Therapeutic Residency (TR) is one of the main strategies to reduce psychiatric beds in the Brazilian Unified Health System. They are houses for people with mental disorders or abusive use of alcohol and other drugs for those the lack of housing and social network are priority issues in their life project. They receive mainly former inmates from psychiatric hospitals. Considering the importance of this equipment for the Psychiatric Reform Movement and the network that São Bernardo do Campo has today, this study aim to research the processes of psychosocial rehabilitation performed in the daily life of these houses-services, based on a methodology that privileged the production of knowledge in a collective and participatory way between the researcher and the subjects involved in the field. Therefore, we created a participative group device based on the theoretical and methodological guidelines of participatory research, Psychodrama and Institutional Analysis. The Participatory Group device was attended by 16 professionals from TR (Therapeutic Companion) and 5 professionals from the Psychosocial Care Centre (therapeutic references of the residents of TRs), in a total of 12 meetings. The structure of these meetings privileged the work with dramatic multiplication around daily situations, followed by processing and producing texts. We started the thesis by contextualizing TRs in SBC and presenting the toolbox for the construction of our intervention: the sense of participation in intervention and cartography researches, the theoretical and methodological contribution of Psychodrama, as well as the articulation of these two methodological fields - participation and protagonism. The creation and the course of the Participative Group device are themes of the third moment of this writing. The empirical material, presented in the form of scenes, was organized in two parts. The first focuses on the tools of care in psychosocial rehabilitation as formulated by the Participatory Group, presented in five vectors: the link between TR workers and residents; the thresholds of this meeting, in the form of turbulences and crises in the TRs, the joy of being together, responsibility and the production of subjectivity in RT work. The second part discusses aspects of the work process in TR and the inseparability between modes of management and modes of care, focusing on theses vectors: work hours of the Therapeutic Companions, the role of TR’s coordinator and therapeutic references of the residents, co-responsibility care and the construction of the Singular Therapeutic Project. Our thesis is that the hybridity house-service that TRs have, intensifies the radical experimentation of mental health care, articulating the clinic of living to the agencies in the territory, positioning the Therapeutic Companion workers in an experience of multi-implication, and in a protagonism of multiple roles with the residents, the team and the city. TRs, therefore, constitute as a "particular ambience" for the experimentation of potentialities and thresholds of the Psychiatric Reform.
Participatory research; Therapeutic residency; Psychosocial rehabilitation