Dentro e fora do SUS : a experiência da saúde mental no município de Venâncio Aires/RS.

Abstract

In conformity with the Law n. 8.666 of 21 June 1993, the municipality of Venâncio Aires (RS) performs the accreditation of legal entities for the rendering of specialized attention in what refers to psychotherapeutic care by professionals graduated in Psychology. The Federal Constitution of 1988, in its article number 199, foresees the performance of private initiative in the health area in a complementary way, as long as these accredited institutions have their actions oriented by the guidelines of the Unified Health System. In view of the specificity of the municipality of Venâncio Aires (RS) in the accreditation of Psychology professionals for the provision of psychotherapy services in the private practice setting, this study presents the research/intervention which aimed to understand what are the meanings attributed to the psychotherapeutic practice carried out by the accredited psychologists, in the complementary health setting, in the context of private practices, from the perception of the SUS users who receive this service and the professionals who provide this service in the city studied. The qualitative analysis of the data occurred as proposed by Mary Jane Spink (1994, 2010, 2013). Through the results, it can be seen that even though the accredited professionals, by current legislation, are part of the services offered to the population in the field of mental health, it is possible to point out some weaknesses and ruptures regarding their articulation with the mental health network of the municipality in question. Another important point refers to the in and out of the SUS, which is an important specificity regarding the service of the accredited psychologists, which is an individual, clinical and curative practice, but that needs to be aligned to the SUS guidelines. Thus, it is concluded that the strategy adopted by the studied municipality is characterized as a measure that aims to guarantee the right to access mental health services to the local community, but that at the same time, such strategy also shows specificities and tensions in the way the mental health network articulates itself and produces its flows.