title: Social determinants for health (mental): evaluating a non-governmental experience from the perspective of actors involved.
abstract: BACKGROUND
  The Brazilian Psychiatric Reform, an ongoing process, and its developments involve the construction of new ways of seeing the subject in illness, establishing the mental health field in a new way of understanding the social determinants that reflect in the deinstitutionalization and social inclusion.
  
  
  OBJECTIVE
  This study, multidimensional analysis of the relationship between social determinants and deinstitutionalization in mental health focusing on a community movement in Northeast Brazil, whose proposed work is subjective and psychosocial dimensions, aims to explore and analyze how the experiences in course of the Movement highlights the importance of social determinants, the perspective of professionals.
  
  
  METHODS
  The methodological approach outlined in the qualitative approach in the form of case studies, employing techniques such as interviews and focus groups. The categorization of analytical information was built from the relationship established between a model based on the constituent dimensions of the psychiatric reform, covering different planes, namely epistemological, healthcare, legal and socio-political, and social determinants of health - living conditions, and work environment, community networks and support, economic, cultural and environmental behaviors and lifestyles.
  
  
  RESULTS
  The results show emphasis on the social subject, making the processing and knowledge of professionals, adding new ways to produce health; dialogue with multiple stakeholders, building autonomy, participative management, concern for professionalization; reorganizing the work process; appreciation of the everyday activities that weave and; invention of a new social site, among other elements in close interface with the determinants of health.
  
  
  CONCLUSIONS
  These elements indicate that care practices woven into the daily life of the Movement involve the disassembling the traditional model of mental health care, stimulating new forms of citizenship, thus contributing to the institutionalization and promoting equality of income, social cohesion and participation policy for the promotion and protection of health.
authors.affiliation: Universidade Federal do Ceará, Fortaleza, CE, Brazil.
authors.forename: Maria Lucia Magalhães
authors.initials: ML
authors.lastname: Bosi
authors.affiliation: Universidade de Fortaleza, Fortaleza, CE, Brazil.
authors.forename: Anna Karynne da Silva
authors.initials: AK
authors.lastname: Melo
authors.affiliation: Universidade de Fortaleza, Fortaleza, CE, Brazil.
authors.forename: Liliane Brandão
authors.initials: LB
authors.lastname: Carvalho
authors.affiliation: Universidade Federal do Ceará, Fortaleza, CE, Brazil.
authors.forename: Veronica Morais
authors.initials: VM
authors.lastname: Ximenes
authors.affiliation: Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Maria Gabriela Curubeto
authors.initials: MG
authors.lastname: Godoy
mesh_terms: D001291:Attitude of Health Personnel; D001938:Brazil; D003430:Cross-Sectional Studies; D003688:Deinstitutionalization; D006801:Humans; D008603:Mental Health; D064890:Social Determinants of Health