Política de Saúde Mental no Brasil: evolução do gasto federal entre 2001 e 2009

Gonçalves, Renata Weber; Vieira, Fabíola Sulpino; Delgado, Pedro Gabriel Godinho

doi:10.1590/s0034-89102011005000085

Cited by 35 publications

(30 citation statements)

References 6 publications

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“…24 Even in Brazil, where progressive mental health policies and legislation have been quite striking, the health budget allocation for mental health decreased slightly between 2001 and 2011 (from 2.50 percent to 2.38 percent). 20-22,25,26 Fortunately, at least some countries have been increasing their allocation to mental health. In Chile, for example, the percentage of the health budget allocated to mental health increased from 1.49 percent to 2.78 percent during that same period.…”

Section: Current Statementioning

confidence: 99%

Community Mental Health Services in Latin America for People with Severe Mental Disorders

2012

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Section: Current Statementioning

confidence: 99%

Community Mental Health Services in Latin America for People with Severe Mental Disorders

2012

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“…Gonçalves et al 8 have already pointed out the need to expand the assessments that could show the power of the psychosocial model, without the presence of the false inference that the reduction of psychiatric beds in hospitals is indicative of a lack in health care. In the academic field, there is a vast production of assessments of services and technologies in the area of mental health, mainly from the first decade of the 2000s, encouraged by research notices such as the Research Program for the SUS.…”

Section: Resultsmentioning

confidence: 99%

“…Since its enactment, federal funding in mental health had a real growth 8 , mainly in the areas focused on the creation of new community services, in addition to a gradual reduction of funding for hospital beds b . At the end of the last decade, we had a reality of more services replacing the psychiatric hospital, with significant reduction in the number of beds.…”

Section: Introductionmentioning

confidence: 99%

The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment

Trapé

Campos

2017

Rev. Saúde Pública

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OBJECTIVE This study aims to analyze the current status of the mental health care model of the Brazilian Unified Health System, according to its funding, governance processes, and mechanisms of assessment.METHODS We have carried out a documentary analysis of the ordinances, technical reports, conference reports, normative resolutions, and decrees from 2009 to 2014.RESULTS This is a time of consolidation of the psychosocial model, with expansion of the health care network and inversion of the funding for community services with a strong emphasis on the area of crack cocaine and other drugs. Mental health is an underfunded area within the chronically underfunded Brazilian Unified Health System. The governance model constrains the progress of essential services, which creates the need for the incorporation of a process of regionalization of the management. The mechanisms of assessment are not incorporated into the health policy in the bureaucratic field.CONCLUSIONS There is a need to expand the global funding of the area of health, specifically mental health, which has been shown to be a successful policy. The current focus of the policy seems to be archaic in relation to the precepts of the psychosocial model. Mechanisms of assessment need to be expanded.

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“…Vale salientar queas internações psiquiátricas têm como objetivo tratar, cuidar e proteger o doente mental de comportamentos perigosos. A institucionalização é indicada em casos graves, no esgotamento dos serviços extra-hospitalares (Gonçalves, Vieira & Delgado, 2012).…”

Section: Discussionunclassified

A reforma psiquiátrica e seus desdobramentos: representações sociais dos profissionais e usuários da atenção psicossocial

et al. 2016

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RESUMO:Esta pesquisa objetivou apreender as representações sociais de usuários e profissionais de saúde sobre a reforma psiquiátrica. Participaram 50 usuários e 30 profissionais da saúde do Centro de Atenção Psicossocial, Centro de Atenção Psicossocial Álcool e outras Drogas e da Estratégia Saúde da Famíliada cidade de Fortaleza-CE, que foram submetidos a Técnica de Associação Livre de Palavras, com os estímulos indutores: loucura, desinstitucionalização, internação psiquiátrica e reforma psiquiátrica. Os dados foram analisados pela análise fatorial de correspondência e os resultadosapontaram para uma aproximação entre o conhecimento do senso comum e o conhecimento erudito quando utilizadas as associações ao estímulo reforma psiquiátrica, ambos consideraram o processo de humanização eluta, além de se remeter a utopia, caps, melhor e acreditar. A loucura é objetivada como sinônimo de doença mental que provoca crises e tem como consequências: sofrimento, desespero e preconceito. A desinstitucionalização, bem como a reforma psiquiátrica, foi representada como ação progressiva de liberdade e inserção, voltada para a desconstrução do modelo asilar e expansão de uma rede de atenção extra-hospitalar. E a internação psiquiatrica como uma forma de exclusão do doente mental. Os resultados também evidenciaram a importância do suporte familiar e social no contexto da saúde mental. Espera-se que esses resultados venham a contribuir para uma melhor conscientização acerca deste fenômeno.Palavras-chave: saúde mental; reforma psiquiátrica; representações sociais; serviços de saúde mental; reabilitação.ABSTRACT: This research aimed to understand the social representations of service users and healthcare professionals about psychiatric reform. The participants were 50 users and 30 professionals from the Psychosocial Care Center, Psychosocial Care Center Alcohol and Other Drugs and Family Health Strategy in the city of Fortaleza-CE, who underwent Free Association Technique of Words, with stimuli: madness, deinstitutionalization, psychiatric hospitalization and psychiatric reform. Data was analyzed by factorial correspondence analysis, the results showed that the common sense knowledge about the psychiatric reform using the associations of stimuli already mentioned like the erudite knowledge, considered this as a process of humanization, struggle, utopia, caps, better and believe. Madness as mental illness that causes crisis and its consequences: suffering, despair and prejudice. The deinstitutionalization and reform were represented as the process of change toward the deconstruction of the model shelter and

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Política de Saúde Mental no Brasil: evolução do gasto federal entre 2001 e 2009

Abstract: OBJECTIVE:To analyze the evolution of estimates of federal spending in Brazil's Mental Health Program since the promulgation of the national mental health law.

Cited by 35 publications

References 6 publications

Community Mental Health Services in Latin America for People with Severe Mental Disorders

Community Mental Health Services in Latin America for People with Severe Mental Disorders

The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment

A reforma psiquiátrica e seus desdobramentos: representações sociais dos profissionais e usuários da atenção psicossocial

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