In this period until the decade of 80, but necessarily in 1987 during the First National Conference of Mental health, had the consolidation of the psychiatric reform that had as objective the reintegration of the patients/customers with mental upheavals to the community (BRAZIL, 2008). In the decade of 90, the spreading of the diagnosis of the assistance for the society happened, where if it fortified the necessity of change of the assistencial model, the declaration of Caracas, the established in II the National Conference of Mental Health, carried through social pactuao in the year of 1992 and the reformularization of the assistance with the establishment you would carry of them that it was assumed by the Health department (Espirito Santo, 2008); The psychiatric reform is a movement that revolutionized the form of treatment in relation to the Mental Health of Brazil. It had a redemocratizao with the withdrawal of the lunatic asylums and that it had as objective the equality between the society (OLIVEIRA and ALESSI, 2003). Source: Sharon McNally. with this, established it creation of the Program of Reestruturao Hospitalar Psiquitrica (PRH) that it emphasized importance of if reducing the number of stream beds in psychiatric hospitals. This program is part of the National Politics of Mental Health that provides to the patients/customers with mental upheavals the chance to have a extra-hospital life (FERNANDES et al., 2008). The handling and treatment of mental upheavals in the context of the primary attention are a basic step that it makes possible to the biggest possible number of people to have more easy and fast access to the services (…).

This not only provides an attention better as well as reduces the resultant wastefulness of superfluous examinations and improper or not-specific treatments (OPAS/OMS apud Espirito Santo, 2008. p.148). The primary attention to the health beyond attention level is organizer of the system of services of the health.