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

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 ◽  
...  

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.

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Lucas Cardoso dos Santos ◽  
Thiago da Silva Domingos ◽  
Eliana Mara Braga ◽  
Wilza Carla Spiri

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.


2020 ◽  
Vol 29 ◽  
Author(s):  
Luana Cristina Bellini Cardoso ◽  
Guilherme Oliveira de Arruda ◽  
Bianca Cristina Ciccone Giacon-Arruda ◽  
Marcelle Paiano ◽  
Leandro Barbosa de Pinho ◽  
...  

ABSTRACT Objective: to know the work process and mental health care flow in Primary Health Care from the perspective of Family Health Strategy professionals. Method: a descriptive and qualitative study developed in six of the 34 Basic Health Units in a city in northwestern Paraná. Twenty-nine Family Health Strategy professionals participated in the study. Data were collected from February to June 2018 through an open, single, individual and recorded interview. The statements were transcribed in full, and the resulting material was organized in the IRaMuTeQ® software and subjected to thematic content analysis. Results: from participants’ reports, it was possible to create a service flowchart, and after the data processing steps in the software, together with content analysis, three categories emerged. The importance of community health workers’ work, family presence, referring patients to therapeutic groups and a specialized network, assistance provided to individuals in times of acute disorder and patient referral to the unit stood out. Conclusion: it can be understood that the mental health care network in Primary Health Care is complex and there is a need for communicability between services, as disarticulation generates ambiguities in continuity of care.


10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro

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.


2014 ◽  
Vol 48 (6) ◽  
pp. 1060-1066 ◽  
Author(s):  
Maria Salete Bessa Jorge ◽  
Mardênia Gomes Ferreira Vasconcelos ◽  
Euton Freitas de Castro Junior ◽  
Levi Alves Barreto ◽  
Lianna Ramalho de Sena Rosa ◽  
...  

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.



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

2011 ◽  
Vol 4 (1) ◽  
pp. 33
Author(s):  
Vladimir Andrei Rodrigues Arce ◽  
Maria Fátima de Sousa

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.


2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Stefânia Mendonça da Silva ◽  
Antônio Maurício da Silva ◽  
Adriano Rodrigues de Souza ◽  
Ana Débora Assis Moura ◽  
Guldemar Gomes de Lima ◽  
...  

2021 ◽  
Author(s):  
Nicola Cogan ◽  
Heather Archbold ◽  
Karen Deakin ◽  
Bethany Griffith ◽  
Isabel Sáez Berruga ◽  
...  

Efforts have been made to adapt the delivery of mental health care and support services to the demands of COVID-19. Here we detail the perspectives and experiences of mental health workers (MHWs), in relation to what they found helpful when adapting mental health services during the COVID-19 pandemic and responding to its demands. We were interested in exploring what has helped to support MHWs’ own health and wellbeing given that staff wellbeing is central to sustaining the delivery of quality mental health services moving forward. Individual interviews were conducted with MHWs (n = 30) during the third COVID-19 lockdown. Interviews were audio-recorded, transcribed and managed using NVIVO. Qualitative data was analyzed using an inductive thematic approach. Three major themes were created, which emphasized the importance of: (1) 'self-care and peer support (checking in with each other)', (2) 'team cohesion and collaboration' and (3) 'visible and supportive management and leadership (new ways of working)'. Our findings emphasize the importance of individual, team and systems-based support in helping MHWs maintain their own wellbeing, whilst adapting and responding to the challenges in providing mental health care and support during this pandemic. Guidance and direction from management, with adaptive leadership in providing sustained, efficient, and equitable delivery of mental healthcare, is essential. Our findings support future policy, research and mental health practice developments through sharing important salutogenic lessons learned and transferable insights which may help with preparedness for future pandemics.


2011 ◽  
Vol 4 (1) ◽  
pp. 135
Author(s):  
Denize Bouttelet Munari ◽  
Terezinha Silvério de Melo ◽  
Marina Barbosa de Oliveira ◽  
Camila Cândida Barbosa ◽  
Ana Carolina de Castro Mendonça Queiroz ◽  
...  

Public health practice in Brazil calls for an ongoing search for qualified health providers for implementation of the Brazilian National Health System (SUS). In this context, mental health care is a major challenge due to its particularities. It requires establishing a channel of communication between its specific attributes and the Family Health Strategy for bringing together the community and specialized outpatient care. The objective of the present study was to report the experience of a training workshop on mental health for community health agents (CHA) organized by faculty and graduate students in nursing at Universidade Federal e Católica de Goiás School of Nursing, State of Goiás, Brazil. This initiative was developed due to a demand by CHA who reported lack of knowledge to meet the needs identified in families and their own mental health needs. The workshop was held biweekly in the second half of 2008 applying the Laboratory Education model, which enables the integration of theory and experiences based on the focus of interest of the subjects. The program was based on the needs of the group then worked through the experiential learning cycle, a key element of this approach. We conclude that involvement, attendance, interest and application of knowledge by CHA proved the efficacy of this model as a strategy capable of developing them as people and professionals.


2014 ◽  
Vol 35 (2) ◽  
pp. 27-32
Author(s):  
Christine Wetzel ◽  
Leandro Barbosa de Pinho ◽  
Agnes Olschowsky ◽  
Ariane da Cruz Guedes ◽  
Marcio Wagner Camatta ◽  
...  

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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