title: Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health.
abstract: BACKGROUND
  Since the second half of the twentieth century the discussions about mental patient care reveal ongoing debate between two health care paradigms: the biomedical/biopsychosocial paradigm and the psychosocial paradigm. The struggle for hegemony over the forms of care, on how to deal optimally with the experience of becoming ill is underpinned by an intentionality of reorganizing knowledge about the health/disease dichotomy, which is reflected in the models proposed for the implementation of actions and services for the promotion, prevention, care and rehabilitation of human health.
  
  
  OBJECTIVE
  To discuss the guidelines of care in mental health day hospitals (MHDH) in contrast to type III psychosocial care centers (CAPS III).
  
  
  METHODS
  Review of mental health legislation from 1990 to 2014.
  
  
  RESULTS
  A definition of therapeutic project could not be found, as well as which activities and techniques should be employed by these health services.
  
  
  CONCLUSIONS
  The MHDH and PCC III are services that replace psychiatric hospital admission and are characterized by their complementarity in the care to the mentally ill. Due to their varied and distinctive intervention methods, which operate synergistically, the contributions from both models of care are optimized. Discussions on the best mental health care model reveal polarization between the biomedical/biopsychosocial and psychosocial paradigms. This reflects the supremacy of the latter over the former in the political-ideological discourse that circumscribes the reform of psychiatric care, which may hinder a better clinical outcome for patients and their families.
authors.affiliation: Post-Doctoral - Physician/Specialized in Health, Secretaria da Saúde do Estado do Rio Grande do Sul (SES/RS). Head Professor of Public Policies in Mental Health, Centro de Estudos José de Barros Falcão (CEJBF). President of the Technical Chamber for Health Auditing, Conselho Regional de Medicina do Estado do Rio Grande do Sul (Cremers), Porto Alegre, RS, Brazil.
authors.forename: César Augusto Trinta
authors.initials: CA
authors.lastname: Weber
authors.affiliation: Post-Doctoral - Coordinator of the Program for Assistance, Teaching and Research on Stress, Trauma and Mood Disorders (EsTraDA) and of the Psychiatric Day Hospital, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (HC-FMRP-USP), Ribeirão Preto, SP, Brazil.
authors.forename: Mario Francisco
authors.initials: MF
authors.lastname: Juruena
mesh_terms: D003631:Day Care, Medical / Q000331:legislation & jurisprudence* / Q000458:organization & administration*; D006291:Health Policy; D006296:Health Services / Q000331:legislation & jurisprudence*; D006760:Hospitalization / Q000331:legislation & jurisprudence*; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation* / Q000628:therapy; D008603:Mental Health; D008605:Mental Health Services / Q000331:legislation & jurisprudence* / Q000458:organization & administration*; D009313:National Health Programs