Abstract
Assess components of the Psychosocial Attention Network (RAPS) in crack user care in a Rio Grande do Sul municipality. Qualitative study based on Fourth Generation Evaluation. Data collection occurred in 2014, through participating observation and interviews based on the Hermeneutic-Dialectic Circle. Ten uses, eleven family members, seven managers and eight workers at a Psychosocial Attention Center participated. The Constant Comparative Method was used for data analysis. Difficulties were observed in the network articulation with the general hospital, due to prejudice and the lack of structure of the team. SAMU's (Mobile Emergency Care Service) dependence on the Military Brigade for the service indicates a frailty of the network. The need to re-think the way therapeutic farms operate in the network is a consensus. RAPS is being implemented and its concretization depends on the involvement of professionals, managers and social control of users and family members.
Highlights
In the Brazilian scenario of the last 30 years, it has been remarkable the varieties of transformations and advances in mental health assistance
Despite the importance of these beds in a general hospital, as provided in Brazilian law in the mental health field, the groups of interest indicate that the local team shows resistance to serve crack users
The management of networks for drug users had its implementation strongly questioned by antidrug orientations whose prohibitionist paradigm sees drug use as public security issue, rather than sanitary
Summary
In the Brazilian scenario of the last 30 years, it has been remarkable the varieties of transformations and advances in mental health assistance. Focused on the Psychiatric Hospital, this type of care is currently practice through a network of out-of-hospital mechanisms. In this model, there is need of partnership among the different levels of care, prioritizing territorial and community actions[1]. The difference in the composition of these networks is in the management process adopted by each country, that is, a democratizing and participative tendency, intended to guarantee full and equal access, or to seek a rationalizing efficiency by means of focused actions based on the system’s managerial modernization[2]. As strategies to address the issue, Brazil defined the Damage Reduction Policy, territory care model, establishment of networks and the inter-sector character[3]
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