MAIN BARRIERS TO THE CONSTRUCTION OF A PSYCHOSOCIAL CARE NERTWORK  IN A MEDIUM-SIZED CITY OF MARAJÓ

Introduction and Objectives Between 2009 and 2015 a group of RJ mental health professionals conducted training activities in Breves-PA to the mental health, social care and education systems and the primary care. The goal was to structure and operate a network of mental health care in the city, establishing responsibilities and flows. Method - In 2009, a diagnosis of the functioning of the CAPS and the municipality network was made, and then a week training sessions in 2010, 2012, 2014 and 2015, with lectures, role plays, conversation circles, home visits and colaborative care consultations. Results and conclusion Over the years we can see a great difficulty for the formation of an effective network of care for persons with mental disorders in the city. The desired flow was the common mental disorders attended in primary care, the mental disorders severe and persistent in CAPS, admissions in general hospital with CAPS team support.However the high turnover of professionals in the primary care, short time attendance by the psychiatrist in CAPS (two days in the month) and the centralization of care in this professional, poor training in mental health, demotivation of staff, poor communication and colaborative care between different areas - health . social assistance and education, undermined the operation of the agreed flow. We concluded that a more effective presence of motivated professionals with continued supervision would be needed to change the picture. The annual training has not been enough for the establishment of a effective support mental health network .