Mental Health In Primary Care
Study On The Practices Of The Professionals Of The Family Health Strategy
Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care.
Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions.
Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act.
Keywords: Mental Health; Primary Health Care; Family Health Strategy.
2. Passos ICF. Psychiatric Reform: the French and Italian experiences. Rio de Janeiro - RJ: Publisher FIOCRUZ; 2009.
3. Ministry of Health (BR), Executive Sevretariat, Department of Health Care. Declaration of Caracas. In: Mental Health Legislation 1990-2004. Brasília - DF: Ministry of Health; 2002. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/legislacao_mental.pdf.
4. Arce VAR, Sousa MF, Lima MG. The praxis of Mental Health within the scope of the Family Health Strategy: contributions to the construction of an integraded care. Physis: Revista de Saúde Coletiva. 2011; 21(2):541-560. Available from: http://www.scielo.br/pdf/physis/v21n2/a11v21n2.pdf.
5. Ministry of Health (BR), Department of Helth Care. National Policy of Basic Attention. Brasília - DF : Ministry of Health; 2012. Available from: http://22.214.171.124/dab/docs/publicacoes/geral/pnab.pdf.
6. Vieira Filho NG, Rosa MD. Psychosocial Clinic: articulating mental health and Family Health Strategy. Mental. 2011;9(16):303-326. Available from: http://pepsic.bvsalud.org/pdf/mental/v9n16/a06v9n16.pdf>.
7. Mehry EE, Franco TB. For a thechnical composition of health work focused on the field of relational and light technologies. Pointing out changes to the techno-assistance models. Saúde em Debate. 2003;27(65):316-323. Available from: http://www.uff.br/saudecoletiva/professores/merhy/indexados-14.pdf.
8. Ribeiro JM, Inglez-Dias A. Policies and innovation in attention t mental health: limits to the detachment of UHS. Ciência & Saúde Coletiva. 2011;16 (12):4623-4634. Available from: http://www.scielo.br/pdf/csc/v16n12/11.pdf.
9. World Health Organization. The World Health Report 2001. Mental health: new understanding, new hope. Geneva - CHE: WHO; 2001. Available from: http://apps.who.int/iris/bitstream/10665/42390/1/WHR_2001.pdf.
10. Ministry of Health (BR), Department of Helth Care. Mental Health in UHS: Management Report. Brasília - DF: Ministry of Health; 2006. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/07_0416_M.pdf.
11. World Health Organization, World Organization of Family Doctors. Integrating mental health into primary care: a global perspective. Geneva -CHE; 2008. Available from: http://www.who.int/mental_health/resources/mentalhealth_PHC_2008.pdf.
12. Brasilian Institute of Geography and Statistics. Census Brazil 2010. Brasília - DF: BIGS; 2010. Available from: http://www.ibge.gov.br.
13. Lefèvre F, Lefèvre AMC, Teixeira, JJV. The Collective Subject Discourse: a new methodological approach in qualitative research. Caxias do Sul - RS: EDUCS; 2000.
14. Wanderley TC, Cavalcanti AL, Santos S. Health Practices in Primary Care and Psychotropic Use. Revista de Ciências Médicas e Biológicas. 2013;12(1):121-126. Available from: https://portalseer.ufba.br/index.php/cmbio/article/view/6774/6614.
15. Silva ACMA, Villar MAM, Cardoso MHCA, Wuillaume SM. Family Health Strategy: motivation, preparation and work according to doctors who work in three districts of the city of Duque de Caxias, Rio de Janeiro, Brazil. Saúde Soc. 2010;19(1):159-169. Available from: http://www.scielo.br/pdf/sausoc/v19n1/13.pdf.
16. Pereira AA, Costa AN, Megale RF. Mental Health for doctors that work in the Family Health Strategy: a contribution on the Process of Training in service. Revista Brasileira de Educação Médica. 2012;36(2):269-279. Available from: http://www.scielo.br/pdf/rbem/v36n2/17.pdf.
17. Ribeiro LM, Medeiros SM, Albuequerque JS, Fernandes, SMBA. Mental Health and nursing in Family Health Strategy: how are nurses acting? Revista da Escola de Enfermagem da USP. 2010; 44(2):376-382. Available from: http://www.scielo.br/pdf/reeusp/v44n2/19.pdf.
18. Curado TRF, Bastos ENE. The dental surgeons' view of the Family Health Strategy for the mental health of users. Cadernos ESP. 2012;5(1):44-53. Available from: http://www.esp.ce.gov.br/cadernosesp/index.php/cadernosesp/article/view/45/42.
19. Ministry of Health (BR), Department of Helth Care, Department of Basic Attention. Oral Health. Brasília - DF : Ministry of Health; 2006. Available from: http://126.96.36.199/dab/docs/publicacoes/cadernos_ab/abcad17.pdf.
20. Ministry of Health (BR), Department of Helth Care, Department of Basic Attention. Mental Health. Brasília - DF: Ministério da Saúde; 2013. Available from: http://188.8.131.52/dab/docs/portaldab/publicacoes/caderno_34.pdf.
21. Cassel EJ. The Nature of Suffering and the goals of medicine. 2ed. Oxford: University Press; 2004.
Copyright policies & self-archiving
We are a RoMEO green journal.
Author's Pre-print: author can archive pre-print (ie pre-refereeing)
Author's Post-print: author can archive post-print (ie final draft post-refereeing)
Publisher's Version/PDF: author can archive publisher's version/PDF
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
Articles are published Under License of Creative Commons Attribution 4.0 License ©