O cuidado em saúde mental na estratégia saúde da família: sob a ótica dos agentes comunitários de saúde do município de Cuité - PB.

Abstract

This study aimed to verify the concepts of Community Health Agents (CHA) on mental health care in the Family Health Strategy in the municipality of Cuité-PB. Specifically, we seek to know the actions taken by the ACS in the care of a person with mental illness and their families; Find out if there have been changes in the work of community health agent after the implementation of Psychosocial Care Center in the city, identify the difficulties encountered the work of the Community Health Workers with family and the person with mental illness. This is study is a qualitative, descriptive typology, conducted in the period March-April 2013 in five Basic Health Units Family (UBSF) in the municipality of Cuité-PB. The sample consisted of ten ACS, two in each UBSF. Material collection was conducted through semi-structured interviews. To identify them, were used pseudonyms gemstone names. For the empirical analysis, we used the technique of content analysis categorical theme Bardin. It found a box with poor barriers in relation to knowledge and education about mental health in existing UBSF, especially the ACS, which showed lack a training in this area, considering that they are directly in contact with mental patients and his family, since they are the bridge between health services, users and the family. Therefore, allocation of ACS is the referral of users to services like UBSF, the Centers for Psychosocial Care (CAPS), among others, to comprehensive care. Whereas the ACS reported difficulties such as: resistance against the host families, the unpreparedness and lack of scientific knowledge about the subject's mental problem, ignorance about the dosage of psychotropic medications, as well as explain and persuade the user families in mental distress, while still undiagnosed, lacks specialized care. Yet there are few guidelines and conditions to provide a better preparation of the ACS to care for patients with mental distress noted the dire need to explore this campus to identify and confirm with ACS own the urgency of training in mental health, with this stimulating for better monitoring of users, since, will enable a more equitable communication between professionals and UBSF CAPS.