Caps com gerência pública e privada: estudo na rede de atenção psicossocial do Rio Grande do Norte

Abstract

The management in mental health has become an important topic in the field of psychiatric reform. A study was developed in two public Psychosocial care centers in the state of Rio Grande do Norte. One of these centers are a public one in Natal. Another study was held in a private center in the city of Parnamirim. Aimed at understanding the mode of operation of each of them, specifically how is the process of planning and management of human and material resources. Methodologically was conducted desk research and interviews with managers and technical staff of both services, totaling 13 professionals. Differences were found in management between the two services in the following aspects: transparency in the transfer of resources from the municipal administration for the service, autonomy, participation in planning and forms of resource use. We observed that both models have advantages and disadvantages. The privately in the lines of a Social Organization (OS) is privileged in the sense of provide more autonomy and resolution to the service. Public management is submitted to the executive power, working in a less flexible and plaster form, not allowing faster and focused resource management by the technical team.