Avanços e recuos na implantação da Rede de Atenção Psicossocial no Estado de São Paulo: regiões de saúde e pactuações interfederativas

Abstract

possibilities, such as greater physical investment, and also in the qualification of service. The undertaking of more systematic monitoring of information received from regions and health networks, the offer of regional technical support in collegiate bodies such as the Regional Conductor Group (GCR) and GCE and health teams, should help to strengthen the RAPS. It is possible that the autonomy of the federated entities and the decentralization of policies support the psychosocial care model advocated by the psychiatric reform and the anti-asylum struggle, even if unevenly in the territories, and subject to local and regional political positions and disputes. The research does not disregard, though, the impact that changes in mental health policies has, added by the effect of a moment of psychiatric counter-reform, regional differences, managers' transitions, pacts and renegotiations at different levels of management, and the current scenario of crisis, as key players in the advances and setbacks in RAPS processes.