A organização do cuidado em Saúde Mental na estratégia saúde da família

• Autor(a) principal: Santana, Tais Fernanda Maimoni Contieri [UNESP]
• Data de Publicação: 2013
• Outros Autores: Pereira, Maria Alice Ornellas [UNESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://www.ibb.unesp.br/Home/Departamentos/Educacao/Simbio-Logias/a_organizacao_do_cuidado_em_saude_mental_na_estrategia.pdf; http://hdl.handle.net/11449/141428
• topic: Primary health attention; Mapping; Care; Mental Health; Atenção primária à saúde; Cartografia; Cuidado; Saúde mental

The inclusion of mental health in primary care is an important strategy for the reorganization of assistance in the Brazilian public health system. The effectiveness of the Family Health Strategy (FHS), which features the territory as a space for the construction of autonomy, is presented as a model of care that enables the changes recommended by the Psychiatric Reform. This study aimed to map the daily care provided by professionals working in the FHS to persons with mental disorders, with the participation of nine professionals. We used the case study, the semi-structured interview and the flowchart. The collected material revealed three territories: the working field, the thinking about the working and the barriers/challenges. The results pointed to a care grounded in the hegemonic biomedical model, with a strong presence of medicalization. The subjects revealed feelings of impotence, anguish and unpreparedness for execution of mental health care, and emphasized the obstacles to the realization of bonds, co-participation and commitment. These results suggest a situation of weakness of autonomy of the agents, making the self-organization of care in the context of the FHS a difficult task to be accomplished.