PSYCHOSOCIAL CARE FOR MEMBERS OF ORIGINAL PEOPLES IN THE HOMEOPATHY SERVICE OF THE SANTA CASA HOSPITAL IN RIO DE JANEIRO, PROVE/MEPPSO/IPUB/UFRJ AND ASSOCIATED INSTITUTES
DOI:
https://doi.org/10.56238/arev7n1-126Keywords:
Psychosocial Care, Indigenous Culture, Urban Context, Inequities, Strategies for VisibilityAbstract
Together with members of indigenous Brazilian peoples living in urban areas in Rio de Janeiro, their voices were strengthened through interaction and cultural productions, to provide and ensure visibility and equity by discussing aspects of the inequities experienced in urban areas in the city of Rio de Janeiro. The recently updated IBGE registry provides the relevant information that two out of every three indigenous people live in urban areas. However, this presence is not perceived or identified, and is sometimes neglected, situations that make it difficult to effectively plan primary health care through the Family Health Strategy for this vulnerable population group. In official SUS records, the “indigenous” identification is not always filled out (SINAN and Death Certificate). This case study strengthened indigenous voices present in Rio de Janeiro, because at the local level, a network, access and, especially, bonds were built through intercultural experiences with mature and elderly indigenous adults, in urban areas at the Homeopathy Health Service of the 7th Ward of the Santa Casa da Misericórdia Hospital in Rio de Janeiro, in partnership with the Laboratory of Studies of Aging Processes of the Postgraduate Program in Psychosocial Care of the Institute of Psychiatry of the Federal University of Rio de Janeiro and other associated laboratories and institutes. In addition to the ongoing training of human resources, through the shared construction of knowledge and extension experiences, scientific initiation work was carried out for young indigenous people together with university students/professionals, in transformation. This article discussed the importance of these steps as intercultural education strategies, where indigenous cultural literacy was prioritized with a view to improving indigenous intercultural anamnesis, to be able to deal with and discern the singularities of different peoples present in Rio de Janeiro, bearers of different worldviews regarding life, body, health, illness, death, mourning, among others. Thus, to date, it has contributed to the mitigation of demands at the local level through primary actions in health and psychosocial care, carried out by university services via intersectoral and interinstitutional partnerships. The awareness of health professionals and students of these university services involved in the topic and the practice of intervention in the 7th Ward through art therapy for members of indigenous peoples was also increased, especially in the pre- and post-COVID-19 pandemic period. Indigenous leaders were identified and those teachers indicated by their leaders present in Rio de Janeiro/Brazil worked in symmetry, with respect and ethics, in this process of indigenous cultural literacy of the team in this health space. The elected representative continues the work of reflecting on the serious demands existing in psychosocial care listed (by themselves) for indigenous people in urban contexts with government agencies.