Implementação da rede de atenção psicossocial (RAPS) no contexto na política de saúde mental do município de São Carlos/SP (2010-2015)
Abstract
The Ordinance No. 3088, of December 23, 2011, establishes the framework the
Unified Health System (SUS) and the mental health policy in Brazil formation guideline
and implementation of psychosocial care network .Considering the need for the SUS: 1) encourage the formation of a network integrated, coordinated and effective mental
health in different parts of attention to meet people with suffering or mental disorder
and needs arising from the consumption of alcohol, crack and other drugs; besides 2) expand and diversify the provision of services to the same population, we seek through
this research to analyze to what extent and how this policy is being implemented in the
context of mental health policy of São Carlos city at São Paulo State. However, the
objective of the study was to verify whether they are being implemented innovative
means of intersectoral management, integrated and articulated, that confer efficacy to psychosocial care, along the lines adopted by SUS for mental health, and identify what
are these possible mechanisms in order to make recommendations for procedures the
gain in efficiency of decentralized management of this policy can be replicated in other
cities depending on the higher or lower specificities and obstacles discovered. From the
identification fragmentation characteristics of the same during the process of implementation, it was possible to create a picture in order to identify possible variables
related to this current configuration. The methodology used was embedded single case
study (Yin, 2005), and data collected through empirical observation, semi structured
interview script application with managers who coordinate services and agents
implementers, and through documentary survey of the records Psychosocial Care Center
Alcohol and Drugs- CAPS AD from Sao Carlos city, between 2010 the 2012. Finally,
we concluded that the implementation of RAPS policy in São Carlos city is weakened
because of: 1) his condition current training, 2) the effects on structuring of the different
models of mental health care that overlap, and 3) the action actors who produces
conflict and not cooperation.