A saúde mental no PSF e o trabalho de enfermagem

Saúde mental na estratégia saúde da família: revisão da literatura brasileira

A Estratégia Saúde da Família orienta a organização da Atenção Primária à Saúde no Brasil e inclui importantes congruências programáticas com a Reforma Psiquiátrica. Os princípios de territorialização e acompanhamento longitudinal devem favorecer a construção de ações inovadoras de promoção, prevenção e reabilitação em saúde mental. O objetivo desta revisão foi analisar os principais temas da literatura científica brasileira sobre saúde mental na Estratégia Saúde da Família. Foram lidos os títulos de 267 artigos, publicados entre 1999 e 2009, e 38 artigos foram selecionados, segundo critérios específicos, para análise temática. A literatura abordou os temas da demanda em saúde mental, das percepções e práticas dos profissionais e da inserção do psicólogo na Atenção Primária. Os estudos revisados apontaram problemas como visões estereotipadas sobre os transtornos mentais, predominância da lógica manicomial, ausência de registros, fluxos, estratégias, apoio qualificado às famílias e de integração em rede. A meta-análise qualitativa indicou questões que podem fomentar o debate sobre o tópico e a realização de outras pesquisas, bem como a reflexão sobre a atuação profissional na interface entre Saúde Mental e Saúde da Família.

[Characterization of the assistance practices in mental health care networking: an integrative review]

This study is an integrative literature review that aims to identify and analyze the characteristics of assistance practices in mental health Primary Health Care in Brazil. The sample consisted in nine articles, from databases consulted in the period between 2001 and 2009. In data analyses, results were grouped in two themes: activities and principles of psychiatric reform. Results show that even when the substitute services adopt some activities/principles from psychiatric reform, yet there is a valorization of physician-focused activities, which lead to a persistence of the old paradigms and practices. The multidisciplinary team of mental health, needs to restructure its assistance and its knowledge, so that practices focused on the principles of psychiatric reform can be permanent.

[Mental health in primary care: an assistant research approach]

This study aims to comprehend the expectations and aspirations of a community about the deployment of a group of mental health in primary care. This is a qualitative study that uses the assistant convergent research approach. Data were collected through workshops with psychotropics users, accompanied by Primary Care in the South of Brazil. The first workshop aimed to reflect on and develop strategies to dealing with asylum model. The second discussed the importance of spaces that strengthen bonds of affection and act as means of prevention in mental health. The third discussed the issue of restriction of liberty imposed by mental suffering. It was found that spaces dedicated to mental health in the primary care will add to the effectiveness of the practices and to the construction of new knowledge to the user's health and life

[Action in mental health to families in different contexts of work: integrative review]

This is an integrative review aimed to identify and analyze studies in nursing journals that focus on mental health actions directed to families in different work contexts. To collect data, we used the descriptors mental health, family and nursing in the databases of the Latin American and Caribbean in Health Sciences (LILACS) and Scientific Electronic Library Online (SciELO). Inclusion criteria were: original articles published in Portuguese, Spanish and English in journals in the field of nursing between the years 2003 to 2008. This work showed a predominance of studies focusing on issues of health staff and/or professional, indicating a need to produce research for users and families. It is believed that these findings may be of great value to the teams in the scenarios of psychosocial care and point the way toward further research.