Gestão da política de saúde mental no cotidiano Constribuições da análise da rede de Santos

Resumen

The management positions play a key role in the implementation of mental health policy at the local level. The was to understand how this policy  developed on a daily basis, identifying strengths and challenges from the perspective of the service managers and the mental health coordination of the city of Santos. A structured qualitative research was carried out based on field diary records of three meetings of a Mental Health Workers Forum; on a focus group with 10 members of a Management Collegiate; and on a semi-structured interview with a member of the mental health coordination of the city. It was observed that there are challenges arising from the construction of teamwork, intra intersectoral networking, and the precariousness of the services.  The relationship with the local universities allows the integration of students in the services, contributing to the tensioning of issues pertinent to the field and to the continued formation of the workers. As a way of strengthening the policy and aiming at an increasingly participatory management the spaces of the Collegiate and the Forum were pointed out, but the discussions and actions of these devices are deprived of their cogestive function, since they hardly translate into concrete changes. It can be noticed that there is certain invisibility of the contribution of management work in sustaining the antimanicomial care model. The role of the managers includes administrative, technical, policy formulation and implementation functions it is taken by emergency situations, being emptied of its aspect of producer of the public policy