CAPS distribution in the state of Paraíba, PB, Brazil: quantitative analysis
DOI:
https://doi.org/10.25118/2763-9037.2022.v12.353Keywords:
Mental health services, state health care coverage, patient care teamAbstract
Introduction: Psychosocial Care Centers are the main component of the extra-hospital network within the mental health care reform. They are an important instrument within territorial and community-based assistance. Objectives: to map and analyze the distribution of Psychosocial Care Centers and their multidisciplinary teams in the state of Paraíba, based and focus on regionalization. Methods: a descriptive, cross-sectional study with a quantitative approach. Data from the Mental Health Coordination of the state of Paraíba – from the National Register of Health Establishments and Human Resources – were used. Coverage indices were calculated for the 16 regional health departments. Ordinances 336/2002 and 130/2012 from the Ministry of Health served as the basis for the analysis regarding the number of professionals per service. Results: Paraíba has 113 Psychosocial Care Centers distributed in the modalities: I, II, III, ad, ad III, and i. It was observed that the 1st region had the lowest coverage index (1,03), and the 4th region had the best result (5,74), both differing considerably from the total state index (2,12). Regarding the multidisciplinary teams, it was observed that the number of nurses (201) and other health professionals (448) numerically supplies the number of services, but that the number of doctors (60) is much lower than expected. It is worth mentioning that three regions do not have a registered psychiatrist on their staff, emphasizing the 12th region, which appears without any medical professional despite the existence of four services in its territory. Conclusions: The distribution of CAPS in Paraíba is wide and satisfactory; however, few psychiatrists are working in these services.
Downloads
Metrics
References
Pitiá ACA, Furegato ARF. O acompanhamento terapêutico (AT): dispositivo de atenção psicossocial em saúde mental. Interface (Botucatu) [Internet]. 2009. [cited 2018 June 02]. https://doi.org/10.1590/S1414-32832009000300007
Melo AMC. Apontamentos sobre a reforma psiquiátrica no Brasil. Cad Brasil Saúde Mental. [Internet]. 2012. [cited 2018 June 02]. http://stat.ijie.incubadora.ufsc.br/index.php/cbsm/article/view/2127
Gonçalves VM, Candiago RH, Saraiva SS, Lobato MIR, Belmonte-de-Abreu PS. A falácia da adequação da cobertura dos Centros de Atenção Psicossocial no estado do Rio Grande do Sul. Rev psiquiatr Rio Gd Sul. [Internet]. 2010. [cited 2018 May 24]. https://doi.org/10.1590/S0101-81082010000100003
Brasil. Ministério da Saúde. Portaria nº 336/GM, de 19 de fevereiro de 2002. [Internet]. 2002. [cited 2018 May 24]. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2002/prt0336_19_02_2002.html
Comissão Intergestores Tripartite (CIT). Resolução nº 32, de 14 de dezembro de 2017. Estabeleceu as Diretrizes para o fortalecimento da Rede de Atenção Psicossocial (RAPS). Diário Oficial da União 2017; 22 dez. https://bvsms.saude.gov.br/bvs/saudelegis/cit/2017/res0032_22_12_2017.html
Silva GM, Zanini DS, Rabelo IVM, Pegoraro RF. Concepções sobre o modo de atenção psicossocial de profissionais da saúde mental de um CAPS. Rev Psicol Saúde [Internet]. 2015 Dez. [cited 2018 June 03]. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S2177-093X2015000200010&lng=pt
Ferreira GS, Moro LM, Rocha KB. Análise dos pressupostos do paradigma psicossocial nos Centros de Atenção Psicossocial (CAPS) na perspectiva de profissionais. Cienc. Psicol. [online]. 2022;16(2) https://doi.org/10.22235/cp.v16i2.2225
Macedo JP, Abreu MM, Fontenele MG, Dimenstein M. A regionalização da saúde mental e os novos desafios da reforma psiquiátrica brasileira. Saúde soc. [Internet]. 2017. [cited 2018 Apr 20]. http://dx.doi.org/10.1590/s0104-12902017165827
Brasil. Ministério da Saúde. Saúde Mental em Dados – 12. [Internet]. 2015. [cited 2018 Apr 20]. https://goo.gl/ULv73a
Paraíba. Secretaria Estadual de Saúde. Plano estadual de saúde 2016/2019. [Internet]. 2016. [cited 2020 jan. 28]. www.conass.org.br/pdf/planos-estaduais-de-saude/PB_Plano%20Estadual%20de%20Saude%202016_2019.pdf
Brasil. Ministério da Saúde. Portaria nº 130/GM, de 26 de janeiro de 2012. [Internet]. 2002. [cited 2019 May. 30]. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2012/prt0130_26_01_2012.html
Brasil. Presidência da República. Lei nº 10.216, de 6 de abril de 2001. Dispõe sobre a proteção e os direitos das pessoas portadoras de transtornos mentais e redireciona o modelo assistencial em saúde mental. Diário Oficial da União. [Internet]. 2001. [cited 2020 June. 28]. http://www.planalto.gov.br/ccivil_03/LEIS/LEIS_2001/L10216.htm
Brasil. Agência Nacional de Saúde Suplementar. Diretrizes assistenciais para saúde mental na saúde suplementar. [Internet]. 2008. [cited 2020 June 28]. http://www.ans.gov.br/images/stories/Plano_de_saude_e_Operadoras/Area_do_consumidor/diretrizes_assistenciais.pdf
Brasil. Ministério da Saúde, Coordenação Nacional de Saúde Mental, Álcool e Outras Drogas. Número de Centros de Atenção Psicossocial (CAPS) por tipo e UF e indicador CAPS/100.000 habitantes. Brasília: Ministério da Saúde; 2009. http://www.ccs.saude.gov.br/saude_mental/pdf/CAPS_311009.pdf
Brasil, Ministério da Saúde. Área Técnica de Saúde Mental. Departamento de Ações Programáticas Estratégicas. Secretaria de Atenção à Saúde. Brasília: Ministério da Saúde; 2015. https://bvsms.saude.gov.br/bvs/publicacoes/saude_mental_volume_5.pdf
Demografia médica no Brasil 2020. SÃO PAULO: Departamento de Medicina Preventiva da Faculdade de Medicina da USP; Conselho Federal de Medicina, 2020. 311p. https://www.fm.usp.br/fmusp/conteudo/DemografiaMedica2020_9DEZ.pdf
Leão A. O serviço comunitário de saúde mental: desvelando a essência do cotidiano das ações no território [tese]. São Paulo: Escola de Enfermagem, Universidade de São Paulo; 2010. https://doi.org/10.11606/T.7.2010.tde-13012011-155649
Brasil. Ministério da Saúde. Portaria nº 3.088/GM, de 23 de dezembro de 2011. Republicada em 21 de maio de 2013. [Internet]. 2013. [cited 2020 June 26]. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt3088_23_12_2011_rep.html
Downloads
Published
How to Cite
Conference Proceedings Volume
Section
License
Copyright (c) 2022 Roberta Chagas Oliveira, Heydrich Virgulino
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Debates em Psiquiatria allows the author (s) to keep their copyrights unrestricted. Allows the author (s) to retain their publication rights without restriction. Authors should ensure that the article is an original work without fabrication, fraud or plagiarism; does not infringe any copyright or right of ownership of any third party. Authors should also ensure that each one complies with the authorship requirements as recommended by the ICMJE and understand that if the article or part of it is flawed or fraudulent, each author shares responsibility.
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) - Debates em Psiquiatria is governed by the licencse CC-By-NC
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
