Estágio supervisionado em terapia ocupacional em um centro de atenção psicossocial CAPS II: Desafios para a assistência e para o processo de ensino-aprendizagem

The psychiatric reform in Brazil has replaced the hospital-centered model by the reintegration of users to their respective communities. The Center of Psychosocial Care (CAPS) has been the main equipment in that scope. Objectives: To report the development of Supervised Practice in Occupational Therapy in a CAPS II unit in Curitiba, Parana state, Brazil. Methods: This is an experience report. It features the training field and describes\udthe stages of the teaching and learning process which involved institutional observation, reporting and intervention\udproposal, collecting data about the users’ profile and attendances. The work focused the non-intensive users because\udthey are close to hospital discharge. Results: We found that users of the non-intensive system, rather than crave the\uddischarge, would like to return to the semi-intensive or intensive systems, aiming to regain sickness and transportation benefits, which are lost as users make progress. This fact denotes great contradictions in the system. We also attended intensive and semi-intensive systems users. Conclusions: The students’ learning included aspects such as direct contact with the institutional reality; knowledge about the health system, its limitations and contradictions; approach to users, their families, realities, socioeconomic conditions, desires, aspirations, or lack thereof; difficulties in engaging in meaningful occupations in their territories, limitations, and social stigma; working with frustrations,\udreflecting about ways to change the reality; in addition to expanded clinical practice, participating in the discussions\udand formulation of public policies on mental healthcare and social control