Transtornos do espectro do autismo, estratégia saúde da família e tecnologias de cuidado na rede SUS

Abstract

The Autism Spectrum Disorders (ASD) have been treated by the media, scientific societies and various movements with some emphasis in recent years. Hanging over the figure of autistic fascination that is evidenced by the relentless pursuit of the biological substrate of the alleged mental disorder. This study analyzes the official and normative documents of the Ministry of Health to care technologies, therapeutic resources and diagnoses offered in the SUS Network for people with Autism Spectrum Disorders and if it is possible in this context a joint with the Family Health Strategy (ESF). Use as methodology the Bibliographical Research and Document qualitative approach. For data analysis, the study makes use of French Discourse Analysis which consists of reflection on the conditions of production and seizure of texts of meaning produced in many different contexts. Thus, many problems took place, mainly in the tangent to how people with ASD are inserted or not in the public health policies, specifically in Network Health Care (RAS) through: Psychosocial Care Network (RAPS) and Person to Care network with Disabilities. The main dissonance found circulating around the dichotomy between documents "care line for care for people with Autism Spectrum Disorders and their families in Psychosocial Care Network Health System" (BRAZIL, 2013) and "Guidelines attention to the Person Rehabilitation with Autism Spectrum Disorders (ASD) "(BRAZIL, 2014). For the first document Autism is taken as a mental disorder and should be treated at RAPS in constant coordination with the other points of the Network, including the Family Health Strategy. The second affiliated autism the deficiencies in accordance with Law 12,764 of 2012, where the autistic is considered disabled person to law purposes. In this sense, seems to repeat a historical paradigm around autism, it is constantly repeated the old debate about the idiocy versus madness present in the eighteenth and nineteenth centuries. Notes the study that the Ministry of Health itself does not have a definite position in relation to autism, because now is a mental disability, now is a mental disorder. The research points out that this paradigm hangs on Public Health, as the organizational arrangements of the SUS network suffer an impact and thus the care of these people go to set up the axis of a supposed rehabilitation. Subjective questions are unable to emerge in RAS, culminating in the insertion inability of autistic subject in the network, as well as the guarantee of rights is not possible in the field of Public Health and Mental Health. It is known, however, that political and economic issues affect autism taken in the field of disability for certain theoretical affiliation, following the Mental Health reduction logic