Implementação das ações de saúde mental na Atenção Básica: possibilidades e desafios

Abstract

This monograph was developed from a review on the implementation of the mental health services in primary care: possibilities and challenges. In order to analyze how the implementation is of the mental health services in primary care, through the descriptions of facing opportunities and challenges for this. The Primary Care is a health strategy to offer comprehensive care to the individual, it is the preferred gateway to the Unified Health -sus, for the promotion, health protection, disease prevention, diagnosis, treatment, rehabilitation, harm reduction and health maintenance. The mental, physical and social health are closely linked and intertwined and interdependent. According to the WHO mental health can be defined as "subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence, and self-realization of the intellectual and emotional potential of the person." It is a study of a study of literature, where the databases were consulted in Bireme, present it the databases LILACS, and SciELO Mediline. The key words used were consulted in Descriptors database in Science. Health (MeSH). These being: primary care, mental health and family health. For the selection of articles the following inclusion criteria were used: articles dealing with mental health in primary care; articles written in Portuguese; articles specified above databases and articles published between the years 2001 to 2016. Held the selection of all materials were obtained: 7 articles, 1 manual of basic care, first manual of mental health, 2 decrees and 2 laws. The Ministry of Health, emphasizes the importance of mental health in primary care relationships, effective the comprehensiveness of health care. In this study, it was realized that not always the primary care presents conditions to account for mental health problems. In most units there is a lack of professional training and also for these, it eventually affects the realization of a service integral way by the teams. The integration of mental health actions in AB allows many benefits for people who suffer some form of mental disorder. It concluded that it is of fundamental importance to staff training that meet the basic care in relation to mental health care.