SciELO - Scientific Electronic Library Online

vol.16 issue12Policies and innovation in mental healthcare: limits to decoupling from the performance of the SUSMental health in primary care: an evaluative study in a large Brazilian city author indexsubject indexarticles search
Home Page  

Services on Demand




Related links

  • Have no similar articlesSimilars in SciELO


Ciência & Saúde Coletiva

On-line version ISSN 1678-4561Print version ISSN 1413-8123


CAVALCANTI, Maria Tavares et al. Adaptation of Critical Time Intervention for use in Brazil and its implementation among users of psychosocial service centers (CAPS) in the municipality of Rio de Janeiro. Ciênc. saúde coletiva [online]. 2011, vol.16, n.12, pp.4635-4642. ISSN 1678-4561.

Brazilian Psychiatric Reform proposes a mental healthcare model based on the implementation of a community-based service network, in which Psychosocial Service Centers (CAPS) play a fundamental role. The report presents the results of a pilot study which aimed to adapt Critical Time Intervention to the Brazilian context, and to test its feasibility to provide it to persons with schizophrenic spectrum disorders who are enrolled in CAPS of Rio de Janeiro. Methods: The research design included three inter-related phases. Phase one consisted in carrying out qualitative and quantitative field work. This phase included mapping out the socio-demographic, clinical and service utilization data of CAPS users, as well as assessing the mental health needs of participants in the study. The second phase consisted in translation of the CTI clinical manual to include the adaptations made for use in Brazil, which were based on data collected in the first phase, as well as training individuals with moderate education as CTI intervention workers. The third phase consisted of pilot implementation of the adapted intervention among a group of individuals with schizophrenia spectrum disorders enrolled in CAPS, but with difficulties in being included in treatment.

Keywords : CAPS; Continuity of care; Critical time intervention; Severe and persistent mental illness.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )