Desafios da gestão pública na atenção à saúde mental da pessoa idosa no Tocantins

Abstract

This study analyzes the challenges related to the provision of mental health services for older adults in the state of Tocantins, considering structural, territorial, social, and organizational aspects that influence the effectiveness of care provided to this population. This is a bibliographic and documentary study with a qualitative approach, descriptive-exploratory nature, and based on the hypothetical-deductive method. The research was developed through the analysis of institutional documents, legislation, public reports, and scientific publications related to aging, mental health, public policies, and the promotion of quality of life among older adults. The study identifies that, despite the advances achieved through the consolidation of public health policies and the organization of the Psychosocial Care Network, significant challenges remain in the Tocantins context, particularly regarding territorial inequalities, the concentration of specialized services, transportation difficulties, shortage of qualified professionals, and weaknesses in the coordination between different levels of care. The results also demonstrate that complementary strategies, such as continuing education, social participation, leisure activities, and the use of technologies, have the potential to strengthen autonomy, social inclusion, and mental health promotion among older adults. It is concluded that strengthening mental health care in Tocantins depends on expanding and improving existing services, integrating health, education, social assistance, and community sectors, as well as implementing territorially appropriate actions according to the needs of the older population. This research contributes to expanding the academic debate and supporting reflections on public policies aimed at promoting healthy aging.