title: The applicability of the concept of treatment adherence in the context of the Brazilian mental health system.
abstract: OBJECTIVE
  To present reflections on the type of research conducted on a treatment adherence among users of Public Mental Health System in Brazil and discuss the applicability of the concept of adherence to treatment in this context.
  
  
  METHODS
  Literature review in SciELO, LILACS, Cochrane Library and PubMed / MEDLINE using the Health Sciences Descriptors (DeCS) treatment, adhesion and "mental health" and the specific vocabulary of the Medical Subject Headings (MeSH) "patient compliance/psychologist" y "mental health". They were included for review the complete texts and theses published between 2007-2012 in Portuguese, English and Spanish.
  
  
  RESULTS
  127 articles were recovered, 32 specifically related to mental health. Eight were excluded for duplicates and after reading the remaining 24 articles were selected for this study 10 conducted in the field of Mental Health in Brazil. No investigations have been identified with focus on adherence to psychosocial treatment offered in public mental health.
  
  
  CONCLUSIONS
  disregard of the mental health legislation and reinforce the asylum model of assistance.
  
  
  OBJECTIVE
  Presentar reflexiones sobre el tipo de investigaciones realizadas en Brasil sobre la adhesión al tratamiento de los usuarios del Sistema Público de Salud Mental y discutir la aplicabilidad del concepto de adhesión al tratamiento en dicho contexto.
  Revisión bibliográfica en las bases SciELO, LILACS, Biblioteca Cochrane y PubMed/MEDLINE utilizando los descriptores de Ciencias de la Salud (DeCS) adhesión, tratamiento y "salud mental" y el vocabulario específico de Medical Subject Headings (MeSH) "patient compliance/psychologist" y "mental health". Se incluyeron los textos completos y las tesis publicadas entre 2007-2012, en portugués, inglés y español.
  
  
  RESULTS
  F1eron recuperados 127 artículos, 32 específicamente de la salud mental. Se excluyeron los 8 duplicados y de los 24 restantes fueron seleccionados para el presente trabajo los 10 realizados en Brasil. No se identificaron enfoques sobre la adhesión al tratamiento de perspectiva psicosocial ofrecido en la red pública de salud mental.
  Las investigaciones analizadas desconsideran el contexto y la complejidad del tratamiento ofrecido desconociendo la legislación en salud mental vigente y reforzando el modelo de atención asilar.
authors.affiliation: CAPES-Brazil Doctoral Fellow in Psychology at the University of Salvador (USAL), Buenos Aires, Argentina.
authors.forename: Patricia Elizabeth Sanz de
authors.initials: PE
authors.lastname: Alvarez
authors.affiliation: Doctorate in Mental Health from the UBA University of Medicine. Professor, Department of Psychology Research, University of Salvador (USAL), Buenos Aires, Argentina.
authors.forename: Ernestina
authors.initials: E
authors.lastname: Rosendo
authors.affiliation: Doctorate in Psychology. Professor in the Graduate Department of Psychology, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil.
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Alchieri
mesh_terms: D001938:Brazil; D006801:Humans; D008603:Mental Health / Q000331:legislation & jurisprudence; D011634:Public Health / Q000331:legislation & jurisprudence; D000074822:Treatment Adherence and Compliance