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

Coelho, Vívian Andrade Araújo; Andrade, Leonardo Isolani e; Guimarães, Denise Alves; Pereira, Lírica Salluz Mattos; Módena, Celina Maria; Guimarães, Eliete Albano de Azevedo; Gama, Carlos Alberto Pegolo da

doi:10.1590/1413-81232022275.11212021en

Cited by 3 publications

(6 citation statements)

References 22 publications

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“…Despite this, fewer than half of respondents judged that existing regional service sharing is adequate for the comprehensive care of RAPS users. This di culty in the regionalization of psychosocial care has already been reported in previous studies in MG 19,37 and other states in the country 25,26,31 . It is possibly linked to insu cient resources and the di culty of collaboration between municipalities, bureaucratic barriers to accessing federal resources for improving health regionalization, partisan political interests, a lack of quali cations and regional vision by the professionals responsible for these areas at the municipal level, in addition to complications of the state and federal government to plan and organize the coordinated management of regional networks.…”

Section: Discussionsupporting

confidence: 59%

“…On this issue, previous research has shown a scarcity of CAPS aimed at speci c populations (CAPS AD-alcohol and drugs and CAPSi-children and adolescents) and CAPS that operate for 24 hours a day. These studies also evidenced the insu cient availability of psychosocial beds in general hospitals for comprehensive community crises management in MG 19,37,40,41 and other Brazilian states 25,26,42 . These data may also explain other di culties found in our study regarding the incorporation by the MG's RAPS of clinics that work not just in the suppression of symptoms but also encourage a deeper re ection on the subjective social, family, and relational aspects of crisis.…”

Section: Discussionmentioning

confidence: 83%

“…The IMAI-RAPS contains 55 objective questions with structured answers on a Likert scale regarding the following variables: (1) professional and sociodemographic characteristics of the person responsible for mental health in each municipality; (2) To analyze the structural dimension, in addition to the issues present in the IMAI-RAPS, we collected data regarding some RAPS services (Family Health Strategy -ESF, Expanded Family Health Center -NASF, Psychosocial Care Center -CAPS, and Psychosocial Beds in General Hospitals -LHG) deployed in the state, using the DATASUS and e-GESTORab free access government databases as sources. These data were structured in indicators detailing the populational coverage, according to the guidelines of the MS as described in a previous study 19 .…”

Section: Methodsmentioning

confidence: 99%

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Community mental health network care: an evaluative approach in a Brazilian state

Coelho

Gama

Andrade

et al. 2022

Preprint

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In recent decades, public policies of the Unified Health System (SUS) in Brazil have structured a mental health care network (RAPS) based on various community actions and services. This study carried out evaluative research on the implementation of the structure and process dimensions of the RAPS in Minas Gerais (MG), the second most populous state of Brazil, generating indicators that can enhance the strategic management of the SUS in the strengthening the psychosocial care in the state. The application of a multidimensional instrument, previously validated (IMAI-RAPS), in 795 of the 853 municipalities in Minas was carried out between June and August 2020. Regarding the structural dimension, we noticed an adequate implementation of ‘Family Health Strategy (ESF),’ ‘Expanded Family Health Center (NASF),’ and ‘Psychosocial Care Centers (CAPS)’ but a lack of ‘Beds in General Hospitals (LHG),’ ‘Unified Electronic Medical Records’ and ‘Mental Health Training Activities for Professionals’. In the process dimension, adequate implementation of actions such as ‘Multidisciplinary and Joint Care,’ ‘Assistance to Common Mental Disorders by Primary Health Care,’ ‘Management of Psychiatric Crises in CAPS,’ ‘Offer of Health Promotion Actions,’ and ‘Discussion of Cases by Mental Health Teams’ point to a form of work consistent with the guidelines. However, we detected difficulties in the implementation of ‘Psychosocial Rehabilitation Actions,’ ‘Productive Inclusion,’ ‘User Protagonism,’ ‘Network Integration,’ and practical activities for the effectiveness of collaborative care. We found a better implementation of RAPS in more populous, demographically dense, and socioeconomically developed cities, which shows the importance of regional sharing of services that are not possible for small cities. The evaluation practices of RAPS are scarce throughout the Brazilian territory, a fact also found in MG, highlighting the need for its expansion not only in the scientific sphere but also in the daily life of the various levels of management.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 83%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Community mental health network care: an evaluative approach in a Brazilian state

Coelho

Gama

Andrade

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

“…On this issue, previous research has shown a scarcity of Psychosocial Care Centers aimed at specific populations (CAPS AD-alcohol and drugs and CAPSi-children and adolescents) and Psychosocial Care Centers that operate 24 h a day. These studies also evidenced the insufficient availability of psychosocial beds in general hospitals for comprehensive community crises management in MG [ 22 , 40 , 43 , 44 ] and other Brazilian states [ 28 , 29 , 45 ]. These data may also explain other difficulties found in our study regarding the incorporation of Minas Gerais’s mental health care network of clinics that work not just in suppressing symptoms but also encourage a deeper reflection on the subjective social, family, and relational aspects of crisis.…”

Section: Discussionmentioning

confidence: 99%

“…To analyze the structural dimension, in addition to the issues present in the IMAI-RAPS, we collected data regarding some key services of the mental health care network (Family Health Strategy, Expanded Family Health Center, Psychosocial Care Center, and Psychosocial Beds in General Hospitals) 1 deployed in the state, using the DATASUS and e-GESTORab free access government databases as sources. These data were structured in indicators detailing the populational coverage, according to the guidelines of the Ministry of Health as described in a previous study [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Community mental health care network: an evaluative approach in a Brazilian state

Coelho

Gama

Andrade

et al. 2023

Int J Ment Health Syst

View full text Add to dashboard Cite

In recent decades, public policies of the Unified Health System (SUS) in Brazil have structured a community mental health care network (RAPS) based on various community actions and services. This study carried out evaluative research on the implementation of the structure and process dimensions of this care network in Minas Gerais, the second most populous state of Brazil, generating indicators that can enhance the strategic management of the public health system in the strengthening the psychosocial care in the state. The application of a multidimensional instrument, previously validated (IMAI-RAPS), in 795 of the 853 municipalities in Minas Gerais was carried out between June and August 2020. Regarding the structural dimension, we noticed an adequate implementation of services like ‘Family Health Strategy,’ ‘Expanded Family Health Center,’ and ‘Psychosocial Care Centers’ but a lack of ‘Beds in General Hospitals’ destinated to mental health care, ‘Unified Electronic Medical Records’ and ‘Mental Health Training Activities for Professionals.’ In the process dimension, adequate implementation of actions such as ‘Multidisciplinary and Joint Care,’ ‘Assistance to Common Mental Disorders by Primary Health Care,’ ‘Management of Psychiatric Crises in Psychosocial Care Centers,’ ‘Offer of Health Promotion Actions,’ and ‘Discussion of Cases by Mental Health Teams’ point to a form of work consistent with the guidelines. However, we detected difficulties in the implementation of ‘Psychosocial Rehabilitation Actions,’ ‘Productive Inclusion,’ ‘User Protagonism,’ ‘Network Integration,’ and practical activities for the effectiveness of collaborative care. We found a better implementation of the mental health care network in more populous, demographically dense, and socioeconomically developed cities, which shows the importance of regional sharing of services that are not possible for small cities. The evaluation practices of mental health care networks are scarce throughout the Brazilian territory, a fact also found in Minas Gerais, highlighting the need for its expansion not only in the scientific sphere but also in the daily life of the various levels of management.

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Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil

Silva

Coêlho

Queiroz³

et al. 2022

IJERPH

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The supply of mental health processes in primary care has gaps. This study aims to analyze the association of agreement criteria and flows between primary care teams and the Family Health Support Center (NASF) for mental health collaborative care, considering the difference between capital and non-capital cities in Brazil. This cross-sectional study was conducted based on secondary data from the Primary Care Access and Quality Improvement Program. Agreement criteria and flows were obtained from 3883 NASF teams of the matrix support or collaborative care. The Chi-square test and multiple Poisson regression were used; p < 0.05 was considered statistically significant. Prevalence ratios of negative associations demonstrated protective factors for support actions: follow-up at Psychosocial Care Center, management of psychopharmacotherapy, offer of other therapeutic actions, care process for users of psychoactive substances, and offer of activities to prevent the use of psychoactive substances. Collaborative care in primary care was effective, and capital cities were a protective factor compared with non-capital cities.

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

Cited by 3 publications

References 22 publications

Community mental health network care: an evaluative approach in a Brazilian state

Community mental health network care: an evaluative approach in a Brazilian state

Community mental health care network: an evaluative approach in a Brazilian state

Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil

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