Banca de DEFESA: ALESSIVANIA MARCIA ASSUNCAO MOTA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ALESSIVANIA MARCIA ASSUNCAO MOTA
DATE: 18/03/2022
TIME: 14:00
LOCAL: https://www.youtube.com/user/labvideoisc
TITLE:

Analysis of the implementation of the National Mental Health Policy in the 2001-2018 period: facts, debates and controversies

KEY WORDS:

Mental Health; Psychiatric Reform, National Mental Health Policy; Health Unic System.

PAGES: 208
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

The present work aims to analyze the implementation of the National Mental Health Policy (PNSM), at the national level, from 2001 to 2018. It is a single case study, of an exploratory and analytical nature, which took as its object the process implementation of the PNSM, in the FHC (2001-2002), Lula (2003-2010), Dilma (2011-2016) and Temer (2016-2018) governments, emphasizing the analysis of the actions carried out by the National Coordination of Mental Health of the Ministry of Health. Health and the actions and positioning of the different entities that make up the Social Movement organized around the Brazilian Psychiatric Reform, represented in the Intersectoral Commission on Mental Health of the National Health Council. The theoretical framework articulates concepts extracted from Neo-institutionalism, especially the Coalition Model of Defense and concepts derived from Strategic Thinking in Health. The empirical research used primary and secondary data, obtained through document analysis – laws, norms, portarias, resolutions, management reports, reports of the National Mental Health Conferences and minutes of meetings, recommendations, motions of the National Health Council - related to the PNSM and interviews with key informants, linked to the main national movements linked, both to the perspective of reform psychiatric and the perspective of the psychiatric counter-reform, in addition to a representative of the National Coordination of Mental Health, from one of the study periods. The results are presented according to the following dimensions: Fundamentals, objectives and strategies of the PNSM; Constitution and dynamics of the MS Coordination; SM Policy implementation process 2001-2018; Participation of the National Health Council in the PNSM implementation process (2001-2018); Debates and controversies around the PNSM implementation process. The analysis of the results shows that the implementation of the PNSM suffered inflections during the different governments in the analyzed period, which gave specific contours and rhythms to the actions of management, financing, social protagonism, implementation and expansion of services through normative acts adopted in in line with the macroeconomic situation, but mainly with the ethical-politicalideological position on the phenomenon of madness and mental health prevalent in the management of the Policy. Even so, the PNSM, as it was implemented, represented, for most of the analyzed period, an important advance in the conception of madness historically constructed in the country, as well as in the forms of care and attention to the population with mental disorders, psychological suffering and use, abuse of alcohol and other drugs. Considering that the constitutive actors of the different coalitions acted as “guardians” of the structuring principles and projects of each of them, it is concluded that the State and the public health system (SUS), in particular, has been configured as a space in permanent tension. by the coexistence of a mental health care reform project based on the universality and integrality of care, through the RAPS and the privatist, medicalizing, hospital-centric and excluding project, traditionally hegemonic and resistant to the Brazilian Psychiatric Reform process.

BANKING MEMBERS:
Externo ao Programa - 4245226 - ALVINO OLIVEIRA SANCHES FILHO
Externa à Instituição - ANA MARIA FERNANDES PITTA - UCSal
Presidente - 078.972.005-15 - CARMEN FONTES DE SOUZA TEIXEIRA - UFBA
Interna - 3359216 - ISABELA CARDOSO DE MATOS PINTO
Interna - 1349800 - MONICA DE OLIVEIRA NUNES DE TORRENTE