title: Psychiatric Reform in Rio de Janeiro: the current situation and future perspectives.
abstract: This article analyzes the mental health network in the city of Rio de Janeiro. It provides a report on the current status of the implementation of psychiatric reform and identifies progress, limitations and challenges in this area. Documentary research was carried out by examining official documents, ordinances, SUS databases, information that was available at the Superintendency of Mental Health of the city of Rio de Janeiro, and a literature review of Brazilian and international scientific articles. The results point to important advances in the de-institutionalization of care, with a substantial reduction in the numbers of psychiatric beds, and increased community facilities. However, the following significant challenges remain: the need for increased coverage by psychosocial care centers; the implementation of psychiatric beds in general hospitals; the integration of mental health with primary health care; the de-institutionalization of people who remain in hospitals for long periods; the expansion of the number of residential facilities; and an increase in the provision of specific services for people using alcohol and other drugs.
authors.affiliation: Superintendência de Saúde Menta, Secretaria Municipal de Saúde do Rio de Janeiro, Prefeitura da Cidade do Rio de Janeiro, Brasil, hugofagundes@uol.com.br.
authors.forename: Hugo Marques
authors.initials: HM
authors.lastname: Fagundes Júnior
authors.affiliation: Associação Espanhola de Psiquiatria, Madrid, Espanha.
authors.forename: Manuel
authors.initials: M
authors.lastname: Desviat
authors.affiliation: Departamento de Ciência Sociais, Escola Nacional de Saúde Pública, Fiocruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Paulo Roberto Fagundes da
authors.initials: PR
authors.lastname: Silva
mesh_terms: D019973:Alcohol-Related Disorders; D001938:Brazil; D002947:Cities; D003153:Community Health Services / Q000458:organization & administration*; D003688:Deinstitutionalization; D018166:Health Care Reform; D006769:Hospitals, General; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000628:therapy