PRIMARY CARE AND MENTAL HEALTH: BUILDING A SHARED CARE MANAGEMENT IN CAP 5.1

This paper presents the expansion and management experience of the Mental Health Network in one of the ten municipal program areas on Rio de Janeiro city, AP 5.1. The mental health management at the context of SUS, seeking to consolidate Psychiatric Reform guidelines, becomes a complex process that requires not only health network articulation but also inter-sectoral community networks aiming to expand the care and seek comprehensive attention. The relevant expansion of Family Health Strategy and its territorial operating ways produce changes at current psychosocial network, improving access and care provision to people with psychological distress and alcohol/drugs abuse, especially through “matricial” support by teams of NASF and Street Facility. Although we recognize the importance of expanding access; we also note that ensuring the continuous and comprehensive care to customers is performed through coordinated communication among intra and inter-sectoral network resources. The logic of shared care made by different actors strengthened local management on planning and implementing interventions such as Mental Health Forum, clinical and institutional supervisions, Alcohol and Drugs GT, Crisis Management GT, etc. These and other strategies like situational diagnosis, geo-referencing and co-responsibilities shared between mental health and primary care teams, contribute to enlarge intervening possibilities and improve territorial mental health care planning.