Uma análise da legalidade do investimento público em comunidades terapêuticas como política pública de saúde mental

Abstract

The objective of this work is to analyze the legality of public investment in Therapeutic Communities (TCs) as a mental health policy in Brazil, highlighting the challenges and contradictions in relation to the principles of the Psychiatric Reform. The Reform aims at the deinstitutionalization and social reintegration of individuals with mental disorders, promoting humane treatment. However, many TCs adopt isolationist and moralizing practices, resulting in human rights violations, such as forced internment and the imposition of religious practices. The research utilized bibliographic and qualitative methodologies to analyze legislation, reports, and scientific articles, providing a critical analysis of the application of public resources. It was identified that funding allocated to TCs often lacks proper oversight, allowing for deviations and abusive practices. The study compared recovery strategies based on harm reduction and abstinence, highlighting that the former is more aligned with public health principles, promoting patient autonomy and social inclusion. The research suggests the need for strict regulation and continuous oversight of TCs, as well as the training of involved professionals. Public policies should prioritize harm reduction and social inclusion to ensure a fairer mental health system that respects human rights. A critical review of public funding policies is essential to ensure that resources are applied in accordance with the princip.