Mental health in primary care: experience of matrix strategy in the rural area

ABSTRACT Objective: to report the development of Mental Health actions shared between the Family Health Strategy located in a rural area and the Matrix Support Team by showing the communication resulting from this singular configuration. Method: report of experience about the implementation of actions of the Family Health Support Center (Portuguese acronym: NASF) in mental health care for a rural population. Results: the following health needs were identified: psychoactive drugs consumption, lack of activities for collective care and difficulty with access to service. The expansion of actions and intersectoral involvement of actors were demonstrated as the educational attitudes were implemented. Final considerations: the articulation between family health workers, matrix support and community was key for the implementation of mental health care aligned with the psychosocial approach.

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Mental Health In Primary Care

International Archives of Medicine ◽

10.3823/2463 ◽

2017 ◽

Vol 10 ◽

Author(s):

Dayse Lôrrane Gonçalves Alves ◽

Maria Vilani Cavalcante Guedes ◽

Josualdo Araujo Lima Ribeiro

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Mental Health Care ◽

Prescription Drugs ◽

Family Health ◽

Structured Interview ◽

Health Strategy ◽

The Family ◽

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.

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Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420140000700014 ◽

2014 ◽

Vol 48 (6) ◽

pp. 1060-1066 ◽

Cited By ~ 1

Author(s):

Maria Salete Bessa Jorge ◽

Mardênia Gomes Ferreira Vasconcelos ◽

Euton Freitas de Castro Junior ◽

Levi Alves Barreto ◽

Lianna Ramalho de Sena Rosa ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Psychosocial Care ◽

Family Health ◽

Social Representation ◽

Structured Interviews ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

Objective To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. Method A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. Results The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. Conclusion The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context. 

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Cuidado em saúde mental na estratégia saúde da família: a experiência do apoio matricial [Mental health care in the family health strategy: the experience of matrix support]

Revista Enfermagem UERJ ◽

10.12957/reuerj.2017.7101 ◽

2017 ◽

Vol 25 (0) ◽

Author(s):

Anne Larissa Lima Guimarães Gurgel ◽

Maria Salete Bessa Jorge ◽

Emília Cristina Carvalho Rocha Caminha ◽

José Pereira Maia Neto ◽

Mardênia Gomes Ferreira Vasconcelos

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Family Health ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

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Mental health care practices in the family health strategy: a review of possibilities and limit for na integrated care

Tempus Actas de Saúde Coletiva ◽

10.18569/tempus.v4i1.939 ◽

2011 ◽

Vol 4 (1) ◽

pp. 33

Author(s):

Vladimir Andrei Rodrigues Arce ◽

Maria Fátima de Sousa

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Professional Training ◽

Family Health ◽

Support Network ◽

Health Care Practices ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

The implementation of Mental Health actions in the Family Health Strategy (ESF) still represents a challenge for professionals and health managers, although several experiences of practice are known in Brazil. Based on a literature review, we aimed to systematize the main elements of the facilities and difficulties in the insertion of mental health in the context of ESF. If it is possible to identify similarities between the characteristics reported in the literature, we found that the relationship between professionals and community, the knowledge about the reality of the communities and the proposed actions for prevention and health promotion will facilitate the development of mental health actions in the ESF. Still, the lack of professional training, the medicalized and fragmented mental health design, the lack of a support network for the actions of professionals and the prejudice against mental disorders are factors that make the implementation of health care difficult, what must be focus of technical actions and policies to subsidize the construction of mental health care, focused on deinstitutionalization.

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The network of mental health care from the family health strategy service

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2014.02.43052 ◽

2014 ◽

Vol 35 (2) ◽

pp. 27-32

Author(s):

Christine Wetzel ◽

Leandro Barbosa de Pinho ◽

Agnes Olschowsky ◽

Ariane da Cruz Guedes ◽

Marcio Wagner Camatta ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Family Health ◽

Daily Routine ◽

Care Network ◽

Health Strategy ◽

The Family ◽

Health Care Network ◽

Family Health Strategy

The Family Health Strategy Service (FHSS) is an important ally in the mental health system, contributing to the completeness and effectiveness of care. This study aimed to discuss the mental health care network as compared to the daily routine of an FHSS. It is an evaluative study with a qualitative methodological approach. It was developed in an FHSS in Porto Alegre-RS, Brazil. Data was collected between July and December of 2010 through interviews with 16 workers and ten relatives. We identified important resources in primary health care, such as partnerships with academia. However, the constitution of this care is still based on specialty, following the logic of patient referral. Our intention for this study was to contribute to the operationalization of the mental health care network, consolidating the partnership with the FHSS and developing activities in the territorial space, raising awareness, demystifying health care service in the area, and countering the perception that it is uniquely specialized.

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Mental health assistance in Primary Care: the perspective of professionals from the Family Health Strategy

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0326 ◽

2022 ◽

Vol 75 (suppl 3) ◽

Author(s):

Luana Cristina Bellini Cardoso ◽

Sonia Silva Marcon ◽

Thamires Fernandes Cardoso da Silva Rodrigues ◽

Marcelle Paiano ◽

Hellen Emília Peruzzo ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Content Analysis ◽

Mental Health Care ◽

Health Workers ◽

Family Health ◽

Mental Healthcare ◽

Individual Interviews ◽

Analysis Process ◽

Family Health Strategy

ABSTRACT Objective: To learn about the perceptions of the professionals who work in Primary Health Care about mental health care. Methods: Descriptive and qualitative study, carried out with 29 health workers through open and individual interviews. The IRaMuTeQ® software was used to organize the data which, then, was submitted to a content analysis process in the thematic modality. Results: Three classes emerged from the content analysis: “Perceptions about the mental health care provided in the city”, “The biomedical paradigm in mental healthcare”, and “Elements for the construction of a new way for professionals to act in mental health”. Final considerations: It was found that, despite the good infrastructure of the services and the elements pointed at by the professionals to create a new way to act, they do not do so, and the responsibility falls, mostly, on the psychologist to carry out these activities.

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Child mental health care in the context of the Family Health Strategy: an evaluative study

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2020.20190113 ◽

2020 ◽

Vol 41 (spe) ◽

Author(s):

Juliana de Carvalho ◽

Maria de Lourdes Custódio Duarte ◽

Cecília Helena Glanzner

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Comparative Method ◽

Psychosocial Care ◽

Family Health ◽

Fourth Generation ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

ABSTRACT Objective: To evaluate child’s mental health care in the context of the Family Health Strategy, from the professionals' perspective. Methods: A qualitative case study type, using the Fourth Generation Assessment as a methodological reference. Fourteen professionals from two teams of the Family Health Strategy of Porto Alegre/RS were the participants. Data collection extended from May to August 2018, and consisted of observations and interviews through the dialectical hermeneutic circle, and of analysis through the Constant Comparative Method. Results: The analytical category emerged of Mental Health Care for Children related to home visit, care network, advice, team meeting and space in the medical agenda. Conclusions: The results show that the FHS is an important psychosocial care space and that, at the same time, presents weaknesses in cross-sectorial work and needs support from the mental health services network to accompanying children and families.

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Child hearing health: practice of the Family Health Strategy nurses

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-6234201400005000013 ◽

2014 ◽

Vol 48 (5) ◽

pp. 865-873

Author(s):

Suelen Brito Azevedo ◽

Luciana Pedrosa Leal ◽

Maria Luiza Lopes Timóteo Lima ◽

Silvana Maria Sobral Griz

Keyword(s):

Health Care ◽

Family Health ◽

Health Practice ◽

Health Strategy ◽

The Family ◽

The Matrix ◽

Data Collection Instrument ◽

Family Health Strategy ◽

Hearing Health ◽

The City

Objective Evaluating the practice of nurses of the Family Health Strategy (FHS) in child hearing health care. Method A normative assessment of structure and process, with 37 nurses in the Family Health Units, in the city of Recife, Pernambuco. The data collection instrument originated from the logical model of child hearing health care provided by nurses of the Family Health Strategy, and the matrix of indicators for evaluation of nursing practice. Results All the nurses identified the hearing developmental milestones. At least two risk factors were identified by 94.5% of the nurses, and 21.6% of them carried out educational activities. Conclusion The normative assessment was considered adequate despite existing limitations in the structure and process. 

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