Situando a saúde mental na estratégia de saúde da família: tecendo redes e atando nós.

Abstract

Psychiatric Reform is a complex social and political process, composed of diverse social actors, focusing on federal, state and municipal governments, universities, associations of users, their families and friends of CAPS and the social imaginary. One of the fundamental concepts of this movement is the psychosocial rehabilitation, which represents a set of programs and services that are developed to recover the autonomy of the user. The Psychiatric Reform has the keyword deinstitutionalization understood as the construction of new concepts and practices in mental health, with emphasis on the user, family and community. Ties in this context, the Family Health Strategy (FHS) working in the same context, embedded in everyday community aimed at preventing disease, promoting health and improving quality of life of patients. This study sought to investigate the production practices of mental health care developed by nurses (as) Teams of the Family Health Strategy for the municipality of Pombal - PB; identify if nurses (as) of multidisciplinary teams of the ESF develop specific programmatic actions to meet the demand for mental health; search as nurse (as) of work teams control drugs used by users with mental disorders and to understand if these professionals if the ESF feel prepared to work in the mental health field. This is an exploratory study with a qualitative approach. The research was conducted in all health units in the municipality of Pombal Family / PB. The study subjects were 11 nurses who work in the ESF. The researcher has faithfully followed the ethical observances of Resolution 196/96 of the National Health. The instruments of data collection were a questionnaire containing questions relating to personal / professional and an interview guide with semi-structured questions that guide the narratives toward the goals of the study. Quantitative data were analyzed using the index of frequency and percentage. Qualitative data were analyzed using content analysis in their mode of thematic analysis. It was found that the study subjects are exclusively female, are mostly aged 23-40 years and are mostly married. Regarding the training completed the course private institutions and in the period 1983 to 2010. All were enrolled in the discipline and mental health hospital in the traditional model was the main training field. Most have work experience in FHS over six months. In the second stage of the research found that some nurses still work with psychiatric concepts based on the biological model highlighting the need to break this paradigm of care, through training courses on mental health. This research sought to contribute to discussions about health care for people in psychological distress and its process of (re) social inclusion and the need for implementation of municipal public policies that promote coordination between mental health and primary health care.