DISPENSING MEDICATIONS X PHARMACOLOGICAL ASSISTANCE TO MENTAL DISORDERS IN PETROPOLIS.

In Brazil, from the Psychiatric Reform, and the National Mental Health Policy has been implemented for patients with mental disorders gain access to a life with more autonomy, quality and less stigmatization. As part of the treatment plan, the legislation provides for the dispensing of drugs for treatment of mental disorders, equivalent to distribution and access to other medications. Petropolis is a city in the mountainous region of Rio de Janeiro, which has a population of 297,000 people (IBGE, 2010) and the prevalence of mental disorders can reach 53% of the population (Fortes, 2004). In order to improve care for mental disorders in Petropolis, the aim of this study is to describe the planning dispensation of these drugs in the Municipal Health Pharmacy. As a method, we performed a study about the Pharmacy Division of SMS, as well as an interview with the pharmaceutical responsible. The results were: the city adheres to the National List of Medicines and, by analyzing the demand for drugs, consultation with experts, and establishes protocols that increase the Municipal List of Medicines. Medications are delivered to users in two pharmacies, one next to the Hospital Alcides Carneiro and another at the Health Center. Despite these efforts, the pharmaceutical assistance is not given only by the dispensation. It encompasses its administration and continuity to a patient who requires specialized care. This mismatch can cause destabilization of mental disorders, causing hospitalizations, dysfunction and decreased quality of life for pacients and their families.