A implantação da política antimanicomial no poder judiciário do estado do Tocantins

Abstract

The technical report addresses the implementation of the Anti-Asylum Policy in the Judiciary of the State of Tocantins, having as its regulatory framework Resolution No. 487/2023 of the National Council of Justice (CNJ). The work begins with a diagnosis of the national and state reality, highlighting the situation of non-imputable individuals held in judicial asylums, psychiatric wards, or common cells, often subjected to inhumane conditions and violations of rights. It presents the process undertaken for the implementation and monitoring of the Anti- Asylum Policy within the Judiciary, in accordance with CNJ Resolution No. 487/2023, in the State of Tocantins. In this regard, the study recovers the historical trajectory of psychiatry, from the classical asylum model to the Brazilian Psychiatric Reform and the creation of the Psychosocial Care Network (RAPS). It also analyzes international reformist movements, Law No. 10.216/2001, and the principles that consolidated psychosocial care as a substitute for psychiatric hospitals. In Tocantins, the research highlights the challenges and progress achieved following CNJ Resolution No. 487/2023, such as the creation of the State Interinstitutional Committee for Monitoring the Anti-Asylum Policy (CEIMPA/TJTO), the work of the Psychosocial Evaluation Teams (EAP-Desisnte), and the articulation with substitute services, such as the therapeutic residence in Palmas. Concrete cases of deinstitutionalization, regional difficulties, and gaps in the health network were described. The document concludes by reinforcing the need to consolidate the anti-asylum policy as a permanent public policy, linked to the Unified Health System (SUS) and supported by interinstitutional action that ensures care in freedom, respect for human rights, and the dignity of people with mental suffering in conflict with the law.