Perspectivas para a política de saúde mental no Brasil

Cavalcanti, Maria Tavares

doi:10.1590/0102-311x00184619

Cited by 8 publications

(6 citation statements)

References 8 publications

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“…This concern is enhanced when we realized that in recent years, the Brazilian public health has been going through a reduction of funds and a setback in the pace of services supply, because of changes in the direction of national policy and the financial crisis 13 . These facts are made worse by the recent intention of the federal government to revoke laws that support the funding and operation of the RAPS, weakening the progress already achieved 14 and reinforcing the need for critical analysis of the dynamics of the provision of services in the field of mental health [10][11][12]15 .…”

Section: Introductionmentioning

confidence: 99%

Regionalization of psychosocial care: a panoramic view of the Psychosocial Care Network of Minas Gerais state, Brazil

Coelho

Andrade

Guimarães

et al. 2022

Ciênc. saúde coletiva

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The present study aims at analyzing the regionalization of the services carried out by the Psychosocial Care Network (RAPS in Portuguese) in the state of Minas Gerais (MG) in Brazil, yielding indicators that may enhance the SUS strategic management towards the strengthening of the psychosocial care provided by the state. It is a cross-sectional study, based on the data collected in May 2019 from government websites, considering the state’s Macro-Regions and Health Regions as units of analysis. Indicators of service coverage in relation to the population in accordance to normative parameters determined by the Ministry of Health for a better understanding of the effective coverage were produced, and a general indicator (iRAPS) of the supply of services in this network in Minas Gerais state was validated. The outcomes allow a detailed analysis of the structural aspect of the RAPS in MG and unveil the development of a robust network. However, important regional heterogeneities were noticed and also a lack of services aiming at specific populations providing assistance 24 hours a day, which weakens the proper access to RAPS in several parts of the state. Higher values of iRAPS were found in health regions with low socioeconomic development and low general offer of health services, a fact that differs from the national scenario, which may imply state policy investments aiming at offering RAPS within the state hinterland areas.

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Section: Introductionmentioning

confidence: 99%

Regionalization of psychosocial care: a panoramic view of the Psychosocial Care Network of Minas Gerais state, Brazil

Coelho

Andrade

Guimarães

et al. 2022

Ciênc. saúde coletiva

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“…In Brazil, the biomedical discourse has its strength in organizing the care provided and the relationships within the services, which are still very hierarchical, privileging the specialist’s opinion. Policymakers do not recognize peer support in the mental health system (Cavalcanti, 2019; Onocko-Campos, 2019; Juan et al , 2021). However, experiences of cultural adaptation and implementation have happened inside and outside these services, fueled by mental health professionals, academics and survivor movements.…”

Section: Discussionmentioning

confidence: 99%

Peer support in Brazil: experiences and strategies of inclusion, empowerment and citizenship

Corradi-Webster

Reis

Brisola

et al. 2023

JPMH

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Purpose The purpose of this paper is to describe six recovery-oriented peer support experiences and strategies implemented in different regions of Brazil in the past 12 years, and explore challenges to their development and potential for empowerment and citizenship. Design/methodology/approach In this paper, a group of stakeholders in mental health services involving people with lived experience of severe mental illness describe their experiences with services of peer support. These were all conducted in Brazil and in partnership with the International Recovery and Citizenship Collective (IRCC) and The Yale Program for Recovery and Community Health. The authors met monthly to exchange experiences, studies and practices, and six experiences were selected, described, analyzed and compared. A discussion of these experiences, their challenges, impact and potential followed. Findings The explored experiences emphasize that peer support, lived experience leadership and advocacy are feasible in the Brazilian mental health system and can help advance the Brazilian Psychiatric Reform. Research limitations/implications This paper is limited to the experience of researchers already engaged in peer support work in six cities in Brazil. Although they represent several different regions in Brazil, there are areas it has not reached. Further research should address and provide a broader view of peer support and recovery strategies spreading in the country. Social implications These experiences demonstrate the feasibility and acceptability of the recovering citizenship approach to reduce stigma, promote empowerment, autonomy, activism and advocacy, and increase a sense of belonging for those in recovery and marginalized by society. The Brazilian psychiatric reform can benefit from including peer supporters as mental health treatment providers. Originality/value This paper provides a novel view of the state of the art of peer support initiatives in Brazil and can inspire individuals, government and communities as they see and understand the breadth, depth and meanings of these peer support experiences.

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“…This is probably linked to the predominant family structure in Brazil, where sick people are frequently cared for at home by their relatives ( 35 ). On the other hand, needs that relate to a closer relationship with people outside the family (such as daytime activities and company) were more often unmet, showing the importance to effectively implement public policies that address the social integration of people with mental disorders ( 36 ), something that has been done in only a partial way in Brazil to date ( 5 , 6 ). Patients living alone had significantly more unmet needs than those living with a partner, which reinforces that family is the main support source to meet needs ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

“…In Brazil, the high prevalence of mental disorders ( 1 - 3 ) contrasts with the mental health expenditure, which is less than 1% of the national health budget ( 4 ), with the implementation of effective community-oriented mental health care still an ongoing process ( 5 ). Thus, identifying of possible barriers to appropriate treatment for each person and specific population groups is an important step to guide the application of scarce resources ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Patient needs four years after first psychiatric hospitalization in a Brazilian cohort

Santos

Roza

Barros

et al. 2021

Braz J Med Biol Res

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Knowledge about the needs of psychiatric patients is essential for mental health care planning. However, research on met and unmet needs is still scarce, particularly in low-and middle-income countries. This study aimed to describe the patients' needs (met and unmet) at least four years after their first psychiatric hospitalization and to verify the role of demographic and clinical features as possible predictors of these needs. Patients who had their first psychiatric admission between January 1, 2006 and December 31, 2007 at an inpatient unit in the city of Ribeirão Preto, Brazil, were eligible to participate in the study. Patients were contacted and face-to-face interviews were conducted by psychologists using the Camberwell Assessment of Need. Data were analyzed using zero-inflated negative binomial regression model. Of 933 eligible patients, 333 were interviewed. The highest level of needs was related to welfare benefits (32.4%, unmet=25.5%), followed by household skills (30.3%, unmet=3.0%), psychotic symptoms (29.4%, unmet=9.0%), psychological distress (27.6%, unmet=8.4%), physical health (24.3%, unmet=5.4%), daytime activities (19.5%, unmet=16.5%), and money (16.8%, unmet=9.0%). Fewer years of schooling, living with relatives, and unemployment at the moment of the first admission were significantly associated with a higher number of both met and unmet needs in the follow-up. Unmet needs were also more often reported by patients living alone. In conclusion, socioeconomic indicators were the best predictors of needs. The unmet needs related to welfare benefits point to the need for specific social and health policies.

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Perspectivas para a política de saúde mental no Brasil

Cited by 8 publications

References 8 publications

Regionalization of psychosocial care: a panoramic view of the Psychosocial Care Network of Minas Gerais state, Brazil

Regionalization of psychosocial care: a panoramic view of the Psychosocial Care Network of Minas Gerais state, Brazil

Peer support in Brazil: experiences and strategies of inclusion, empowerment and citizenship

Patient needs four years after first psychiatric hospitalization in a Brazilian cohort

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