A experiência de planejamento em saúde mental na Cidade do Rio de Janeiro: um planejamento sem métodos?

Abstract

The Psychiatric Reform made possible that a mental health policy, which substitute the psychiatric hospital and is based on a communitary basis, could be, in fact, implemented in Brazil. This reform, together with another events and reflexions, allowed a paradigm change and the effective construction of a territorial network in mental health care. This study is dedicated to analyze the use of planning on the mental health policy implementation in Rio de Janeiro city. On this way, some stakeholders, who took part on the construction the municipal management between 1993 and 2008, were interviewed. It was possible, from the interviews, to recognize some moments where the involved actors did some calculations, preceding and chairing their actions. We analyzed the coherency in such calculations with the purposes of transformation in psychiatric care; with their methodological choices and concerned institutions, using some of the theorical approaches from Carlos Matus e Mario Testa. We could observe a dense planning experience, with thoughts from strategical nature and complex calculations, that were not done based on a priori defined methods.