ArticleBMC public health2021
Towards comprehensive mental health care: experiences and challenges of psychosocial care in Brazil.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 33 citations in OpenAlex.
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- Association between diagnosis of depression and health service coverage: a multilevel analysis of the National Health Survey, Brazil, 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026Article
- Putting mental health deinstitutionalisation back on track: a scoping review of what empirically hinders and drives deinstitutionalisation of adults who experience mental illness.BMC public health · 2025Article
- Global Disparities in Mental Health Systems: A Comparative Cross-sectional Study of Ten Countries with Different Income Levels.Indian journal of psychological medicine · 2025Article
- Healthcare gaps and inequities following hospitalisation for COVID-19 in Brazil's universal healthcare system: a patient-engaged survey of Long COVID healthcare needs, use and barriers.International journal for equity in health · 2025Article
- Barriers and Facilitators to Integrating Depression Treatment Within a TB Program and Primary Care in Brazil.Health promotion practice · 2024Article
- Peer support workers as a tool to expand access and improve the quality of care for transgender women and travestis in Brazil.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2024Article
- Clinical and epidemiological profile of patients with mental disorders in a specialized outpatient clinic and its role in the psychosocial care network.Frontiers in psychiatry · 2024Article
- Health litigation and cancer survival in patients treated in the public health system in a large Brazilian city, 2014-2019.BMC public health · 2023Article
- Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study.BMC psychiatry · 2023Article
- Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil.International journal of environmental research and public health · 2022Article
- Assistance to families of children with Autism Spectrum Disorders: Perceptions of the multiprofessional team.Revista latino-americana de enfermagemArticle
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecommendations 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.
methodsThe 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.
resultsResults 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 principles and the psychosocial model support a comprehensive view of MH by policy makers, MH professionals, and users. However, difficulties in providing comprehensive care remain, with the main challenges being insufficient services offered and difficulties in user access at all levels of care, fragile integration between services, lack of clear definitions of the responsibilities of each service, discontinuity of care, limitations in family support, and fragility in crisis patient care.
conclusionWe highlight the need to increase funding and services of RAPS, qualification of staff professional, family support, and development of strategies for integrating services. Support and expansion of MH care depend on strengthening the Brazilian health system, which is in danger of being dismantled.
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