Vínculos familiares e institucionais em usuários do Programa de Saúde Mental Brincando em Família em tempos de COVID-19.

Abstract

This study will address the bonds established between children and their families in association with mental health institutions and practices, considering the context of the Covid19 pandemic, integrating contributions from Public Health and Psychoanalysis. We also intend to problematize the relationship between families and public policies, considering that these can favor the strengthening of families, as well as act in a way that abandons them, not considering their singularities and vulnerabilities. Therefore, the general objective is: to analyze how family and institutional bonds are configured in families that attend a mental health service, considering the context of the pandemic. And our specific objectives are: to identify and reflect on the initial contacts of children and their families with the Family Playing Mental Health Program, the demands and promotion of mental health care based on the construction of bonds; to understand the bonds established between families and the Family Playing Program in the context of the pandemic; to reflect on possible relationships between family and institutional ties, the demands and care processes of caregivers. The study's target audience is children and their families, and interviews were conducted with family members of children who participated in the Family Play Mental Health Program, linked to the Federal University of Bahia, during the pandemic. Initially, Chapter 1 will address the history and current situation of the relationship between families and public policies, especially in the area of mental health in Brazil. We recognize the impact of the Covid-19 pandemic on the mental health of children and their families, and the relationship between families, institutions, and health services. Next, in the second chapter, we will present concepts of the psychoanalysis of the group subject – with the bonding and psychic transmission between generations. We will show that psychic transmission is recognized as central to the process of inscribing the subject, and each being will organize and transform the inheritances that were deposited in him/her. In chapter 3, we will present the method and show that it was a research with a qualitative approach, of psychoanalytic idealization inspired by thematic dialogic analysis, which used the case study strategy, with seven participating women. Data on the participation of women and their children were produced from reports of services, as well as individual interviews with each participant. The results are listed in three chapters: the first addresses “The arrival of families to Brincando: demands for care, and the promotion of mental health care through the meshing and remeshing of bonds”, where the first demands of families and the initial possibilities of care will be presented. The second chapter presents “Women as caretakers and the bonds developed with children and adolescents: the exercise of motherhood and social suffering”; in which we will address the place of women in association with their bonds, and how family and institutional neglect can contribute to social suffering. In the chapter entitled “Contributions of the Family Playing Program to the mental health of participants: the commitment to bonds and play”, we will show how care is developed in the Family Playing Program and the bonds in articulations with the demands of families and the possibilities of reconnection. Furthermore, we highlight the contributions of the study to the practice of care based on the protective tendency, in line with the promotion of care supported by psychosocial attention. We emphasize the importance of bonds in mental health, and how the Psychoanalysis of the subject of the group contributes to thinking about the relationships between families and institutions. We conclude that proposals such as those of the Family Playing Program can contribute to strengthening family bonds and the bonds of subjects with institutions. Keywords: Families Connections; Institutions; Children's Mental Health; Families; Psychoanalysis.