Community-based mental health care network: the Santo André experience

Authors

  • Elizabete Satie Henna Associação De Volta Para Casa
  • Luiz Carlos de Abreu Faculdade de Medicina do ABC; Departamento de Fisiologia
  • Marcos Luiz Ferreira Neto Universidade Federal de Uberlândia
  • Alberto Olavo Advíncula Reis Universidade de São Paulo; Faculdade de Saúde Pública; HSM

DOI:

https://doi.org/10.7322/jhgd.19862

Keywords:

Mental health, community-based psychiatry, community-based networks

Abstract

Psychiatric impairments are a critical public health problem. For many years, the only therapy available to individuals with mental disorders was hospitalization at psychiatric institutions. Nowadays the World Health Organization recommends community-based services as a model of mental health treatment. Therefore, the aim of this study is to describe the characteristics of a community-based mental health care network in the city of Santo André, state of São Paulo. A descriptive and retrospective study was carried out, based on secondary data from the period between 1987 and 2006. The study investigated the history, infrastructure, human recourses, production, practices and work processes of the mental health services of Santo André. Documents of the Municipal Mental Health Program of the Municipal Health Department of Santo André, and of the José Martins de Araújo Júnior Association/Social Organization De Volta Para Casa were analyzed. The Municipal Health Department promoted the transformation of the mental health services in the studied period: from assistance provided exclusively at asylums to a network of mental health services whose model was based on the community, focusing on the psychosocial aspect of the disease and with multi-professional teams. These actions in Santo André corroborated the civil society's efforts and the development of changes in the hospital-centered model.

References

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Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. DAPE. Coordenação Geral de Saúde Mental. Reforma psiquiátrica e política de saúde mental no Brasil. Documento apresentado à Conferência Regional de Reforma dos Serviços de Saúde Mental: 15 anos depois de Caracas. OPAS. Brasília: Ministério da Saúde; 2005.

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Published

2008-04-01

Issue

Vol. 18 No. 1 (2008)

Section

Original Research

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