Saúde mental e atenção básica: a importância da integralidade da atenção

Abstract

The new model of mental health care calls for the deinstitutionalization of people in psychological distress and the integration of the family and social environment, and the integration of mental health with primary care identified as a fundamental way to the strengthening and consolidation of psychosocial care, aiming at the implementation of actions that walk towards non institutionalization of this population and investment in the empowerment and autonomy of it. In this sense, the inclusion of actions that aim to meet people in psychological distress in primary care is one of the challenges proposed by the Psychiatric Reform and permeates the communication and coordination between this level of care and referral services in mental health, with a view to building collective and intersectoral action. This study aimed to identify if there is a matrix support and the development of joint activities between primary health care and referral services in Mental Health of the city of Santo Antônio de Jesus - BA, in order to understand the relation between the same municipality. Furthermore, he intended toanalyze how primary care professionals understand and identify the psychological distress in people seeking care in health facilities and that the actions taken to provide care to this population. For this, a qualitative study of descriptive and explanatory character was carried out through interviews with semi-structured application professionals from health units, the Psychosocial Care Centers and the county Mental Health Clinic. The results indicated that the inclusion of mental health care in the primary care in Santo Antonio de Jesus has struggled and is a reality not yet contemplated in the work of professionals that make up these teams. Deadlocks that have emerged in the speeches unveiled a lack of support for family health teams with respect to mental health care and the lack of matrix support in this field, as well as stereotypical conceptions of psychological distress and the maintenance of biomedical performance logic in driving the dynamics of family health units.