Políticas de saúde e de saúde mental no Brasil: a exclusão/inclusão social como intenção e gesto

Abstract

Silva ATMC, Barros S, Oliveira MAF. Políticas de saúde e de saúde mental no Brasil: a exclusão/inclusão social como intenção e gesto. Rev Esc Enferm USP 2002; 36(1): 4-9. secuestra vidas, mutila cuerpos y mentes y mercantiliza la salud; la del modelo contra-hegemónico que busca la ruptura por la crítica a aquella lógica para produzir la tolerancia para con la diferencia, en la sociedad brasileña. RESUMO

Hospitalizações psiquiátricas no Rio Grande do Sul de 2000 a 2011

“…From the perspective of service management, the reform of mental health care model indicates, since its origins, the funds invested in hospitalizations could be reversed for the maintenance, improvement, and expansion of services in substitutive services 1,3 . It is necessary to consider, however, that the expansion of the access of the population to mental health services can lead to an increased demand at all levels of assistance 7,19,21,26 , requiring the expansion of the structure and technical capacity of care also in the hospital level.…”

“…The psychiatric hospitalization still appears in the popular imagination, in the media, and in the debates about the reformulation of the care model as the equipment reserved for the imprisonment of madness. Such image is often relevant and coming from inherited models of the first total institutions, implemented since the middle ages in different nations [3][4][5][6] . The challenging of segregating practices, which triggered the psychiatric reform and the anti-asylum movement 4,6,7 , envisioning the care in communities through substitutive services 8 , did not ignore the need for hospitalization of many users of these services 3,4,9,10 .…”

“…Such image is often relevant and coming from inherited models of the first total institutions, implemented since the middle ages in different nations [3][4][5][6] . The challenging of segregating practices, which triggered the psychiatric reform and the anti-asylum movement 4,6,7 , envisioning the care in communities through substitutive services 8 , did not ignore the need for hospitalization of many users of these services 3,4,9,10 . The movement called for the offer of hospitals beds in general hospitals 8 , closer to each community and integrated to the local care networks 3,4,7 .…”

“…The challenging of segregating practices, which triggered the psychiatric reform and the anti-asylum movement 4,6,7 , envisioning the care in communities through substitutive services 8 , did not ignore the need for hospitalization of many users of these services 3,4,9,10 . The movement called for the offer of hospitals beds in general hospitals 8 , closer to each community and integrated to the local care networks 3,4,7 . The transition of specialized hospital beds for general hospitals has already been occurring in Rio Grande do Sul over time.…”

As práticas de inclusão social: o desafio para os serviços de saúde mental.

“…Fomentar a inclusão social das pessoas com transtornos mentais, via a inserção no mercado de trabalho, é uma das recentes diretrizes da Política (Silva, Barros, Oliveira, 2002).…”