Borges Camila Furlanetti, Baptista Tatiana Wargas de Faria
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo CruzRio de Janeiro, Brasil.
Cad Saude Publica. 2008 Feb;24(2):456-68. doi: 10.1590/s0102-311x2008000200025.
This article analyzes the underlying conditions in the development of Brazil's national policy for mental health care from 1990 to 2004, with the aim of identifying the priorities in each historical stage of the policy, based on a review and analysis of rulings and other official documents issued by the Ministry of Health during this period. Four stages in the mental health care policy are discussed, the seminal period, latency, resumption, and expansion, seeking to identify the principal policy guidelines and their correlations with the overall context of the Unified National Health System (SUS). Finally, the article provides an overview of the mental health care model developed under this policy, comparing it to the Basaglian theoretical and ideological framework, the reference adopted by the Brazilian psychiatric reform movement, and suggesting elements for reflection on the work of the National Division of Mental Health.
本文分析了1990年至2004年巴西国家精神卫生保健政策制定过程中的潜在条件，目的是通过回顾和分析卫生部在此期间发布的裁决及其他官方文件，确定该政策每个历史阶段的优先事项。文中讨论了精神卫生保健政策的四个阶段，即开创期、潜伏期、恢复期和扩张期，旨在确定主要的政策方针及其与统一国家卫生系统（SUS）整体背景的相关性。最后，本文概述了在此政策下发展起来的精神卫生保健模式，将其与巴西精神病学改革运动所采用的参考标准巴萨利亚理论和思想框架进行比较，并提出了一些供国家精神卫生司工作参考的思考要点。
