Saúde mental no Brasil e os desafios da gestão em saúde: uma revisão narrativa da literatura

Abstract

The psychiatric reform introduced in the country a new form of treatment and approach to the person with mental disorder. The municipality of Barbacena/MG has always been known to have in its territory several psychiatric hospitals, including the former Colônia Hospital, which triggered this movement. The process of de-hospitalization was driven by the creation of the Psychosocial Care Network (RAPS), with several substitutive services, such as the Psychosocial Support Centers (CAPS), the Therapeutic Residences Service (SRT), among others. Thus, the objective of this study is to analyze, in the light of national public mental health policies, the management of the health care network in Barbacena/MG. It is a descriptive research, which used as a technique the narrative review. Theses, dissertations and scientific articles produced in Brazil during the period 2000 to 2019, as well as official data on mental health were analyzed. The analysis of the obtained data allows to infer that the advances in the public policy of mental health of the municipality of Barbacena have been efficient in the sense of humanizing the treatment to the psychiatric patient, promoting the families to collaborators in the process of rehabilitation and seeking the qualification of the employees for the work with the mentally disordered person. On the other hand, it was also observed that there is still a lack of effectiveness in public mental health management, noted by the small number of therapeutic residences, as well as in the functioning and articulation of the RAPS, especially in the small municipalities that make up the Barbacena macro-region.