Avaliação de centros de atenção psicossocial, revisão de literatura nacional

Abstract

The objective of this work is the investigation of the evaluation processes about the substitutive services in mental health, the Centers of Psychosocial Attention (CAPS). The analysis of the results produced in the evaluations, evidence of the assistance practices of the last decades of implantation of Mental Health Policies, is added. The research methodology chosen is a review of the national literature. A total of 35 articles were selected for research carried out on the CAPS website. Compiled bibliometric data and methodologies used in the evaluations; the latter being detailed in research subjects, analytical references and results. Concentrated in the South and Southeast regions, researchers show preference for qualitative methods, conducting most Fourth Generation Reviews according to Guba and Lincoln. The information obtained was systematized through the evaluation areas proposed by Donabedian: structure, processes and results. The different authors pointed out some potentialities and innumerable weaknesses in the implementation and support of CAPS services. It is concluded that, despite the difficulties, the services remain effective. The practices of welcoming, bonding, co-responsibility and encouraging autonomy are perceived in a very positive way by users and family members. Among the management strategies to foster improvements, participatory evaluation methods, including managers, workers, users and family members, result in a broad scope and increase of adherence and commitment to the evaluation process and its results.