Assessment of the integrality of the psychosocial care network: multiple case study, Southern Region of Brazil, 2021Objective To assess the integrality of health actions of the services in the Psychosocial Care Network (Raps) in three municipalities in the Southern Region of Brazil, with different population sizes and varied Raps configurations.
Method Evaluative research based on a multiple case study. An analysis and judgment matrix was used, comprising two dimensions, six subdimensions, and 16 indicators. Primary data from five interviews per municipality with managers, professionals, and users, totaling 15 interviews, were cross-analyzed with data from direct observation and secondary data, all collected in the field in 2021. Content analysis was applied to the qualitative data, whereas quantitative data were submitted to descriptive analysis.
Results The three cases showed satisfactory results in the “Essential elements” dimension. This finding highlighted the feasibility of implementing qualified actions for territorial care, such as providing receptiveness, emphasizing users’ uniqueness and autonomy, and supporting family members, regardless of the size of municipalities’ Raps. Only case 3 performed well in the “Integrations” dimension, while the other two achieved fair performance. In a scenario where all Raps components coexist, the presence of work processes aligned with the logic of network-based care favored the performance of case 3 in this dimension.
Conclusion The provision of singular and territorial care stood out positively in the three cases. It was also shown necessary to improve the articulation of Raps components, especially through investments in the production, integration, and dissemination of data.
Keywords
Integrality in Health; Health Evaluation; Mental Health; Community Networks; Case Reports