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“Behind the Mask of Madness”: scenarios and challenges of assistance to individuals with schizophrenia in primary care

Abstract

Objective:

To analyze the scenarios and challenges faced by health professionals in the care of people with schizophrenia in Primary Care.

Method:

Qualitative research, descriptive and exploratory, performed with physicians and nurses who work in Primary Care in the city of Pau dos Ferros, Rio Grande do Norte. We used semi-structured interviews with ten professionals, the lines were analyzed in four categories, through Content Analysis.

Result:

was found that the assistance provided to the person with schizophrenia can not identify and meet their real needs and that the proposals of the public policies of mental health are distanced from the reality, since the actions in the basic attention are limited to the orientation of the medication and the referral service, which is contrary to the principle of integral care, and it is necessary for the primary care professionals to have greater autonomy and participation in this process. Therefore, it is essential to use integrated work among professionals, the adoption of a counter-reference model and the diversification of health intervention instruments.

Keywords:
assistance; mental suffering; schizophrenia; basic attention

Universidade Federal Fluminense, Departamento de Psicologia Campus do Gragoatá, bl O, sala 334, 24210-201 - Niterói - RJ - Brasil, Tel.: +55 21 2629-2845 - Rio de Janeiro - RJ - Brazil
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