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The challenges of regionalized psychosocial care in Brazil.

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Title: The challenges of regionalized psychosocial care in Brazil.
Alternate Title: Los desafíos de la atención psicosocial regionalizada.
Os desafios da atenção psicossocial regionalizada.
Authors: Santos, Clarilene Claro dos1 clarilene.csantos@gmail.com, Santos, Deivisson Vianna Dantas dos2 deivianna@gmail.com, Dias, Marcelo Kimati2 mdkimati@gmail.com, Carpinelli, Lucca Passow3 luccap.carpinelli@gmail.com, Gonçalo, Suelen Letícia1 suelenlgoncalo@gmail.com, Stefanello, Sabrina4 binastefanello@gmail.com
Source: Interface - Comunicação, Saúde, Educação. 2025, Vol. 29, p1-16. 16p.
Subject Terms: *Mental health services, *Community-based social services, Medical care, Health care industry, Local transit access, Institutional logic
Geographic Terms: Paraná (Brazil : State), Brazil
Abstract (English): The State of Paraná structured a regionalized mental health service that unified more than one piece of equipment, and the objective of this research is to evaluate work processes, care paradigms and their organizational logics. The service, a reference for 20 municipalities, consists of 2 CAPS and 2 Welcoming Units. This was qualitative research, with participant observation and interviews with professionals and service managers. The distance from the territories served seems to strengthen normative aspects of clinical care that resemble the total institution. The unification of different types of services in a single location reinforced economic rationality and the resulting shortage of professionals. The results indicate the need to establish evaluation processes for these new experiences, as well as highlighting the inevitability of organizing services with smaller coverage territories, ensuring proximity to the community serve [ABSTRACT FROM AUTHOR]
Abstract (Spanish): El Estado de Paraná estructuró un servicio regionalizado de salud mental que unificó más de un equipo y el objetivo de esta investigación es la evaluación de los procesos de trabajo, paradigmas de cuidado y sus lógicas organizacionales. El servicio, referencia para veinte municipios, está formado por 2 Caps y 2 Unidades de Acogida. Se trató de una investigación cualitativa, con observación participante y entrevistas con profesionales y gestores del servicio. La distancia de los territorios atendidos parece fortalecer aspectos normativos del cuidado clínico que recuerdan la institución total. La unificación de diferentes tipologías de servicios en un único local reforzó la racionalidad económica y la consiguiente escasez de profesionales. Los resultados indican la necesidad de instituir procesos de evaluación de estas nuevas experiencias, así como subraya la inestabilidad de organizar servicios con territorios de amplitud menores, asegurando proximidad a la comunidad atendida. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): O Estado do Paraná estruturou um serviço regionalizado de Saúde Mental que unificou mais de um equipamento, e o objetivo desta pesquisa é avaliar os processos de trabalho, paradigmas de cuidado e suas lógicas organizacionais. O serviço, referência para vinte municípios, é constituído por dois Caps e duas Unidades de Acolhimento. Tratou-se de uma pesquisa qualitativa, com observação participante e entrevistas com profissionais e gestores do serviço. A distância dos territórios atendidos parece fortalecer aspectos normativos do cuidado clínico que lembram a instituição total. A unificação de diferentes tipologias de serviços em um único local reforçou a racionalidade econômica e a conseguinte escassez de profissionais. Os resultados indicam a necessidade de se instituir processos de avaliação dessas novas experiências, assim como destacam a inevitabilidade de se organizar serviços com territórios de abrangência menores, garantindo proximidade à comunidade atendida. [ABSTRACT FROM AUTHOR]
Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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Header DbId: ehh
DbLabel: Education Research Complete
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PubType: Academic Journal
PubTypeId: academicJournal
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Items – Name: Title
  Label: Title
  Group: Ti
  Data: The challenges of regionalized psychosocial care in Brazil.
– Name: TitleAlt
  Label: Alternate Title
  Group: TiAlt
  Data: Los desafíos de la atención psicosocial regionalizada.<br />Os desafios da atenção psicossocial regionalizada.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Santos%2C+Clarilene+Claro+dos%22">Santos, Clarilene Claro dos</searchLink><relatesTo>1</relatesTo><i> clarilene.csantos@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Santos%2C+Deivisson+Vianna+Dantas+dos%22">Santos, Deivisson Vianna Dantas dos</searchLink><relatesTo>2</relatesTo><i> deivianna@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Dias%2C+Marcelo+Kimati%22">Dias, Marcelo Kimati</searchLink><relatesTo>2</relatesTo><i> mdkimati@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Carpinelli%2C+Lucca+Passow%22">Carpinelli, Lucca Passow</searchLink><relatesTo>3</relatesTo><i> luccap.carpinelli@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Gonçalo%2C+Suelen+Letícia%22">Gonçalo, Suelen Letícia</searchLink><relatesTo>1</relatesTo><i> suelenlgoncalo@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Stefanello%2C+Sabrina%22">Stefanello, Sabrina</searchLink><relatesTo>4</relatesTo><i> binastefanello@gmail.com</i>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Interface+-+Comunicação%2C+Saúde%2C+Educação%22">Interface - Comunicação, Saúde, Educação</searchLink>. 2025, Vol. 29, p1-16. 16p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br />*<searchLink fieldCode="DE" term="%22Community-based+social+services%22">Community-based social services</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+industry%22">Health care industry</searchLink><br /><searchLink fieldCode="DE" term="%22Local+transit+access%22">Local transit access</searchLink><br /><searchLink fieldCode="DE" term="%22Institutional+logic%22">Institutional logic</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Paraná+%28Brazil+%3A+State%29%22">Paraná (Brazil : State)</searchLink><br /><searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: The State of Paraná structured a regionalized mental health service that unified more than one piece of equipment, and the objective of this research is to evaluate work processes, care paradigms and their organizational logics. The service, a reference for 20 municipalities, consists of 2 CAPS and 2 Welcoming Units. This was qualitative research, with participant observation and interviews with professionals and service managers. The distance from the territories served seems to strengthen normative aspects of clinical care that resemble the total institution. The unification of different types of services in a single location reinforced economic rationality and the resulting shortage of professionals. The results indicate the need to establish evaluation processes for these new experiences, as well as highlighting the inevitability of organizing services with smaller coverage territories, ensuring proximity to the community serve [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: El Estado de Paraná estructuró un servicio regionalizado de salud mental que unificó más de un equipo y el objetivo de esta investigación es la evaluación de los procesos de trabajo, paradigmas de cuidado y sus lógicas organizacionales. El servicio, referencia para veinte municipios, está formado por 2 Caps y 2 Unidades de Acogida. Se trató de una investigación cualitativa, con observación participante y entrevistas con profesionales y gestores del servicio. La distancia de los territorios atendidos parece fortalecer aspectos normativos del cuidado clínico que recuerdan la institución total. La unificación de diferentes tipologías de servicios en un único local reforzó la racionalidad económica y la consiguiente escasez de profesionales. Los resultados indican la necesidad de instituir procesos de evaluación de estas nuevas experiencias, así como subraya la inestabilidad de organizar servicios con territorios de amplitud menores, asegurando proximidad a la comunidad atendida. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: O Estado do Paraná estruturou um serviço regionalizado de Saúde Mental que unificou mais de um equipamento, e o objetivo desta pesquisa é avaliar os processos de trabalho, paradigmas de cuidado e suas lógicas organizacionais. O serviço, referência para vinte municípios, é constituído por dois Caps e duas Unidades de Acolhimento. Tratou-se de uma pesquisa qualitativa, com observação participante e entrevistas com profissionais e gestores do serviço. A distância dos territórios atendidos parece fortalecer aspectos normativos do cuidado clínico que lembram a instituição total. A unificação de diferentes tipologias de serviços em um único local reforçou a racionalidade econômica e a conseguinte escassez de profissionais. Os resultados indicam a necessidade de se instituir processos de avaliação dessas novas experiências, assim como destacam a inevitabilidade de se organizar serviços com territórios de abrangência menores, garantindo proximidade à comunidade atendida. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=192424485
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        Value: 10.1590/interface.25013
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      – Code: eng
        Text: English
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        PageCount: 16
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      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Community-based social services
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      – SubjectFull: Medical care
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      – SubjectFull: Local transit access
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      – SubjectFull: Institutional logic
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      – SubjectFull: Paraná (Brazil : State)
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      – SubjectFull: Brazil
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              Text: 2025
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