Mental Health Care In Health Centers: Study Of The Efficacy Of The Care Given [atenção à Saúde Mental Na Rede Básica: Estudo Sobre A Eficácia Do Modelo Assistencial]

Introduction: The implementation of the mental health policy in the health centers of Campinas, Southeastern Brazil, is analysed. Material and Method: The methodology used consisted of a descriptive epidemiological study of a sample of 150 patients, discharged from a psychiatric hospital, and referred to health centers for continuing treatment. During the 4 months following discharge the attendance of the patients at these centers and return visits into hospital were verified. Results: The results showed that 48.6% of the patients discharged by hospitals did not turn up at the health centers. Of those who did get those, 51.4% abandoned their treatment before the end of the 4 months. The percentaje of 24.7% of the patients returned to hospital, most of them receiving a diagnosis of psychosis. Conclusions: The problems encountered in the implementation of the mental health policy in the health center networt in Campinas as regards the definition of the policy, the organization of the work of the professional teams and the results these services achieve, were brought out. The evidence that the transformation of the asylum calls for new psycho-social rehabilitation services and intersectional articulation to obtain good results in de-hospitalization and the salvaging of the citizenship of mentally-ill patients is reinforced.313288295Almeida Filho, N., Mari, J.J., Coutinho, E., França, J.F., Fernandes, J.G., Andreoli, S.B., Burnello, E.D., Estudo multicêntrico de morbidade psiquiátrica em áreas urbanas brasileiras (Brasília, São Paulo, Poro Alegre) (1992) Rev. ABP-APAL, 14, pp. 93-104Baremblit, G., (1994) Compêndia de Análise Institucional e Outras Correntes: Teoria e Prática, , Rio de Janeiro, Ed. Rosa dos TemposCampos, G.W.S., (1994) Sobre a Reforma dos Modelos de Atenção: Um Modo Mutante de Fazer Saúde. Campinas, , Fac. de Ciências Médicas da UNICAMPCampos, G.W.S., Considerações sobre a arte e a ciência da mudança: Revolução das coisas e reformas das pessoaso caso da saúde (1994) Inventando a Mudança na Saúde, , Cecílio, L.C.O. São Paulo, Ed. HucitecGonçalves, R.B.M., (1992) Práticas de Saúde: Processos de Trabalho e Necessidades, , São Paulo, Departamento de Medicina Preventiva da Fac. Med. USP, [no prelo]Matus, C., (1993) Política, Planejamento e Governo, , Brasília, IPEANogueira, R.P., (1994) Perspectivas da Qualidade em Saúde, , Rio de Janeiro, Ed.Qualitymark(1991) Reestruturación de la Atención Psiquiátrica: Bases Conceptuales y Guias para su Implementación, , Washington, D.CRotelli, F., (1990) Desinstitucionalização, , São Paulo, Ed. HucitecSECRETARIA MUNICIPAL DE SAÚDE DE CAMPINAS. Projeto do hospital-dia. Campinas,1991Testa, M., (1992) Pensar em Saúde, , Porto Alegre, Artes Médica