Santos Roseléia Carneiro Dos, Bosi Maria Lúcia Magalhães
Centro de Atenção Psicossocial Geral Prof. Frota Pinto, Secretaria Municipal de Saúde de Fortaleza. R. Francisco Pedro 1269, Rodolfo Teófilo. 60430-357 Fortaleza CE Brasil.
Laboratório de Avaliação e Pesquisa Qualitativa em Saúde, Faculdade de Medicina, Universidade Federal do Ceará. Fortaleza CE Brasil.
Cien Saude Colet. 2021 May;26(5):1739-1748. doi: 10.1590/1413-81232021265.04902021.
The Family Health Strategy (FHS) of the Unified Health System (SUS) is the revised model that governs health care and the work processes adopted in Brazil. This article analyzes the perceptions of FHS professionals regarding mental health and the care provided in a health center in a Basic Care Unit in the Brazilian Northeast. It involved qualitative research aligned with a critical interpretative approach conducted through interviews, straightforward observation and documentary analysis that led to a series of considerations organized into two main groups: a) "Mental Health" from the perspective of professionals of the FHS; and b) Care in "Mental Health" in the context of practices of primary care. The results of the study reveal conceptions about mental health limited to a view aligned with a project of institutionalization and medicalization. With respect to the dimension of care, gaps are revealed in relation to shared experiences in mental health, through the incipient partnership between professionals of the FHS and the Nucleus of Support in Family Health (NSFH). The challenge remains to reconstruct a vision aligned with the precepts of Brazilian psychiatric reform, teamwork and the creation of spaces that enable discussion and agreements in the daily routine of the FHS.
统一卫生系统（SUS）的家庭健康战略（FHS）是管理巴西医疗保健和所采用工作流程的修订模式。本文分析了FHS专业人员对心理健康以及巴西东北部一个基层医疗单位的健康中心所提供护理的看法。研究采用了定性研究方法，与批判性解释方法相结合，通过访谈、直接观察和文献分析展开，得出了一系列思考，分为两个主要类别：a）FHS专业人员视角下的“心理健康”；b）基层医疗实践背景下的“心理健康”护理。研究结果揭示了对心理健康的认知局限于与制度化和医学化项目相符的观点。在护理层面，通过FHS专业人员与家庭健康支持核心（NSFH）之间初步的合作关系，揭示了在心理健康共享经验方面存在的差距。挑战依然是重构一种与巴西精神科改革的理念、团队合作以及在FHS日常工作中促成讨论和达成共识的空间创建相一致的愿景。
