Relations between research and clinical care in co-management studies with mental health care users

• Published in: Ciência & saude coletiva Vol. 18; no. 10; pp. 2899 - 2908
• Main Authors: Analice deLima Palombini, Onocko-Campos, Rosana Teresa, Silveira, Marília, Laura Lamas Martins Gonçalves, Zanchet, Lívia, Zamora Xavier, Maria Angélica, Cecília deCastro e Marques
• Format: Journal Article
• Language: Portuguese
• Published: Rio de Janeiro Associação Brasileira de Saúde Coletiva 01.10.2013
• Subjects: Clinical medicine; Mental health care; Public health
• ISSN: 1413-8123; 1678-4561
• DOI: 10.1590/S1413-81232013001000014

This paper is derived from the experience of conducting research with mental health users (not about them, nor for them), analyzing aspects of a study in which different ways of structuring the relationship between clinical practice and research were put into play, thereby questioning the boundaries and ethical issues involved. The clinical practice and research fields that are dealt with are studied with the input of authors who, on the basis of institutional analysis, propose the idea of interventional research, and in the context of public health, revert to the concept of broadened clinical care. The relationship between these two terms - interventional research and broadened clinical care - is based on the notion of subjectivity that operates within the scope of public health and which culminates in the concept of autonomy. Lastly, co-management is proposed as a strategy based on which the different actors involved in conducting research and exercising clinical care can collectively build working principles that are both therapeutic and ethical.