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Este artigo aborda a pesquisa psicanalítica dirigida à criação de dispositivos clínicos para a construção de políticas públicas. Relata a pesquisa realizada nos anos de 2015 e 2016 na cidade de São Paulo com o objetivo de subsidiar o Comitê Intersetorial da Política Municipal para a População em Situação de Rua (Comitê PopRua) para a construção do plano municipal para a população de rua. Essa pesquisa, contratada pela Secretaria Municipal de Direitos Humanos e Cidadania de São Paulo, contou com a participação de 10 adultos que viviam ou viveram em situação de rua e que foram formados como pesquisadores sociais ao longo da pesquisa, a fim de que eles próprios realizassem as entrevistas em profundidade com outros moradores em situação de rua e com trabalhadores de diferentes equipamentos responsáveis pelo atendimento a essas pessoas. O referencial psicanalítico foi o eixo orientador da pesquisa.

This article is about psychoanalytical research for the creation of clinical devices for public policies. It describes the research done in 2015 and 2016 in São Paulo, aiming at subsidizing the Comitê Intersetorial da Política Municipal (Intersectorial Committee for Municipal Policy) for people living on the streets (PopRua Committee) in order to have a municipal plan for the people living on the streets. This research, contracted by the Secretaria Municipal de Direitos Humanos e Cidadania de São Paulo (Human Rights and Citizenship Municipal Office in São Paulo), and had the participation of 10 adults who used to live on the streets and became social researchers along the project, so that they could interview, deeply, other people living on the streets and workers dealing with several equipment, responsible for assisting those people. The psychoanalytical indicative was the pivot to drive the research.

Este artículo aborda la investigación psicoanalítica dirigida a la creación de dispositivos clínicos para la construcción de políticas públicas. Relata la investigación realizada en los años 2015 y 2016 en la ciudad de São Paulo, con el objetivo de subsidiar el Comité Intersectorial de la Política Municipal para la Población Sin Hogar (Comitê PopRua) para la construcción del plan municipal para la población sin hogar. Esta investigación, contratada por la Secretaría Municipal de Derechos Humanos y Ciudadanía de São Paulo, contó con la participación de 10 adultos que vivían o vivieron en las calles y fueron formados como investigadores sociales durante la investigación, con el objetivo de que ellos mismos realizaran las entrevistas en profundidad con otras personas sin hogar y con trabajadores de diferentes equipos responsables por la atención a esas personas. El referencial psicoanalítico fue el eje que orientó la investigación.

Cet article aborde la recherche psychanalytique tournée vers la création de dispositifs cliniques visant la construction de politiques publiques. Il raconte la recherche, menée dans les années 2015 et 2016, dans la ville de São Paulo, laquelle avait pour but de remplacer le Comité intersectoriel de Politique municipale pour la population des personnes sans domicile fixe (Comité PopRua), dans le but de la construction du plan municipal adressé aux sans-abri. Cette recherche, commandée par le Secrétariat municipal de droits humains et de la citoyenneté de São Paulo, a compté avec la participation de dix adultes qui vivaient ou vivent sans domicile fixe et à qui on a donné une formation de chercheurs sociaux tout au long de la recherche, afin qu'ils puissent exécuter les interviews, eux-mêmes, de façon approfondie, auprès d'autres sans domicile fixe, bien qu'auprès de travailleurs de différents équipements responsables du bien-être de ces personnes. Le référentiel psychanalytique c'était l'axe qui a orienté cette recherche.

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The missions of the mobile psychiatric team in Lyon involve reaching out to vulnerable people to guide them towards the most appropriate care. Establishing a bond and finding the right words to engage with them constitute a balancing act which the caregiver must undertake with the homeless. It is important to try and understand the situation, the person's life story, invent alternatives, while refraining from pushing them too much, in order to maintain their trust.

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Around ten homeless people were invited to take part in a programme of physical activities to improve their health status. Only motricity and walking pathways were followed assiduously for eight weeks. The assessment of the physical condition and quality of life showed an improvement in these areas, in particular for one of the participants. However, the lack of motivation and assiduity remains an obstacle to regular activity.

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The hospital is the last refuge for sick homeless people when their illness makes life on the street impossible. The teams often consider these patients as different, difficult and not easy to place in a specific type of care. In palliative care, fewer questions are raised as the patients are hospitalised for their terminal phase. The difficulties often lie in diagnosing the disease and recognising its seriousness and the patient's social situation.

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The problems faced by homeless people are varied and complex. They require numerous qualities on the part of professionals. Living on the streets often means dying on the streets. Professionals are thereby confronted with practical and ethical questions. They have a key role both in listening and providing support. This article shows the example of the Les Morts de la Rue collective.

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