Community mental health care network: an evaluative approach in a Brazilian state
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/58312 |
Resumo: | Graduate Program in Public Health. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG Brazil/Department of Family Medicine. Mental and Collective Health. Medical School, Federal University of Ouro Preto. Ouro Preto, MG, Brazil |
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Coelho, Vívian Andrade AraújoGama, Carlos Alberto Pegolo daAndrade, Leonardo Isolani eSilva, Mariana Arantes eGuimarães, Denise AlvesGuimarães, Eliete Albano de AzevedoModena, Celina Maria2023-05-11T13:31:13Z2023-05-11T13:31:13Z2023COELHO, Vívian Andrade Araújo et al. Community mental health care network: an evaluative approach in a Brazilian state. Int J Ment Health Syst, v. 17, n. 1, p. 9-9, 2023. doi.org/10.1186/s13033-023-00578-71752-4458https://www.arca.fiocruz.br/handle/icict/58312engBioMed CentralCommunity mental health care network: an evaluative approach in a Brazilian stateinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleGraduate Program in Public Health. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG Brazil/Department of Family Medicine. Mental and Collective Health. Medical School, Federal University of Ouro Preto. Ouro Preto, MG, BrazilFederal University of São João Del Rei. Divinópolis, MG, BrazilFederal University of São João Del Rei. Divinópolis, MG, BrazilFederal University of São João Del Rei. Divinópolis, MG, BrazilFederal University of São João Del Rei. Divinópolis, MG, BrazilFederal University of São João Del Rei. Divinópolis, MG, BrazilGraduate Program in Public Health. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG BrazilIn recent decades, public policies of the Unified Health System (SUS) in Brazil have structured a community mental health care network (RAPS) based on various community actions and services. This study carried out evaluative research on the implementation of the structure and process dimensions of this care network in Minas Gerais, the second most populous state of Brazil, generating indicators that can enhance the strategic management of the public health system in the strengthening the psychosocial care in the state. The application of a multidimensional instrument, previously validated (IMAI-RAPS), in 795 of the 853 municipalities in Minas Gerais was carried out between June and August 2020. Regarding the structural dimension, we noticed an adequate implementation of services like ‘Family Health Strategy,’ ‘Expanded Family Health Center,’ and ‘Psychosocial Care Centers’ but a lack of ‘Beds in General Hospitals’ destinated to mental health care, ‘Unified Electronic Medical Records’ and ‘Mental Health Training Activities for Professionals.’ In the process dimension, adequate implementation of actions such as ‘Multidisciplinary and Joint Care,’ ‘Assistance to Common Mental Disorders by Primary Health Care,’ ‘Management of Psychiatric Crises in Psychosocial Care Centers,’ ‘Offer of Health Promotion Actions,’ and ‘Discussion of Cases by Mental Health Teams’ point to a form of work consistent with the guidelines. However, we detected difficulties in the implementation of ‘Psychosocial Rehabilitation Actions,’ ‘Productive Inclusion,’ ‘User Protagonism,’ ‘Network Integration,’ and practical activities for the effectiveness of collaborative care. We found a better implementation of the mental health care network in more populous, demographically dense, and socioeconomically developed cities, which shows the importance of regional sharing of services that are not possible for small cities. The evaluation practices of mental health care networks are scarce throughout the Brazilian territory, a fact also found in Minas Gerais, highlighting the need for its expansion not only in the scientific sphere but also in the daily life of the various levels of management.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/58312/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALCommunity mental health care network.pdfCommunity mental health care network.pdfapplication/pdf1048779https://www.arca.fiocruz.br/bitstream/icict/58312/2/Community%20mental%20health%20care%20network.pdf24821774d4b22ab2393266d37946bf36MD52icict/583122023-05-11 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dc.title.en_US.fl_str_mv |
Community mental health care network: an evaluative approach in a Brazilian state |
title |
Community mental health care network: an evaluative approach in a Brazilian state |
spellingShingle |
Community mental health care network: an evaluative approach in a Brazilian state Coelho, Vívian Andrade Araújo |
title_short |
Community mental health care network: an evaluative approach in a Brazilian state |
title_full |
Community mental health care network: an evaluative approach in a Brazilian state |
title_fullStr |
Community mental health care network: an evaluative approach in a Brazilian state |
title_full_unstemmed |
Community mental health care network: an evaluative approach in a Brazilian state |
title_sort |
Community mental health care network: an evaluative approach in a Brazilian state |
author |
Coelho, Vívian Andrade Araújo |
author_facet |
Coelho, Vívian Andrade Araújo Gama, Carlos Alberto Pegolo da Andrade, Leonardo Isolani e Silva, Mariana Arantes e Guimarães, Denise Alves Guimarães, Eliete Albano de Azevedo Modena, Celina Maria |
author_role |
author |
author2 |
Gama, Carlos Alberto Pegolo da Andrade, Leonardo Isolani e Silva, Mariana Arantes e Guimarães, Denise Alves Guimarães, Eliete Albano de Azevedo Modena, Celina Maria |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Coelho, Vívian Andrade Araújo Gama, Carlos Alberto Pegolo da Andrade, Leonardo Isolani e Silva, Mariana Arantes e Guimarães, Denise Alves Guimarães, Eliete Albano de Azevedo Modena, Celina Maria |
description |
Graduate Program in Public Health. René Rachou Institute. Oswaldo Cruz Foundation. Belo Horizonte, MG Brazil/Department of Family Medicine. Mental and Collective Health. Medical School, Federal University of Ouro Preto. Ouro Preto, MG, Brazil |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-05-11T13:31:13Z |
dc.date.available.fl_str_mv |
2023-05-11T13:31:13Z |
dc.date.issued.fl_str_mv |
2023 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
COELHO, Vívian Andrade Araújo et al. Community mental health care network: an evaluative approach in a Brazilian state. Int J Ment Health Syst, v. 17, n. 1, p. 9-9, 2023. doi.org/10.1186/s13033-023-00578-7 |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/58312 |
dc.identifier.issn.en_US.fl_str_mv |
1752-4458 |
identifier_str_mv |
COELHO, Vívian Andrade Araújo et al. Community mental health care network: an evaluative approach in a Brazilian state. Int J Ment Health Syst, v. 17, n. 1, p. 9-9, 2023. doi.org/10.1186/s13033-023-00578-7 1752-4458 |
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https://www.arca.fiocruz.br/handle/icict/58312 |
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BioMed Central |
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BioMed Central |
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