Políticas de saúde mental na região de fronteira internacional Brasil - Argentina: os desafios na produção do cuidado em saúde mental

• Ano de defesa: 2020
• Autor(a) principal: Rocha, Carla da
• Orientador(a): Carvalho, Manoela de
• Banca de defesa: Machineski, Gicelle Galvan , Cetolin, Sirlei Favero
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual do Oeste do Paraná; Foz do Iguaçu
• Programa de Pós-Graduação: Programa de Pós-Graduação em Saúde Pública em Região de Fronteira
• Departamento: Centro de Educação Letras e Saúde
• País: Brasil
• Palavras-chave em Português: Saúde mental; Fronteira; Produção do cuidado em saúde mental; Desinstitucionalização
• Palavras-chave em Inglês: Mental health; Border; Production of mental health care; Deinstitucionalization
• Palavras-chave em Espanhol: Salud mental; Frontera; Producción de atención a la salud mental; Desinstitucionalización
• Área do conhecimento CNPq: SAUDE COLETIVA::SAUDE PUBLICA
• Link de acesso: http://tede.unioeste.br/handle/tede/5171

The present study aims to analyze the process of restructuring mental health care in the Brazil - Argentina international border region, fostered by the psychiatric reform movements and signed by the Caracas Declaration. This is a descriptive-analytical study, with a qualitative approach. Data collection took place through a semi-structured interview, with users and health workers, subsequently examined through Content Analysis. According to the objectives of this research, data collection was carried out in two moments: 1) interviews with the teams of health workers (11 participants) who work in the following services: Psychosocial Care Center I - Dionísio Cerqueira (Santa Catarina) , Expanded Family Health Center 1 - Barracão (Paraná) and Autogestión Public Hospital - Bernardo de Irigoyen (Misiones - Argentina), in order to identify the other mental health care services and / or strategies in the study territory, as well as how to understand, through their perceptions, how mental health care has been produced in the border region; 2) interviews with mental health users (23 participants), in order to understand their experiences and perceptions regarding mental health policy. The results and discussions are presented through three articles: Article 1) Mental health services in the international border region Brazil - Argentina; Article 2) Considerations on the production of mental health care in the international border region Brazil - Argentina; 3) “When treatment started, madness started!”. It appears that the process of restructuring psychosocial care in mental health in the international border region Brazil - Argentina, takes place in a very heterogeneous and non-integrated manner, marked by contradictions, impasses, tensions and many challenges.