Author:

• Nilson do Rosario Costa - COSTA, NR - Rio de Janeiro, RJ - Departamento de Ciências Sociais/Escola Nacional de Saúde Pública/Fundação Oswaldo Cruz - <nilson@ensp.fiocruz.br>
ORCID: https://orcid.org/0000-0002-8360-4832

Co-author(s):

• Sandra Venancio Siqueira - SIQUEIRA, S. V - ESCOLA NACIONAL DE SAÚDE PÚBLICA - <sandravs@ensp.fiocruz.br>
• Deborah Uhr - UHR, Deborah - Secrataria Municipal de Saúde/Coodenação de Saúde Mental/Rio de Janeiro - <deborahuhr@terra.com.br>
• Paulo Roberto Fagundes da Silva - SILVA, P.R.F da - Departamento de Ciências Sociais/Escola Nacional de Saúde Publica/Fundação Oswaldo Cruz - <pr.fagundes@terra.com.br>
ORCID: https://orcid.org/0000-0003-0811-4080
• Alex A. Molinaro - MOLINARO, A.A. - Departamento de Ciências Sociais/Escola Nacional de Saúde Pública/Fundação Oswaldo Cruz - <molinaro@ensp.fiocruz.br>

Thematic Area:

Saúde Mental

Abstract:

This study examines the relationship between the Brazilian psychiatric reform, the adoption of the Centers for Psychosocial Care (CAPS) and the development of the Unified Health System (SUS). The adherence of municipal governments was a variable determinant of the spread of reform under the continental scale and fragmentation of the Brazilian federation. The article demonstrates the institutional stability of psychiatric reform in Brazil over two decades. The institutional decision-making in public space enabled the implementation of new organizational formats through imitation and financial incentives. The psychiatric reform was successful in defending the advantages of CAPS in relation to asylum and hospital model dominant in past decades. The inductive policies, strengthened and upheld by the Law 10.216/2001, transformed the agenda of the psychiatric reform, located in pioneering cities in a national public policy

Keywords:

Psichiatric Reform Descentralization Federalism Local Government CAPS bRAZIL

Content:

Access Issue in Scielo

Other languages: