Avaliação da estrutura dos Centros de Atenção Psicossocial da região do Médio Paraopeba, Minas Gerais*

Abstract

although most of the aspects were suitable, some deficiencies were observed; criteria definition and legislation updates are necessary to improve health services and to accomplish the proposal of network service.

Avaliação de Serviços de Saúde Mental Brasileiros: satisfação dos usuários e fatores associados

“…Although patients reported being satisfied or very satisfied with the centers in general, the items identified as needing improvement reveal a series of shortcomings in the physical structure of CAPS. Despite the existence of construction standards for CAPS 24 , infrastructure problems and a lack of standardization are evident, including the adaptation of residential buildings to accommodate CAPS, lack of wheelchair access and the need for refurbishment 25,26 , which could have a significant effect on user satisfaction and should be addressed by managers.…”

Knowledge of managers on the National Mental Health Policy

“…The psychosocial care model that has been adopted suggests mental health should have an interdisciplinary diagnosis, considering this professional interaction as an important element of the complexity of every patient's therapeutic project (16) . However, the interviewees showed some insecurity when giving their opinion, due to limited ability and competency in the operational and doctrinal objectives of RAPS, reporting it only as personal positioning without proper conviction based on a general understanding of the health policy.…”

“…Important issues that need to be addressed by the interdisciplinary team regarding the psychosocial practice in mental health in substitute services and that refer to the perspective of the therapeutic work and the relationship of cooperation involving the patient, family members and the community were not addressed by the interviewees (16) .…”

“…The RPS includes additional dimensions besides population, operational structure and health care model, involving the economic and social aspects of the country, facing great challenges to ensure a solidary and cooperative network of municipal and regional mental health and new ways of addressing health issues, respecting the principles of the Psychiatric Reform (16) . Therefore, a gap is observed in the understanding of the psychiatric hospital model and its structure and method to treat madness, in general, for an open model that uses the concept of accountability, deinstitutionalization and psychosocial care among the actors involved based on a territorial dimension.…”

Night Admission at a Psychosocial Care Center III

“…With regard to the CAPS, there are several modalities defined by increasing size/complexity and population coverage (I, II, III) and by the public to be cared for: adult (CAPS), users of alcohol and other drugs (CAPS AD) and children and adolescents (CAPS I). The CAPS III differs from the others because it has the operational capacity for care in municipalities with a population of more than 200,000 inhabitants, providing ambulatory service of continuous care for 24 hours daily, with night admission and stay, including holidays and weekends (6)(7) .…”