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This paper presents an experience report on the supervision of deinstitutionalization of the prison system through the articulation of the Psychosocial Care Network (RAPS) conducted from 2014 to 2021 within the Superintendence of Mental Health/Municipal Health Secretariat of Rio de Janeiro. This work of deinstitutionalizing people deprived of liberty with mental health problems consists of actions at the exit and entrance doors of the prison system and actions for the care of unimputable and imputable people with mental disorders. In the light of the Brazilian Psychiatric Reform, formalized by Law No. 10,216/2001, we aim to present an approach to this process counting on the possibilities of building care policies for insane offenders that are not punitive or segregating. The practical results of this work include more significant participation of the network in the construction of care for insane offenders, elaborating policies that avoid the prison career or reduce the asylum time in the penal system, and understanding that security measures must always have an outpatient nature.

Recognizing the central role of mental health in global health and affirming the complexity of the universalization of care policy, this paper discusses aspects of global mental health in Brazil and Italy - two countries that are a potential reference for exchange between the global North and South. Using ethnographic and action research methodologies, we conducted a study of a virtual community of practice composed of Brazilians and Italians interested in community mental health care. The results are presented in scenes that provide insights for the international debate in three categories: the doctor-centered approach to care; the institutionalization of care and medicalization of suffering; and the contribution of community practices and non-specialized local knowledge. The locally situated scenes cast light on globally shared critical knots, elucidating a plural set of relationships that run through work processes and mental health care. The sharing of knowledge and experiences highlight what should be universalized: opportunities for horizontal exchange, rather than the production of national identities that radiate universalizing practices and policies.

Copyright of Etnográfica: Revista do Centro de Estudos de Antropologia Social is the property of Centro em Rede de Investigacao em Antropologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The frequent use of the term mental health is noticeable in the field of health. It is employed in legislations, public policies, manuals, media, and designates health services. This recurrence raises questions about this concept. Therefore, this study aims to analyze it from the understanding of its theoretical models, showed by the excerpts of the scientific production. We adopted the evolutionary Concept Analysis model developed by Rodgers. Data was collected in papers available in the Scopus and Web of Science databases. We included high-impact factor papers published between 2013 and 2017, written in Portuguese and English, whose country of origin was Brazil. Duplicate and systematic and integrative reviews were excluded. Data were collected based on repeated patterns, in the following categories: a) context; b) substitute terms; c) attributes; d) antecedents and consequents; e) implications and hypotheses. We observed that mental health is a cross-cutting theme and is influenced by many knowledge areas. Mental health is related to a way of understanding health and mental illness from the paradigms of psychiatry and the Psychiatric Reform.

This paper aimed to characterize actions directed to children's mental health (CMH) in Primary Health Care (PHC), based on an integrative review of Brazilian literature (2006-2017). The searches were carried out from LILACS, SciELO and VHL Network databases. After applying the inclusion and exclusion criteria, 13 articles were identified for analysis, which were presented in three thematic axes: 1) Characterization of the demands on CMH for PHC; 2) Actions and interventions on CMH carried out in PHC; and 3) Difficulties and propositions for the implementation of actions on CMH in PHC. The literature points, as the main actions, the identification of CMH problems and their referral to care by specialties. Some studies described specific actions of professionals such as physicians, pediatricians, and psychologists. Interventions of a local character or in partnerships with universities were also identified. The analysis of this material indicated that PHC has been considered as an important field of action in CMH, but that nevertheless requires greater investments, especially in professional training and work organization.

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Brazil is the country of the world with the second most COVID-19 cases and deaths, and the pandemic's impacts pose multiple challenges for mental health. This paper reports on experience with the emergency organization of the volunteer and collaborative Working Group (GT, in Portuguese) on mental health and psychosocial care aimed at producing rapid responses for health services in the context of COVID-19. The study involved the identification and systematization of current evidence in the scientific literature on mental health and psychosocial care in public health emergencies and pandemics, with the establishment of a network involving 117 researchers and 25 institutions, and the organization of themes for the elaboration of materials, referenced on the response phases in public health emergencies and pandemics. In less than 60 days, 18 technical documents were produced, ranging from services organization and management for different vulnerable groups. The materials became references in health institutions and services. A national course on mental health and psychosocial care in COVID-19 was also organized, with more than 60,000 people registered. The experience provides food for thought and a contribution for future experiences involving knowledge translation in the current pandemic and in future public health emergencies and pandemics, with the following: (1) combination of volunteer and collaborative work involving professionals with experience in the organization of services and care in past events; (2) reliance on institutional support and resources; (3) speed and credibility of work involving the establishment of networks of professionals and institutions; and (4) responses to the urgent needs with the capacity to shape paths for care in mental health and psychosocial care.

Spirituality/religiousness has been regarded as an important dimension for health studies and services. The present study consists of a systematic review on health and spirituality/religiousness, specifically, instruments for its measurement. In order to do so, we searched for papers using the keywords "scales spirituality religiousness" and "scales spirituality religiousness and health" in CAPES, DOAJ, Lilacs, Pubmed, Scielo and Web of Science, from 2000 to 2017. The search returned 500 studies, from which 35 were selected, considering their originality, availability, language (English or Portuguese), and description of scales for measuring spirituality/religiousness and adapted for the Brazilian culture. From such papers, 16 instruments were identified; the instruments with most studies were the WHOQOL-100 (as well as its reduced version and the SRPB module), the Spiritual Well-Being Scale and the RCOPE scale. We conclude that studies on this field are scarce, for, although many instruments are described, the continuity of their validation is poor.

This paper aims to analyze the discursive conceptions of what is considered mental health demand of young offenders serving detention measure in juvenile correctional centers in Rio de Janeiro. Nine interviews were conducted with the mental health professionals of these centers, and the results were discussed with the support of Fairclough's critical discourse analysis. Four discursive groups were identified: the first shows intertextuality with the psychiatric discourse; the second, with the Psychiatric Reform; the third, with the discourse of social determinants; and the fourth, with institutional discourses about adolescents' misbehavior. It is concluded that the conceptions are different among the professionals, but there is no single predominant discourse. The statements are related and especially linked through the discussion of social determinants. Health professionals and social workers as demand vocalizers are overvalued. Adolescents are barely given the opportunity of directly exposing their needs, and demands are mediated by technicians. We identified conflicts between staff members working in the care flow concerning the misbehavior-associated demands because some referrals are unrelated to mental health issues.

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This study sought to assess qualitative research based on the context of Brazilian psychiatric reform. An integrative review was conducted in the LILACS and SciELO databases resulting in a shortlist of 25 papers. Research subjects are workers, users and family members, the scenarios are predominantly psychosocial care centers and the themes preponderantly address the technical and care-related dimension of the reform. The analysis gave rise to two thematic categories: Brazilian psychiatric reform; complex social process or reform of models? - addressing the supremacy of scientific research concerned with care-related innovations and technologies in the field of mental health, to the detriment of the political, ideological and social aspects that constitute part of the Brazilian reform; Reform or revolution: social actors between brackets? - which brings a continuous revolution on all fronts as a proposal to reverse this situation, rallying the strength of social movements. There is an urgent need for rescuing the political framework and the direction of social movements in the class struggle, since it is not only a question of denial or complaint, but also of creating revolutionary ways to make the reform viable.

Copyright of Em Pauta is the property of Editora da Universidade do Estado do Rio de Janeiro (EdUERJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper proposes to discuss the public fund and the projects that dispute the expenses, the funding and the directions of Brazil's mental health policy, with focus on the analysis of federal government's budget. It consists of a bibliographic and documental review that utilizes secondary data, obtained from official federal government websites and researches on the social security budget, analyzed with the critic dialectic method. It is observed that the public funding is tensed by distinct interests, and it is no different on the mental health policy. From 2001 and on, the financing of the community based psychosocial attention services is made broader and the SUS healthcare model is strengthened, based on the anti-asylum Psychiatric Reform. However, since 2005, interests from corporate, religious and medical entities groups, among others, have gained strength on the political agenda and on the dispute for the public fund, putting in risk the historical conquers of the mental health, alcohol, and other drug's policy in the country. [ABSTRACT FROM AUTHOR]

Copyright of Revista Latinoamericana de Psicopatologia Fundamental is the property of Associacao Universitaria de Pesquisa em Psicopatologia Fundamental and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Psicopatologia Fundamental is the property of Associacao Universitaria de Pesquisa em Psicopatologia Fundamental and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Psicopatologia Fundamental is the property of Associacao Universitaria de Pesquisa em Psicopatologia Fundamental and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Subjetividades is the property of Revista Mal-estar e Subjetividade and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Objective: This paper aimed to analyze self-evaluations in terms of quality of life (QoL), physical health (PH) and mental health (MH) of ex-medical students from a Brazilian public university, correlating these outcomes with demographic data and several professional aspects., Methods: a cross-sectional study with a target population of all students graduated from the Botucatu School of Medicine (UNIFESP--São Paulo State University) between 1968 and 2005. A self-administered questionnaire, which could be answered by regular mail or internet, was used., Results: From the 2,864 questionnaires that were sent by mail, 1,224 (45%) were answered and sent back. Good or very good QoL, PH and MH were reported by 67.8%, 78.8% and 84.5% of participants, respectively. In the final logistic regression model, positive QoL was associated with good PH and MH, regular attendance to scientific meetings, enough leisure time, and professional satisfaction. Good or very good PH was independently associated with positive QoL and MH, higher income level, regular physical activities, and never having smoked. Positive MH remained associated with professional satisfaction, enough leisure time, and positive evaluation of both QoL and PH., Conclusions: Among medical doctors graduated from São Paulo State University, PH and MH were inseparable aspects, which were also related to the self-evaluation of QoL. Good habits, such as regular practice of physical exercise, enough leisure time, and not smoking were associated with positive health in general and should be encouraged. Professional satisfaction had an important impact on the emotional well-being of participants.

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Copyright of Revista FSA is the property of Revista FSA (Faculdade Santo Agostinho) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper is fruit of an investigation called ' The dynamics of mental care: signs, meanings and practices of professionals working in the Family Health Program (FHP) and in the Psychosocial Care Centers (PCCs)' . The main objective of this study was to understand how health professionals working in these two services interpret mental suffering and how they plan and develop their interventions for reducing it. To this purpose, we selected qualitative fieldwork methods that included interviews with the professionals and observation of the practices they develop in the context of the mentioned services. In this work, we present the data produced with regard to the FHP, where we also established focal groups with professionals. The data obtained were later analyzed on the basis of previously defined categories. As a result, we have been able to pin down a number of difficulties the professionals were facing, ranging from the identification of mental suffering to the challenge of dealing with specific situations and to the questions involved with the referral to specialized services. On the other hand, the degree of sensibility to social suffering demonstrated by these professionals and their ability to articulate it with psychological suffering deserve to be emphasized.

Copyright of Physis: Revista de Saúde Coletiva is the property of CEPESC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Physis: Revista de Saúde Coletiva is the property of CEPESC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Physis: Revista de Saúde Coletiva is the property of CEPESC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Physis: Revista de Saúde Coletiva is the property of CEPESC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The paper presents part of the research productions that accompanied the construction of bodies inserted in a Psychosocial Care Center for Alcohol and Other Drugs (CAPS-AD) of a city in the northern region of Brasil, focusing more sharply on masculinities arrangements. Special attention is given to the tension between normalized bodies and attempts at resistance and (re) exist. The argument is in the field of public health, particularly mental health, and rooted in gender and sexuality studies. The data production methodology made use of observations recorded in a diary, itinerant follow-up of a collective of research, interviews, focus groups where, among other things, was discussed diary topics, conversation circles and workshops. The attempt was to produce a way of collective narrating strategy, combining up experience and body (un)learn well as ways of producing health care and doing research. [ABSTRACT FROM AUTHOR]

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In this paper we aim to identify and analyze prevalent diagnosis of teachers' health problems, especially those concerning the mental health. The data are acquired of federal university research in expansion-internalization process, which analyzed the impact of the multiple demands of this process at work, related to health and subjectivity. The methodological instrument was composed of: semi-structured interviews with teachers of different areas, campuses and academic units; analysis of documents and data on the expansion; systematization of data on nonattendance due to health problems collected in consultation with the books of medical committee of the institution. We place in order the presentation of such records. On the other hand, we pointed out, to develop the scope limit of the article, qualitative aspects of the disease process and/or suffering with intersections between identified diagnoses and analysis of interviews. We conclude that sickness and suffering involve affective, ethical and political dimensions. [ABSTRACT FROM AUTHOR]

The paper aims to describe and analyze the process of inserting the issue of violence in the legal frameworks of the Brazilian public politics on mental health, with a view to contribute to the identification of challenges and dilemmas in this area. We conducted a documental analysis of laws, decrees and orders issued by the Health Ministry and official publications of this Coordination of Mental Health Ministry issued from January 2001 to December 2011. We observed the consolidation of three trends in these documents: Violence and psychiatric institution (2001-2003), marked by the consolidation of parameters guiding deinstitutionalization policies and ensuring the rights of individuals with mental disorders; violence, the territory and its demands (2004-2008), where attention to social vulnerabilities and integral health care are identified; violence and the challenge of harmful use of alcohol and other drugs (2009-2011), showing that risk situations and violence associated with this use sharpen tensions between conservative political forces in the field of social policies. We conclude that mental health policies were adapted to the emerging social problems in the country, with a view to enhancing the quality of life and prevention of violence. [ABSTRACT FROM AUTHOR]

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ciência & Saúde Coletiva is the property of Associacao Brasileira de Pos-Graduacao em Saude Coletiva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Eletronica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saúde e Sociedade is the property of Universidade de Sao Paulo, Faculdade de Saude Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper aims to problematize the itinerancy as a way to operationalize care in the territory. With the creation of the Unified Health System, the notion of territory has become an organizing principle of work processes in primary health care and mental health policies. In the delicate field of coordination between these policies, itinerant practices now have a strategic importance in the deinstitutionalization of practices and construction of integral care. We take the deinstitutionalization and the integrality as conceptual operators that make the difference that Psychiatric and Health reforms want to print in the care practices. Warned that by joining in a posture of active search in the life territory of users, the itinerant practices fall in a field of tensions, which can both be called to work as a part of the State apparatus to population control, as in a strategic place for the construction of a contextualized care to users" way of life. We believe that it is possible to resist the social control mandate and build an ethics of care with itinerancy to explore the political power of the movement and transform the users' territory in a laboratory for the invention of life. [ABSTRACT FROM AUTHOR]

Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The main purpose of this paper is to present the result of an action in Psychodynamic of Work, developed within a team of workers of a Psychosocial Center of Attention (CAPS - Centro de Atenção Psicossocial), located in São Paulo, Brazil. It is a specialized facility in mental health attention which prioritizes people with severe and persistent mental disorders. We tried to comprehend the workers experience, their relationship between psychic suffering and pleasure at work, as well as the strategies to gain results, identifying critical factors at work and ways to overcome these difficulties, through a Psychodynamic of Work approach. The creation of a collective space of discussion that enabled the identification and gave visibility to work strategies created by the collective and individual intelligence of subjects in their concrete experience is fundamental to this approach. We consider that the inclusion of workers experience to the improvement of Brazilian mental health public policy implantation allows an improvement of the institutions. [ABSTRACT FROM AUTHOR]

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Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Portuguese Journal of Mental Health Nursing / Revista Portuguesa de Enfermagem de Saúde Mental is the property of Portuguese Society of Mental Health Nursing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Copyright of JBES: Brazilian Journal of Health Economics / Jornal Brasileiro de Economia da Saúde is the property of JBES: Brazilian Journal of Health Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Psicologia: Revista da Associacao Portuguesa Psicologia is the property of Associacao Portuguesa de Psicologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)