A Produção Do Cuidado Em Saúde Mental: Avanços E Desafios à Implantação Do Modelo De Atenção Psicossocial Territorial

This research aims to understand the reasons for implementation of the territorial psychosocial care model, its advances and challenges in the production of care, in the current psychiatric reform movement that took place in Fortaleza, Ceara State, Brazil. The research is a qualitative research, a case study, and historically contextualized approach to the dialectical method, technically through interviews and focus group with results submitted to the analysis of collective discourse. The results and discussion are expressed in categories that emerged in the discourse of workers, managers and users, related to the classic psychiatric and the territorial psychosocial care models. The final remarks indicates that both, the hospital model and the territorial psychosocial care model, are living together, and there was not overcome the first by the second. Although the prospect of an inclusive and integrated action policy, the transit to the practice is discontinuous and fragmented. So the model of the territorial psychosocial care is presented currently outside the realm of services, odd/alienated, without many prospects for establishing and implementing in the city of Fortaleza. © 2016, Institute de Medicina Social da UERJ. All rights reserved.2641213123