Mental health practices in Primary Health Care: workers’ perceptions

• Autor(a) principal: Lamb, Paolo Porciúncula
• Data de Publicação: 2021
• Outros Autores: Brito, Geraldo Eduardo Guedes de, Roges, Andréa Loureiro, Junqueira, Cora Coralina dos Santos, Neves, Robson da Fonseca, Barros, Sara Virna Alves, Andrade, Augusto José Bezerra de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/12674
• topic: Mental Health Assistance; Mental Health; Primary Health Care; Health knowledge, attitudes, practice.; Atención a la Salud Mental; Salud Mental; Atención Primaria de Salud; Conocimientos, actitudes y prácticas en salud.; Assistência à Saúde Mental; Saúde Mental; Atenção Primária à Saúde; Conhecimentos, atitudes e práticas em saúde.

The Family Health Strategy (FHS) is one of the main pillars for the organization of Primary Health Care in Brazil and has become an important device in the production of mental health care. The study aimed to know the production of mental health care by Family Health Teams in Recife, capital of the state of Pernambuco, in the northeast from Brazil. This is a descriptive-exploratory study, with a qualitative approach. 116 nurses from the FHS nurses participated in the study through an online questionnaire, and 11 workers from three teams from a Family Health Unit participated in a semi-structured interview. The data were analyzed using Content Analysis, thematic modality, proposed by Bardin. It was evidenced that the main mental health actions reported by the participants were: medical consultations, pharmacological treatment, therapeutic groups and home visits. Among the potentialities of mental health care in primary care, the matrix support, singular therapeutic project, the creation of bonds, and integrative and complementary practices were highlighted. It was observed as weaknesses the limited offer of permanent education and the disarticulation of the Psychosocial Care Network. It was concluded that the FHS contributes to the production of mental health care developed in the studied reality, and is close to the territorial- and community-based mental health practices, representing a rupture in the manicomial model. Furthermore, it was found that supportive actions qualify the professional-user relationship.