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Towards comprehensive mental health care: experiences and challenges of psychosocial care in Brazil by Sampaio, Mariá Lanzotti (author);Bispo Júnior, José Patrício (author) is a Medicine article available to read on EtoBox.

What is Towards comprehensive mental health care: experiences and challenges of psychosocial care in Brazil about?

## Background Recommendations are in place for mental health (MH) care to be developed into a comprehensive, people-centred perspective and organised primarily through community services. In recent decades, Brazil has promoted psychiatric reform aimed at transforming the hospital-centred model into a psychosocial model of MH. However, current political and economic changes threaten this reform. This article analyses the comprehensive MH care offered by a Psychosocial Care Network (__Rede de Atenção Psicossocial__ – RAPS) in Brazil. ## Methods The study involved semi-structured in-depth interviews with 33 stakeholders (policymakers, health professionals, and MH service users) and direct observation of MH services members of the RAPS. Data were analysed using framework analysis with the following dimensions: mental health services access, long-term mental health care, comprehensive mental health care, and crisis patient care. ## Results Results indicated progression towards comprehensive MH care provision. We identified MH care provided primarily by community services, featuring an ‘open door’ policy, development of localised actions and a search for autonomy. Deinstitutionalisation

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Author
Sampaio, Mariá Lanzotti (author);Bispo Júnior, José Patrício (author)
Publisher
Springer Science and Business Media LLC
Published
2021
Language
EN
Field
Medicine (Health Sciences)