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

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.

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.


2020 ◽  
Vol 41 (spe) ◽  
Author(s):  
Juliana de Carvalho ◽  
Maria de Lourdes Custódio Duarte ◽  
Cecília Helena Glanzner

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.


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 ◽  
...  

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.


2017 ◽  
Vol 41 (S1) ◽  
pp. S602-S602
Author(s):  
P. Amaral Mussumeci ◽  
N. De Almeida Nassif Rodrigues ◽  
B. Gerbassi Costa Aguiar ◽  
S. Maria do Amaral Chaves ◽  
W. Maria Antunes Ramos ◽  
...  

The nurse practice model at the family health strategy is characterized by direct involvement in the patient's health-disease recovery process, deconstruction of social stigma involving mental health disorders, and the restoration of patient autonomy their social ties. This descriptive study follows a qualitative approach to document and analyse practices performed by mental health nurses at the family health strategy (FHS) in Rio das Ostras, Brazil. The study identifies practices implemented by Mental Health Nurses at FHS and the nurses’ own reflection and analysis on these mental health practices. Data was collected through semi-structured interviews. All interviewed nurses had worked in the primary mental health care for at least one year at the FHS units in Rio das Ostras. Data was analysed, grouped, and coded according to two categories: 1) The nurses’ professional practices in mental health at the FHS, and 2) The nurses’ view on mental health practices at the FHS. Results show that the main activities in mental health at FHS involve working with the matricial team, continuing education, reception, home visits, referrals, therapeutic workshops and community therapy. Nurse perspectives on professional practices involve prevention, establishment of bonds with patient, and nurses’ training to deliver care to patients who are suffering. The bond with and care for the patient, family and community, is one of the FHS differentiators. In that vein, the study looks at the link between health care delivery, territory and population attended. The health care based on territoriality, allows increased patient and family confidence.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2011 ◽  
Vol 4 (1) ◽  
pp. 43
Author(s):  
Mônica Barreto ◽  
Aline Aparecida Foppa ◽  
Maria Fernanda Cabral ◽  
Jadete Rodrigues Gonçalves ◽  
Carmen Leontina Ojeda Ocampo More

The reorganization of health policy in Brazil led to the inclusion of the demand of mental health into the Primary Health Care. This study aimed to identify how the professionals of the Family Health Strategy (ESF) of the municipality health service receive the mental health user. This is a qualitative exploratory study. Data were collected through semistructured interviews. Information analysis identified problems and opportunities in the process of receiving the mental health user. Supervision of professionals was emphasized as an important tool in planning mental health care actions; also it was identified the user’s medicalization under psychological distress. There are implications of social vulnerability in the development of the team work and in the user’s treatment of mental health conditions. There is little knowledge of the professionals about the users in their area of coverage, making it difficult for health surveillance activities.


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.


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