Access of SUS users to psychosocial care in brazilian municipalities

Detalhes bibliográficos
Autor(a) principal: Silva, Stefany Costa
Data de Publicação: 2023
Outros Autores: Oliveira, Luciane Cristina Feltrin de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3832
Resumo:   Created under the influence of the Psychiatric Reform movement, the Unified Health System (SUS) proposed a new mental health care model focused on Primary Health Care (PHC). But this change still poses some barriers for user access to health services. Thus, this integrative review analyzes scientific production on the access of SUS users to psychosocial care. Bibliographic search was conducted on the SciELO, Medline/PubMed and Lilacs databases using the following descriptors: “access to health services,” “primary health care,” “mental health services,” resulting in a sample of 13 studies. Data were explored by thematic content analysis, which consist of pre-analysis, exploration of the material, and treatment/interpretation of the results obtained. Results revealed that PHC has been an articulator of access to psychosocial care, and unveiled its difficulties in using light technologies to manage mental disorders and psychological distress. Secondary care and access to psychosocial care services face structural, physical, and social difficulties. The analysis also points to gaps in the literature regarding access to the different modalities of Psychosocial Care Centers and about therapeutic residences. Thus, despite the right to health achieved and reorientation of the mental health care model, now centered on PHC, this level of care remains not resolutive.
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spelling Access of SUS users to psychosocial care in brazilian municipalitiesAcceso de los usuarios del SUS a la atención psicosocial en los municipios brasileñosAcesso dos usuários do SUS à atenção psicossocial nos municípios brasileirosAcesso a serviços de saúdeServiços de saúde mentalAssistência à saúde mentalAcceso a los servicios de saludServicios de salud mentalAtención a la salud mentalAccess to health servicesMental health servicesMental health assistance  Created under the influence of the Psychiatric Reform movement, the Unified Health System (SUS) proposed a new mental health care model focused on Primary Health Care (PHC). But this change still poses some barriers for user access to health services. Thus, this integrative review analyzes scientific production on the access of SUS users to psychosocial care. Bibliographic search was conducted on the SciELO, Medline/PubMed and Lilacs databases using the following descriptors: “access to health services,” “primary health care,” “mental health services,” resulting in a sample of 13 studies. Data were explored by thematic content analysis, which consist of pre-analysis, exploration of the material, and treatment/interpretation of the results obtained. Results revealed that PHC has been an articulator of access to psychosocial care, and unveiled its difficulties in using light technologies to manage mental disorders and psychological distress. Secondary care and access to psychosocial care services face structural, physical, and social difficulties. The analysis also points to gaps in the literature regarding access to the different modalities of Psychosocial Care Centers and about therapeutic residences. Thus, despite the right to health achieved and reorientation of the mental health care model, now centered on PHC, this level of care remains not resolutive.La creación del Sistema Único de Salud (SUS) bajo la influencia del movimiento de Reforma Psiquiátrica propuso un nuevo modelo para la atención de la salud mental, centrado en la Atención Primaria de Salud (APS). Sin embargo, el cambio en el modelo de atención todavía enfrenta algunas barreras relacionadas al acceso de los usuarios a los servicios de salud. Esta investigación pretende analizar la producción científica sobre el acceso de los usuarios del SUS a la Atención Psicosocial. Esta es una revisión integradora, en que se utilizaron los siguientes descriptores: “acceso a los servicios de salud”, “atención primaria de salud”, “servicios de salud mental” en las bases de datos de SciELO, Medline/PubMed y Lilacs; lo que resultó en la inclusión de 14 estudios. En los datos se aplicó el Análisis de Contenido Temático, consistente en preanálisis, exploración del material y tratamiento de los resultados obtenidos/interpretación. Los resultados mostraron cómo la APS ha sido un articulador del acceso a la atención psicosocial, así como las dificultades que se enfrentan en el uso de tecnologías blandas para manejar los trastornos mentales y la angustia psicológica. Y en el ámbito de la atención secundaria, en el acceso a los servicios de Atención Psicosocial, hay dificultades estructurales, físicas y sociales. Además, se destacan lagunas en la producción sobre el acceso a las diferentes modalidades de Centros de Atención Psicosocial y residencias terapéuticas. A pesar de la conquista del derecho a la salud y de la reorientación del modelo de atención a la salud mental con enfoque en la APS, este nivel de atención aún no llega a ser resolutivo.A criação do Sistema Único de Saúde (SUS) sob influência do movimento da Reforma Psiquiátrica propôs um novo modelo para a atenção à saúde mental focado na Atenção Primária em Saúde (APS). Porém, a mudança do modelo de atenção ainda possui algumas barreiras de acesso dos usuários aos serviços de saúde. Esta pesquisa busca analisar a produção científica sobre o acesso dos usuários do SUS à atenção psicossocial. Trata-se de uma revisão integrativa, na qual foram usados os descritores: “acesso aos serviços de saúde” “atenção primária à saúde”, “serviços de saúde mental” nas bases de dados da SciELO, Medline/PubMed e Lilacs, resultando na inclusão de 13 estudos. Os dados foram analisados de acordo com a análise temática de conteúdo, constituída pela pré-análise, pela exploração do material e pelo tratamento dos resultados obtidos/interpretação. Os resultados evidenciaram como a APS tem articulado o acesso à atenção psicossocial, bem como as dificuldades que enfrenta no uso das tecnologias leves para o manejo de transtornos mentais e sofrimento psíquico. E, no campo da atenção secundária e no acesso aos serviços da atenção psicossocial, existem dificuldades estruturais, físicas e sociais. Além disso, evidenciam-se lacunas na produção acerca do acesso às diferentes modalidades dos Centros de Atenção Psicossocial e das residências terapêuticas. Assim, apesar do direito à saúde conquistado e da reorientação do modelo de atenção à saúde mental com foco na APS, esse nível de atenção ainda não consegue ser resolutivo.  SESAB2023-08-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/383210.22278/2318-2660.2023.v47.n2.a3832Revista Baiana de Saúde Pública; v. 47 n. 2 (2023); 230-2482318-26600100-023310.22278/2318-2660.2023.v47.N2reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3832/3226Copyright (c) 2023 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessSilva, Stefany CostaOliveira, Luciane Cristina Feltrin de2023-08-08T19:19:58Zoai:ojs.pkp.sfu.ca:article/3832Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:30.686913Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false
dc.title.none.fl_str_mv Access of SUS users to psychosocial care in brazilian municipalities
Acceso de los usuarios del SUS a la atención psicosocial en los municipios brasileños
Acesso dos usuários do SUS à atenção psicossocial nos municípios brasileiros
title Access of SUS users to psychosocial care in brazilian municipalities
spellingShingle Access of SUS users to psychosocial care in brazilian municipalities
Silva, Stefany Costa
Acesso a serviços de saúde
Serviços de saúde mental
Assistência à saúde mental
Acceso a los servicios de salud
Servicios de salud mental
Atención a la salud mental
Access to health services
Mental health services
Mental health assistance
title_short Access of SUS users to psychosocial care in brazilian municipalities
title_full Access of SUS users to psychosocial care in brazilian municipalities
title_fullStr Access of SUS users to psychosocial care in brazilian municipalities
title_full_unstemmed Access of SUS users to psychosocial care in brazilian municipalities
title_sort Access of SUS users to psychosocial care in brazilian municipalities
author Silva, Stefany Costa
author_facet Silva, Stefany Costa
Oliveira, Luciane Cristina Feltrin de
author_role author
author2 Oliveira, Luciane Cristina Feltrin de
author2_role author
dc.contributor.author.fl_str_mv Silva, Stefany Costa
Oliveira, Luciane Cristina Feltrin de
dc.subject.por.fl_str_mv Acesso a serviços de saúde
Serviços de saúde mental
Assistência à saúde mental
Acceso a los servicios de salud
Servicios de salud mental
Atención a la salud mental
Access to health services
Mental health services
Mental health assistance
topic Acesso a serviços de saúde
Serviços de saúde mental
Assistência à saúde mental
Acceso a los servicios de salud
Servicios de salud mental
Atención a la salud mental
Access to health services
Mental health services
Mental health assistance
description   Created under the influence of the Psychiatric Reform movement, the Unified Health System (SUS) proposed a new mental health care model focused on Primary Health Care (PHC). But this change still poses some barriers for user access to health services. Thus, this integrative review analyzes scientific production on the access of SUS users to psychosocial care. Bibliographic search was conducted on the SciELO, Medline/PubMed and Lilacs databases using the following descriptors: “access to health services,” “primary health care,” “mental health services,” resulting in a sample of 13 studies. Data were explored by thematic content analysis, which consist of pre-analysis, exploration of the material, and treatment/interpretation of the results obtained. Results revealed that PHC has been an articulator of access to psychosocial care, and unveiled its difficulties in using light technologies to manage mental disorders and psychological distress. Secondary care and access to psychosocial care services face structural, physical, and social difficulties. The analysis also points to gaps in the literature regarding access to the different modalities of Psychosocial Care Centers and about therapeutic residences. Thus, despite the right to health achieved and reorientation of the mental health care model, now centered on PHC, this level of care remains not resolutive.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-08
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10.22278/2318-2660.2023.v47.n2.a3832
url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3832
identifier_str_mv 10.22278/2318-2660.2023.v47.n2.a3832
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dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3832/3226
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info:eu-repo/semantics/openAccess
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eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv SESAB
publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv Revista Baiana de Saúde Pública; v. 47 n. 2 (2023); 230-248
2318-2660
0100-0233
10.22278/2318-2660.2023.v47.N2
reponame:Revista Baiana de Saúde Pública (Online)
instname:Secretaria da Saúde do Estado da Bahia (Sesab)
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reponame_str Revista Baiana de Saúde Pública (Online)
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