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Bibliographic Details
Main Author:	Mariá Lanzotti Sampaio
Format:	Artículo científico
Language:	pt
Published:	Fundação Oswaldo Cruz 2021
Subjects:	Educación Saúde mental atenção à saúde política de saúde desinstitucionalização assistência à saúde mental
Online Access:	https://www.redalyc.org/articulo.oa?id=406764834008 https://www.redalyc.org/journal/4067/406764834008/ https://www.redalyc.org/journal/4067/406764834008/html/ https://www.redalyc.org/journal/4067/406764834008/406764834008.epub https://www.redalyc.org/journal/4067/406764834008/movil
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Entre o encalusuramento e a desinstitucionalização: a trajetória da saúde mental no Brasil Mariá Lanzotti Sampaio José Patrício Bispo Júnior Educación Saúde mental atenção à saúde política de saúde desinstitucionalização assistência à saúde mental O objetivo foi analisar a trajetória das políticas de saúde mental no Brasil. Realizamos a sistematização dos períodos históricos com base na análise dos contextos sociopolítico, de organização do sistema de saúde e das características da atenção em saúde mental. Identificamos sete períodos desde a institucionalização da loucura, no período imperial, até 2019. A trajetória da política revela um processo de disputa de concepções epistemológicas e simbólicas sobre a loucura e o adoecimento mental, que em interação com outros fatores contextuais influenciam os modelos assistenciais e as práticas de cuidado. Posteriormente, discutimos a pluralidade de abordagens da desinstitucionalização no cenário internacional e as influências sobre o modelo de saúde mental proposto pela Reforma Psiquiátrica Brasileira. Apresentamos uma síntese da ideia de desinstitucionalização considerando as várias dimensões que envolvem a perspectiva abrangente do termo. Por fim, refletimos sobre os avanços e desafios da Reforma Psiquiátrica Brasileira. Apesar das significativas conquistas, persistem problemas relacionados ao financiamento, à estigmatização, à frágil articulação intersetorial e à reprodução da lógica manicomial nos serviços substitutivos. Além disso, as atuais mudanças na Política Nacional de Saúde Mental constituem-se como principais ameaças ao modelo desinstitucionalizante. 2021 artículo científico 1678-1007 https://www.redalyc.org/articulo.oa?id=406764834008 https://www.redalyc.org/journal/4067/406764834008/ https://www.redalyc.org/journal/4067/406764834008/html/ https://www.redalyc.org/journal/4067/406764834008/406764834008.epub https://www.redalyc.org/journal/4067/406764834008/movil 10.1590/1981-7746-sol00313 pt http://www.redalyc.org/revista.oa?id=4067 Trabalho, Educação e Saúde application/pdf Fundação Oswaldo Cruz Trabalho, Educação e Saúde (Brasil) Vol.19

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// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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