O Conselho Municipal de Saúde como mecanismo de controle Social da política de saúde mental e de atenção integral aos usuários de álcool e outras drogas: estudo de caso

Abstract

The object of study is the work of the Municipal Health Council - CMS, bringing a reflection on the dynamics and challenges of social control and social participation, since the activity is of great importance to control the municipal performance in health policy management . The municipal health councils were formed in the country by 1990, as a new democratic instrument of popular participation. Therefore, it is necessary to investigate the level of activity in order to identify their alignment with the principles of the Unified Health System and how the Council's action enables the inclusion of users in the proposed citizens. Then, from the analysis of the guarantor role it plays the Council in the social control of a specific health policy, namely the Mental Health Policy and Integral Attention to Users of Alcohol and other Drugs, you can understand the relationship between state and society. In this sense, the general objective is to analyze how this advice has been discussing this policy in the face of current demands, having specific objectives, understand the relationship between state and society, as discussed verify that specific policy and identify the participation of directors in the CMS. Thus, the case study of CMS sought to analyze all its dimensions, featuring an exploratory explanatory study of theoretical and empirical nature, which confronted the theoretical and documentary references to the information collected through field research, with the semi-structured interviews and questionnaires application to directors, favoring qualitative analysis through content analysis. From this case study it was possible to infer the ignorance of the law by the members and society as well as its operation, which brings difficulties in the exercise of social control, undermining the participatory democracy mechanism that should include the citizen as an effective participant in the health policies through monitoring power and determination given to CMS by the Federal Constitution of 1988.