Common mental disorders in Petrópolis, Rio de Janeiro State: a challenge for integration between mental health care and the Family Health Strategy33. Fortes S, Lopes CS, Villano LAB, Campos MR, Gonçalves DA, Mari JJ. Transtornos mentais comuns em Petrópolis-RJ: um desafio para a integração da saúde mental com a estratégia de saúde da família. Rev Bras Psiquiatria 2011; 33(2):150-156.. |
Fortes S, Lopes CS, Villano LAB, Campos MR, Gonçalves DA, Mari JJ |
2011 |
Quantitative |
There is a group especially at risk for mental disorders in primary healthcare: poor women with little social support. In other countries, special interventions have been developed for them to be assisted by primary healthcare. |
Challenges facing mental health care in the Family Health Strategy1010. Cavalcante CM, Pinto DM, Carvalho AZT, Jorge MSB, Freitas CHA. Desafios do cuidado em saúde mental na estratégia saúde da família. Rev Brasileira em Promoção da Saúde 2011; 24(2):102-108.. |
Cavalcante CM, Pinto DM, Carvalho AZT, Jorge MSB, Freitas CHA |
2011 |
Qualitative |
Mental Health actions are carried out by some health workers in the Family Health Strategy: matrix support, relationship technologies, home visits, and community therapy. It was found that there is a deficiency in the training and skills acquisition of basic healthcare professionals, due to the persistence of the pathological/curative model of health care. |
Work processes in healthcare: practices for care of mental health in the Family Health Strategy1212. Camuri D, Dimenstein M. Processos de trabalho em saúde: práticas de cuidado em saúde mental na estratégia saúde da família. Saúde Soc 2010; 19(4):803-813.. |
Camuri D, Dimenstein M |
2010 |
Qualitative |
Work processes in health care are organized in a bureaucratic and hierarchical manner, and healthcare practices perpetuate the knowledge/ practices of each professional involved. The logic of specialty-based care persists; and teams do not welcome nor accept responsibility for the demand – referring cases to other services. |
Conceptions of mental health care as perceived by a Family Health team, in a historical and cultural perspective1313. Dalla Vecchia MD, Martins STF. Concepções dos cuidados em saúde mental por uma equipe de saúde da família, em perspectiva histórico-cultural. Cien Saude Colet 2009; 14(1):183-193.. |
Dalla Vecchia MD, Martins STF |
2009 |
Qualitative |
The team finds the following important: determination of life conditions in the health/illness process of the population served; the need to use diversified strategies in care beyond the consultation; the importance of the team taking care of its own mental health; the difficulties in the approach to the family. |
The praxis of Mental Health in the ambit of the Family Health strategy: contributions to construction of fully integrated care1414. Arce VAR, Sousa MF de, Lima MG. A práxis da Saúde Mental no Âmbito da Estratégia Saúde da Família: contribuições para a construção de um cuidado integrado. Physis Revista de Saúde Coletiva 2011; 21(2):541-560.. |
Arce VAR, Sousa MF de, Lima MG |
2011 |
Qualitative-quantitative |
Population with difficulty of access to mental health care, due to the lack of a structured support network. It was found that there was a low capacity to resolve problems in practice in the Family Health Program, since the response that was provided primarily consisted of out-patient medical consultations and referrals for hospitalizations, thus showing both the hegemony enjoyed by the biomedical model and also the healthcare network's lack of a coordinated structure for ensuring fully integrated care. |
Mental health in primary healthcare: evaluation study in a major Brazilian city1515. Campos RO, Gama CA, Ferrer AL, Santos DVD, Stefanello S, Trapé TL, Porto K. Saúde mental na atenção primária à saúde: estudo avaliativo em uma grande cidade brasileira. Cien Saude Colet 2011; 16(12):46434652.. |
Campos RO, Gama CA, Ferrer AL, Santos DVD, Stefanello S, Trapé TL, Porto K. |
2011 |
Qualitative |
Matrix Support showed potential for defining flows, training of teams and creating joint and shared care. Strategic role of the Community Healthcare Agent for identifying potential offers and providing a listening role from a position closer to the population. Health promotion practices not yet consolidated. When professional staff are employed outside the health units, actions that are more removed from the "treat them and move them on" approach are possible. |
Matrix Support in units of the Family Health Program: trying out innovations in mental health1616. Dimenstein M, Severo AK, Brito M, Pimenta AL, Medeiros V, Bezerra E. O apoio matricial em unidades de saúde da família: experimentando inovações em saúde mental. Saúde Soc. 2009; 18(1):63-74.. |
Dimenstein M, Severo AK, Brito M, Pimenta AL, Medeiros V, Bezerra E. |
2009 |
Qualitative |
Proposal for Matrix Support is not clear to the team, and a great deal of demand for mental health care is not met. |
Mental health and basic healthcare: analysis of an experience at local level1717. Silveira D P, Vieira ALS. Saúde mental e atenção básica em saúde: análise de uma experiência no nível local. Cien Saude Colet 2009; 14(1):139-148.. |
Silveira DP, Vieira ALS. |
2009 |
Qualitative |
Actions in mental health at local level show the biomedical model of organization of healthcare still dominant – with psychiatry being the standard approach, the work process bureaucratized, and action centralized action within the health units. |
Mental health in primary care: the need to build competencies1818. Neves HG, Lucchese R, Munari DB. Saúde mental na atenção primária: necessária constituição de competências. Rev Bras Enferm 2010; 63(4):666-670.. |
Neves HG, Lucchese R, Munari DB. |
2010 |
Essay |
To achieve real improvement in health care there is a need to establish synchronization of knowledge and actions with the psycho-social care and guidelines of the SUS. |
Partnership between CAPs and the Family Health Program: the challenge of construction of a new knowledge1919. Delfini PSS, Sato MT, Antoneli PP, Guimarães POS. Parceria entre CAPS e PSF: o desafio da construção de um novo saber. Cien Saude Colet 2009; 14(Supl. 1):1483-1492.. |
Delfini PSS, Sato MT, Antoneli PP, Guimarães POS. |
2009 |
Qualitative |
The strategies used are team meetings, in which there is training, discussion of cases, acceptance and preparation of therapeutic projects, and joint home visits. Difficulties found: high demand for health services and absence of institutional guidelines for the actual making of the partnership. A vision and approach that take in the family and the social context has results that are positive in comparison to the approaches in which the vision is centered only on the illness. Joint work enriches practice and makes possible a wider network of care in the territory. |
Building the mental health care chain with the Matrix tool2020. Sousa FSP, Jorge MSB, Vasconcelos MGF, Barros MMM, Quinderé PHD, Gondim LGF. Tecendo a rede assistencial em saúde mental com a ferramenta matricial. Physis Revista de Saúde Coletiva 2011; 21(4):1579-1599.. |
Sousa FSP, Jorge MSB, Vasconcelos MGF, Barros MMM, Quinderé PHD, Gondim LGF. |
2011 |
Qualitative |
Matrix Support is a potent structure for making it possible to build an articulated network system in the SUS, not limited to the frontiers of any one given service. |