a qualitative nature, using simple observation, semi-structured interviews and documentary research. The findings indicate that the consolidated deinstitutionalization process in Piaui reveals, in addition to the other deinstitutionalization strategies as established in legislation, a unique reality manifested by the formation of the WBSs that has been carrying out a work process surrounded by challenges, but with products that the construction of the deinstitutionalizing aspect as (de) construction. Keywords: Psychiatric Reform. Deinstitutionalization. EAPs.

O Cenário de (Des)Institucionalização em Saúde Mental do Piauí a Partir das EAPS