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

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.

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

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.


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 36 (4) ◽  
Author(s):  
Maria Nauside Pessoa Da Silva ◽  
Eliana Campelo Lago ◽  
Inez Sampaio Nery ◽  
Camila Aparecida Pinheiro Landim Almeida ◽  
Fabrício Ibiapina Tapety ◽  
...  

To identify the influences of the professional training process for action in the Family Health Strategy (FHS) related to the health of the elderly man. Exploratory descriptive research, carried out with 20 professionals, from a Brazilian Northeast municipality from October to December 2014. The data collection was performed through a questionnaire, following the statements were processed in the software IRaMuTeQ, analyzed by the Descending Hierarchical Classification. Three classes emerged: Influences of the professional training process on elderly health care; Health care for the elderly; Actions developed in the family health strategy in the implementation of the national policy of comprehensive health care for the elderly. The findings suggest improved knowledge, lack of resources and medical specialties, evidenced the complexity of the actions developed by health professionals.  


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.


2012 ◽  
Vol 6 (2) ◽  
pp. 370
Author(s):  
Sarah Gonçalves Soares ◽  
Ivea Rayane Mendes Nicácio Viana ◽  
Anne Laura Costa Ferreira ◽  
Regina Célia Sales Santos Veríssimo ◽  
Cátia Barros Lisboa

ABSTRACTObjective: to characterize the performance of nurses in the health care of children in the Family Health Strategy (FHS). Method: an exploratory and descriptive study with a quantitative approach carried out in the Family Health Care Units (FHU) in the city of Maceio, involving 40 nurses in the period from July to October 2010. The data were collected through structured forms, stored in spreadsheets, and presented in tables and figures. The descriptive analysis was performed using the statistical resources from the Epi-info software version 3.4.1. through relative and absolute frequency, using 95% as the confidence interval for each estimated point. The study was approved by the Ethics Committee of the Federal University of Alagoas (UFAL) through the memorandum number 027685/2009-29. Results: the nurses’ assistance have shown weaknesses as evidenced by 14 (35%) nurses feeling partially prepared to carry out the activities in this area and 21 (61.8%) restricting the activities to monitoring child’s growth and development (CD) between the ages of 0 to 2 years. Conclusion: the study suggests that the nurse’s assistance to children presents barriers stemming from difficulties encountered in the service and/or insufficient professional training. Descriptors: nurses, child’s health, family health strategy.RESUMOObjetivo: caracterizar a assistência à saúde da criança realizada pelo enfermeiro na Estratégia Saúde da Família (ESF). Método: estudo exploratório e descritivo, com abordagem quantitativa, realizado nas Unidades de Saúde da Família (USF) de Maceió (AL), com 40 enfermeiros, no período de julho a outubro de 2010. Os dados foram coletados por meio de formulário e, posteriormente, armazenados em planilha eletrônica e apresentados em tabelas e figuras. A análise descritiva foi realizada com recursos estatísticos do sistema operacional Epi-info 3.4.1., por meio de frequência relativa e absoluta, tendo como Intervalo de Confiança (IC) 95% para cada ponto estimado. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal de Alagoas/UFAL sob parecer de número 027685/2009-29. Resultados: a assistência tem apresentado fragilidades, evidenciadas por 14 (35%) enfermeiros sentirem-se parcialmente preparados para exercer atividades nessa área, e 21 (61,8%) restringirem o acompanhamento do crescimento e desenvolvimento infantil (CD) à idade de 0 a 2 anos. Conclusão: a assistência do enfermeiro à criança apresenta entraves advindos de dificuldades no serviço e/ou na formação. Descritores: enfermeiros; saúde da criança; programa saúde da família.RESUMENObjetivo: el propósito del estudio es determinar el cuidado de la salud de los niños que están bajo la asistencia de las enfermeras en la Estrategia de Salud de la Familia (ESF). Método: estudio exploratorio y descriptivo, con enfoque cuantitativo, realizado en las Unidades de Salud Familiar (USF) de Maceió (AL), con 40 enfermeras durante el período de julio a octubre del 2010. Los datos fueron recolectados por medio de un cuestionario y posteriormente transferidos a una hoja de cálculo para ser interpretados y presentados en tablas y graficas. El análisis descriptivo se realizó con datos estadísticos del sistema operativo Epi-Info 3.4.1, por medio de la frecuencia absoluta y relativa, con un intervalo de confianza (IC) del 95% para cada punto estimado. El estudio fue aprobado por el Comité de Ética en Investigación de la Universidad Federal de Alagoas / UFAL bajo el número 027685/2009-29. Resultados: se presento que hay una inconsistencia en la asistencia, el 14 (35%) de las enfermeras se sienten parcialmente preparados para llevar a cabo actividades en este campo, y 21 (61,8%) se sienten limitadas en el monitoreo del crecimiento y el desarrollo infantil (CD) entre las edades de 0 - 2 años. Conclusión: la asistencia de la enfermera en el cuidado de un niño presenta obstáculos derivados de las dificultades en el servicio y/o la capacitación. Descriptores: las enfermeras, la salud infantil, programa de salud familiar.


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.


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