The implementation of the psychosocial attention network in the extended Region of Health West of Minas Gerais-BR

Abstract Background The creation of the Psychosocial Care Network allowed the increase and organization of the provision of mental health care to the Brazilian population. Objective This study aims to analyze the Psychosocial Care Network implantation process in the Western Health Extended Region of the State of Minas Gerais. Method An exploratory study was carried out from literature review, documentary research, interviews with key informants and questionnaires that were applied to managers. Results The Psychosocial Care Network has 27 Centers for Psychosocial Care (CAPS) (CAPS) (13 CAPS I, 6 CAPS II, 1 CAPS III, 2 CAPS i, 3 CAPS ad II, 2 CAPS ad III), 12 Mental Health Clinics and 2 therapeutic residences. The Family Health Strategy is implemented in 86.62% of the municipalities and the Family Health Support Unit in 62.96%. It has an index of 1.71 CAPS / 100.000 inhabitants, above the national average; on the other hand 14.49% of the population does not have access to this service. Conclusion It was observed difficulties in the agreement of Psychosocial Care Network in municipalities with less than 15.000 inhabitants, low CAPS i and CAPS ad index, CAPS III insufficiency and scarce beds implementation in General Hospitals have been found.背景 社会心理照护网络（Psychosocial Care Network）的建立，使巴西民众的精神卫生照护服务供给得以扩容并实现系统化统筹。 研究目的 本研究旨在分析米纳斯吉拉斯州西部卫生拓展区的社会心理照护网络建设落地进程。 研究方法 本研究采用探索性研究设计，通过文献综述、档案调研、关键知情人访谈以及面向管理人员的问卷调查开展相关研究。 研究结果 该社会心理照护网络共包含27家社会心理照护中心（Centers for Psychosocial Care，以下简称CAPS），其中CAPS I型13所、CAPS II型6所、CAPS III型1所、CAPS i型2所、CAPS ad II型3所、CAPS ad III型2所；另设有12所精神卫生诊所与2所治疗性居所。家庭健康照护策略（Family Health Strategy）在86.62%的自治市内落地实施，家庭健康支持单元（Family Health Support Unit）的覆盖率达62.96%。该区域每10万常住人口对应1.71所CAPS，高于全国平均水平；但仍有14.49%的民众无法获取该类服务。 结论 本研究发现，人口不足1.5万的自治市在社会心理照护网络的统筹落实方面存在障碍，CAPS i型与CAPS ad型机构配置指数偏低，CAPS III型机构供给不足，综合医院内的精神卫生床位配置也较为稀缺。