INTEGRAL APPROACH IN THE CONTEXT OF DEPRIVATION OF LIBERTY: REFLECTIONS OF FAMILY AND COMMUNITY MEDICINE ON PRISON HEALTH

Abstract

Family and Community Medicine is structured as a medical specialty in a movement against the fragmentation of the human being, with a humanistic look and considering the impact of social determinants of health on the health-disease process. Through her work aligned with a vision of medicine centered on the person, and not on the pathology, she understands the importance of bonding and comprehensive care in full knowledge of stressors and threats to physical and mental health, in a vision of multimorbidity. In this training based on principles with the valorization of social medicine, but enhanced by the development of empathy, the specialty has in its lines of action a direction towards working with marginalized populations, having in its history of construction and evolution aspects similar to the process of stigmatization of marginals. From this perspective, within the integral approach of family medicine, an understanding of the community context is sought, impacting life cycles and contributing to the manifestation of diseases, prioritizing, with a view to equity, contexts of extreme marginalization that lead to human rights violations of historically neglected populations, such as the case of the population deprived of liberty. This article seeks to deepen the discussion, in the light of the literary study of aspects that compromise integrated care and the guarantee of health as a human right to populations deprived of liberty, with an analysis of how the process of construction of the marginal and the lack of investment in reintegration and re-education in the prison system aggravate crime as a biopsychosocial phenomenon.