Spatial distribution of psychosocial care centers (CAPS) in the Federal District: referenced primary care and health inequities
Mental Health, Spatial analysis, mental health services, Primary Health Care, Health Inequities
Objective: To evaluate the distance from CAPS and UBS referenced in the Federal District. Method: This is a descriptive and ecological study, based on the georeferencing of CAPS and UBS, in the DF, identified and extracted from the National Registry of Health Establishments (CNES), in the month of 07/2020, by the address record . Indicators that portray the socioeconomic situation in the different areas of the DF were sought. Results: In the present study, an unequal geographic distribution was identified between the health regions of the DF for the offer of CAPS, especially when observing the profiles of social vulnerability and income for the distance of the UBS with the CAPS in their different modalities of the profile of attendance. This reinforces the theories of the Inverse Care Law and the Inverse Equity Hypothesis, which expresses that the supply of health services and professionals tend to be concentrated in more privileged places and lacking in the most socially vulnerable places, that is, generating more iniquity. Conclusion: This study sheds light on how the network is organized in the territory for this moment of adversity. The power of CAPS, among other mental health services, is related to a proposal to change mental health care to a psychosocial, humanized and territorialized approach, matrixing the teams in the UBS.