The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment
ABSTRACT 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 r...
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| Format: | Article |
| Language: | English |
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Universidade de São Paulo
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| Series: | Revista de Saúde Pública |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102017000100211&lng=en&tlng=en |
| _version_ | 1818620351945375744 |
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| author | Thiago Lavras Trapé Rosana Onocko Campos |
| author_facet | Thiago Lavras Trapé Rosana Onocko Campos |
| author_sort | Thiago Lavras Trapé |
| collection | DOAJ |
| description | ABSTRACT 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. |
| first_indexed | 2024-12-16T17:52:00Z |
| format | Article |
| id | doaj.art-5864f9a1fcee4c088e8fdc6e6d4d9460 |
| institution | Directory Open Access Journal |
| issn | 1518-8787 |
| language | English |
| last_indexed | 2024-12-16T17:52:00Z |
| publisher | Universidade de São Paulo |
| record_format | Article |
| series | Revista de Saúde Pública |
| spelling | doaj.art-5864f9a1fcee4c088e8fdc6e6d4d94602022-12-21T22:22:16ZengUniversidade de São PauloRevista de Saúde Pública1518-878751010.1590/s1518-8787.2017051006059S0034-89102017000100211The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessmentThiago Lavras TrapéRosana Onocko CamposABSTRACT 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.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102017000100211&lng=en&tlng=enMental Health Services, organization & administrationMental Health Services, economicsHealth Services AdministrationHealth Personnel ManagementHealth Services Evaluation |
| spellingShingle | Thiago Lavras Trapé Rosana Onocko Campos The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment Revista de Saúde Pública Mental Health Services, organization & administration Mental Health Services, economics Health Services Administration Health Personnel Management Health Services Evaluation |
| title | The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment |
| title_full | The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment |
| title_fullStr | The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment |
| title_full_unstemmed | The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment |
| title_short | The mental health care model in Brazil: analyses of the funding, governance processes, and mechanisms of assessment |
| title_sort | mental health care model in brazil analyses of the funding governance processes and mechanisms of assessment |
| topic | Mental Health Services, organization & administration Mental Health Services, economics Health Services Administration Health Personnel Management Health Services Evaluation |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89102017000100211&lng=en&tlng=en |
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