Paths and detours in the trajectory of the Brazilian psychiatric reform

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dc.contributor.authorSade, Rossana Maria Seabra [UNESP]
dc.contributor.authorSashidharan, Sashi P.
dc.contributor.authorSilva, Maria De Nazareth Rodrigues Malcher De Oliveira
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionUniversity of Glasgow
dc.contributor.institutionUniversidade de Brazília
dc.date.accessioned2022-05-01T13:57:26Z
dc.date.available2022-05-01T13:57:26Z
dc.date.issued2021-01-01
dc.description.abstractThis article looks at the principles and guidelines of the Unified Health System as well as the current situation and the limitations and possibilities of Brazilian mental health policy. Based on a review of national and international government documents and the scientific literature from 2015-2020, the study observed positive advances in mental health. However, the psychiatric reform has experienced setbacks, and the balance of mental health care has swung towards hospital-centered treatment. These changes have impeded the implementation of the Psychosocial Care Network, as well as the development of therapeutic practices and strategies focused on the person’s experience, their daily life and their relations with the health promotion network. By questioning the supremacy of medical-psychiatric knowledge in the treatment of “mental illness” in the public health care system, the psychiatric reform cleared a path for the construction of new ways of addressing psychological suffering. These gains are currently at risk, making a wider debate on the current trends in mental health care in Brazil essential.en
dc.description.affiliationDoctora en Educación. Posdoctora en Desinstitucionalización Profesora Faculdade de Filosofia e Ciências Câmpus de Marília Universidade Estadual Paulista
dc.description.affiliationPhD en Psiquiatría. Profesor Institute of Health & Wellbeing University of Glasgow
dc.description.affiliationDoctora in Psicología Clínica y Cultura Posdoctora en Fenomenología Profesora Faculdade de Ceilândia Universidade de Brazília
dc.description.affiliationUnespDoctora en Educación. Posdoctora en Desinstitucionalización Profesora Faculdade de Filosofia e Ciências Câmpus de Marília Universidade Estadual Paulista
dc.identifierhttp://dx.doi.org/10.18294/sc.2021.3563
dc.identifier.citationSalud Colectiva, v. 17.
dc.identifier.doi10.18294/sc.2021.3563
dc.identifier.issn1851-8265
dc.identifier.issn1669-2381
dc.identifier.scopus2-s2.0-85124938808
dc.identifier.urihttp://hdl.handle.net/11449/234165
dc.language.isoeng
dc.language.isospa
dc.relation.ispartofSalud Colectiva
dc.sourceScopus
dc.subjectBrasil
dc.subjectBrazil
dc.subjectDeinstitutionalization
dc.subjectDesinstitucionalización
dc.subjectMental Health
dc.subjectMental Health Services
dc.subjectPsychiatric Reform
dc.subjectSalud Mental
dc.subjectServicios de Salud Mental
dc.subjectSistema Único de Salud
dc.subjectUnified Health System
dc.titlePaths and detours in the trajectory of the Brazilian psychiatric reformen
dc.titleCaminos y desvíos en la trayectoria de la reforma psiquiátrica brasileñaes
dc.typeArtigo

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