Kit de ferramentas “Direito é Qualidade” na avaliação de serviços de saúde mental: uma revisão de escopo

Autores

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2025.224865

Palavras-chave:

Saúde Mental, Direitos Humanos, Pesquisa sobre Serviços de Saúde, Revisão

Resumo

Objetivo: mapear como são conduzidas as pesquisas que utilizam o kit de ferramentas “QualityRights” para avaliar serviços de saúde mental. Metodologia: revisão de escopo orientada pelo Joanna Briggs Institute, seguindo o checklist Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews. Após buscas realizadas em 22 bases de dados, foram selecionados 27 resultados, organizados a partir da estrutura dos estudos para apresentar a forma de utilização do kit de ferramentas para avaliação de serviços de saúde proposto pela Organização Mundial da Saúde. Resultados: os resultados da busca expressam a perspectiva multicêntrica do instrumento, e a produção encontra-se em 45 países dos continentes África, América Latina, Ásia e Europa. São estudos, na maioria, de abrangência local, que utilizam os cinco temas e as três ferramentas propostas, predominantemente realizados em instituições asilares. As recomendações são sistematizadas em diálogo com a Convenção dos Direitos das Pessoas com Deficiência. Conclusão: para que se obtenha análises robustas, aponta-se a necessidade de caracterizar o perfil sociodemográfico da população de referência a fim de analisar interseccionalmente as desigualdades, discriminações, violências e violações múltiplas e interdependentes vivenciadas pela população com problemas de saúde mental e decorrentes do uso de drogas.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

Drew N, Funk M, Tang S, Lamichhane J, Chávez E, Katontoka S, et al. Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. Lancet. 2011;378(9803):1664-75. https://doi.org/10.1016/s0140-6736(11)61458-x

United Nations. Resolution adopted by the General Assembly on 13 December 2006 [Internet]. New York, NY: UN; 2007 [cited 2024 May 14]. Available from https://www.un.org/en/development/desa/population/migration/generalassembly/docs/globalcompact/A_RES_61_106.pdf

United Nations. Convention on the Rights of Persons with Disabilities (CRPD) [Internet]. New York, NY: UN; 2006 [cited 2024 May 14] Available from: https://social.desa.un.org/issues/disability/crpd/convention-on-the-rights-of-persons-with-disabilities-crpd

Brasil. Decreto n. 6.949, de 25 de agosto de 2009. Promulga a Convenção Internacional sobre os Direitos das Pessoas com Deficiência e seu Protocolo Facultativo, assinados em Nova York, em 30 de março de 2007. Diário Oficial da União [Internet]. 2009 Aug 26 [cited 2024 May 14];163(seção 1):3-9. Available from: http://www.planalto.gov.br/ccivil_03/_Ato2007-2010/2009/Decreto/D6949.htm

World Health Organization. Mental health atlas 2020 [Internet]. Geneva: WHO; 2021 [cited 23024 May 14]. Available from https://www.who.int/publications/i/item/9789240036703

World Health Organization. World mental health report: transforming mental health for all [Internet]. Geneva: WHO; 2022 [cited 2024 May 14]. Available from https://www.who.int/publications/i/item/9789240049338

World Health Organization‎. The World health report: 2001: Mental health: new understanding, new hope [Internet]. Geneva: WHO; 2001 [cited 2024 May 14]. Available from https://iris.who.int/handle/10665/42390

Funk M, Bold ND. WHO's QualityRights Initiative: Transforming Services and Promoting Rights in Mental Health. Health Hum Rights [Internet]. 2020 [cited 2024 May 14];22(1):69-75. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7348459/

World Health Organization. WHO QualityRights Tool Kit [Internet]. Geneva: WHO; 2012 [cited 2024 May 14]. Available from https://www.who.int/publications/i/item/9789241548410

Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. Direito é qualidade: kit de ferramentas de avaliação e melhoria da qualidade e dos direitos humanos em serviços de saúde mental e de assistência social [Internet]. Brasília, Ministério da Saúde; 2015 [cited 2024 May 14]. 101 p. Available from: https://iris.who.int/bitstream/handle/10665/70927/9788533423282_por.pdf?sequence=53

Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Ações Programáticas e Estratégicas. Saúde Mental no SUS: Cuidado em Liberdade, Defesa de Direitos e Rede de Atenção Psicossocial. Relatório de Gestão 2011-2015. Brasília: MS; 2016.

Ministério da Saúde (BR), Coordenação de Saúde Mental. Relatório final da 2ª Conferência Nacional de Saúde Mental [Internet]. Brasília: Ministério da Saúde; 1994 [cited 2024 May 14]. 63 p. Available from: https://www.gov.br/conselho-nacional-de-saude/pt-br/assuntos/conferencias/2a-cnsm.pdf

Organização Pan-Americana da Saúde. Consenso de Brasília 2013 [Internet]. Brasília: OPAS; 2013 [cited 2024 May 14]. Available from: https://www.paho.org/sites/default/files/2024-06/brasilia-consensus-2013port.pdf

Pan American Health Organization. A New Agenda for Mental Health in the Americas: Report of the Pan American Health Organization High-Level Commission on Mental Health and COVID-19. Washington, D.C.: PAHO; 2023. https://doi.org/10.37774/9789275127223

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. Adelaide: JBI; 2020. https://doi.org/10.46658/JBIMES-20-12

Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020;18(10):2119-26. https://doi.org/10.11124/JBIES-20-00167

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/M18-0850

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71

Pollock D, Peters M, Khalil H, McInerney P, Alexander L, Tricco AC, et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evid Synth. 2023;21(3):520-32. https://doi.org/10.11124/JBIES-22-00123

Currie J. Project report - Assessment of the Mental Health Ward, Hargeisa Group Hospital in Somalia, Using the WHO Quality Rights Tool Kit. [s.l.]; 2012.

Minoletti A, Toro O, Alvarado R, Carniglia C, Guajardo A, Rayo X. Respeto a los derechos de las personas que se atienden en Servicios de Psiquiatría Ambulatoria en Chile. Rev Med Chile [Internet]. 2015;143(12):1585-92. https://doi.org/10.4067/S0034-98872015001200012

Minelotti A, Toro O, Alvarado R, Rayo X. Differences on perceptions of quality of care and respect for rights in mental health between user, family and staff. Rev Fac Cien Med Univ Nac Cordoba. 2015;72(4):261-9.

Parwiz K. Implementation of WHO Quality Rights assessment In Kabul Mental Health Hospital [Thesis]. Lisboa: Universidade Nova Lisboa; 2015 [cited 2024 May 14]. Available from: https://hdl.handle.net/10362/16673

Fawzy ME. Quality of life and human rights conditions in a public psychiatric hospital in Cairo. Int J Hum Rights Healthc. 2015;8(4):199-217. https://doi.org/10.1108/IJHRH-02-2015-0006

Rekhis M, Ben Hamouda A, Ouanes S, Rafrafi R. Rights of people with mental disorders: Realities in healthcare facilities in Tunisia. Int J Soc Psychiatry. 2017;63(5):439-47. https://doi.org/10.1177/0020764017712301

Grigaitė U. Human rights conditions and quality of care in ‘Independent Living Homes’ for adults, who have intellectual and/or psychosocial disabilities, in Vilnius: analysis of good practice examples, systemic challenges and recommendations for the future [Thesis]. Lisboa: Universidade Nova Lisboa; 2017 [cited 2024 May 14]. Available from: https://hdl.handle.net/10362/26693

Azab SE. Implementation of WHO Quality Rights assessment in Abbassia Mental Health Hospital: child and adolescent outpatient clinics [Thesis]. Lisboa: Universidade Nova Lisboa; 2017 [cited 2024 May 14]. Available from: https://hdl.handle.net/10362/26758

Ahmadova G. Developing of tool for quality assurance of mental health inpacient services in Azerbaijan [Thesis]. Lisboa: Universidade Nova Lisboa; 2017 [cited 2024 May 14]. Available from: https://run.unl.pt/handle/10362/21633

QualityRights Assessment Report: 59G21 Lille [Internet]. Lille: EPSM Lille-Métropole; 2018 [cited 2024 May 14]. Available from: https://qualityrights.org/wp-content/uploads/QualityRights-59G21-report-2019.docx

World Health Organization. Mental health, human rights and standards of care: assessment of the quality of institutional care for adults with psychosocial and intellectual disabilities in the WHO European Region [Internet]. Geneva: WHO; 2018 [cited 2024 May 14] Available from: https://apps.who.int/iris/handle/10665/342203

Global Initiative on Psychiatry Tbilisi. QualityRights Country-Wide Assessment Report – Georgia [Internet]. Tbilisi: 2019 [cited 2024 May 14]. Available from https://qualityrights.org/wp-content/uploads/QR-monitoring-report.Georgia.2019.pdf

Loli-Dano L. Do Albanian mental health services meet human rights standards?: a critical application of the World Health Organization Quality Rights Toolkit at Albania's psychiatric hospitals [Dissertation]. Bath: University of Bath; 2019 [cited 2024 May 14]. Available from https://purehost.bath.ac.uk/ws/portalfiles/portal/193206431/LOLI_DANO_Laura_Thesis_December_2018_Final_357_pages_Redacted.pdf

Rivera Arroyo G, Doardi D. Assessment of Human Rights in the Psychiatric Hospitals of Bolivia: exploratory and descriptive study. Tesape Arandu Internet]. 2019 [cited 2024 May 14]. Available from: https://www.researchgate.net/publication/333929844_Evaluacion_de_la_Situacion_de_los_Derechos_Humanos_en_los_Hospitales_Psiquiatricos_de_Bolivia_Un_estudio_exploratorio_y_descriptivo_Assessment_of_Human_Rights_in_the_Psychiatric_Hospitals_of_Bolivia_e

Esteban R, Arboleda D, Andrea K, Machuca M. Análisis de la inserción, garantía de derechos humanos y la calidad de la atención brindada a pacientes del hospital psiquiátrico Julio Endara, por parte del personal de salud, asistencial y administrativo, mediante la evaluación del instrumento Quality Rights ejecutado durante los años 2018-2019 [Internet]. Quito: 2020 [cited 2014 May 14]. Available from: https://dspace.ups.edu.ec/handle/123456789/19491

Winkler P, Kondrátová L, Kagstrom A, Kučera M, Palánová T, Salomonová M, et al. Adherence to the Convention on the Rights of People with Disabilities in Czech Psychiatric Hospitals: A Nationwide Evaluation Study. Health Hum Rights [Internet]. 2020 [cited 2024 May 14];22(1):21-33. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7348437/

Ministério Público do Rio de Janeiro. Relatório de avaliação e monitoramento do Hospital Psiquiátrico Casa de Saúde Cananéia, Vassouras, RJ [Internet]. [s.l.]: MPRJ; 2021 [cited 2024 May 14]. Available from: https://qualityrights.org/wp-content/uploads/WHO-QR-Assessment_PsychHosp-cananeia_Brazil_2022.pdf

World Health Organization. CAPS III Brasilândia, São Paulo, Brasil. QualityRights Evaluation Report [Internet]. [s.l.]: 2020 [cited 2024 May 14]. Available from: https://qualityrights.org/wp-content/uploads/CAPS-III-Brasilandia_Brazil-QualityRights-Evaluation-Report.pdf

Carta MG, Ghacem R, Milka M, Moula O, Staali N, Uali U, et al. Implementing WHO-Quality Rights Project in Tunisia: Results of an

Intervention at Razi Hospital. Clin Pract Epidemiol Ment Health. 2020;16(Suppl-1):125-33. https://doi.org/10.2174/1745017902016010125

Lantta T, Anttila M, Välimäki M. Quality of mental health services and rights of people receiving treatment in inpatient services in Finland: a cross-sectional observational survey with the WHO QualityRights Tool Kit. Int J Ment Health Sys. 2021;15(1):70. https://doi.org/10.1186/s13033-021-00495-7

Muhia J, Jaguga F, Wamukhoma V, Aloo J, Njuguna S. A human rights assessment of a large mental hospital in Kenya. Pan Afr Med J. 2021;40:199. https://doi.org/10.11604/pamj.2021.40.199.30470

Pathare S, Funk M, Bold ND, Chauhan A, Kalha J, Krishnamoorthy S, et al. Systematic evaluation of the QualityRights programme in public mental health facilities in Gujarat, India. Br J Psychiatry. 2021;218:196-203. https://doi.org/10.1192/bjp.2019.138

Pino Pérez S. Evaluación de la calidad de la atención del centro de salud mental comunitario con enfoque de derechos humanos COSAM-Lampa [Thesis]. Santiago: Universidad de Chile; 2021 [cited 2024 May 14]. Available from: https://repositorio.uchile.cl/handle/2250/184587

Moro MF, Carta MG, Gyimah L, Orrel M, Amissah C, Baingana F, et al. A nationwide evaluation study of the quality of care and respect of human rights in mental health facilities in Ghana: results from the World Health Organization QualityRights initiative. BMC Public Health. 2022;22:639. https://doi.org/10.1186/s12889-022-13102-2

Moro M, Kola L, Fadahunsi O, Jah E, Kofie H, Samba D, et al. Quality of care and respect of human rights in mental health services in four West African countries: Collaboration between the mental health leadership and advocacy programme and the World Health Organization QualityRights initiative. BJPsych Open, 2022;8(1):e31. https://doi.org/10.1192/bjo.2021.1080

Ministério Público do Rio de Janeiro. Relatório de avaliação e monitoramento do Hospital Psiquiátrico Santa Mônica Petrópolis, RJ [Internet]. [s.l.]: MPRJ; 2022 [cited 2024 May 14]. Available from: https://qualityrights.org/wp-content/uploads/WHO-QR-Assessment_PsychHosp-Santa-Monica_Brazil_2022.pdf

Georgaca E, Plataniti P, Vardoulaki A, Pampouchidou M, Nomidou A, Chondros P. Assessing quality of care and observance of human rights in residential mental health facilities in Greece through the WHO QualityRights tool kit. Int J Psychol. 2023;58:59-68. https://doi.org/10.1002/ijop.12874

Saraceno B. Direitos Humanos e a Saúde Mental: estratégias para o avanço das políticas de saúde mental. In: Barros S, Batista LE, Santos JC, editors. Saúde mental e reabilitação psicossocial: avanços e desafios nos 15 anos da Lei 10.2016 [Internet]; 2016 Nov 30-Dec 02; São Paulo, SP. Uberlândia: Navegando Publicações; 2019 [cited 2024 May 14]. p. 70-7. Available from: https://books.scielo.org/id/kvbw9

Mahdanian AA, Laporta M, Bold ND, Funk M, Puras D. Human rights in mental healthcare; A review of current global situation, Int Rev Psychiatry. 2022;35(2)150-62. https://doi.org/10.1080/09540261.2022.2027348

World Health Organization. Comprehensive mental health action plan 2013–2030 [Internet]. Geneva: WHO; 2021 [cited 2024 May 14]. Available from: https://www.who.int/publications-detail-redirect/9789240031029

Publicado

2025-08-01

Como Citar

Ballan, C., Braga, C. P., Cardoso, M. M. de A., Barros, S., & Oliveira, M. A. F. de. (2025). Kit de ferramentas “Direito é Qualidade” na avaliação de serviços de saúde mental: uma revisão de escopo. SMAD, Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 21, e-224865. https://doi.org/10.11606/issn.1806-6976.smad.2025.224865

Dados de financiamento