Mental Health Strategies in Primary Care: Teaching and Service Articulation, in Tucuruí, Pará, Amazon

Abstract

In the Brazilian Psychiatric Reform movement, health professionals, family members, users and managers built new ways of producing mental health care, transforming the limitations of the biomedical model with social exclusion and turning to the territorial-based care model, with the construction of daily care services organized in a network. The general objective of this study is to articulate the teaching and service integration through an initial listening guide in mental health in the Family Health Strategy in the Municipality of Tucuruí-PA. This is a field research study, with a qualitative approach, of a descriptive nature, aimed at nursing professionals, using the technique of data collection with semi-structured interviews. Data interpretation analyzes were performed through content analysis in the categorical-thematic modality according to Bardin's technique, being structured in three thematic categories: sociodemographic profile of the participants, mental health care in the health service and articulation of the network of mental health care. The results show that most participants do not act directly in the mental health demand, carrying out the referral when they detect emotional distress, with difficulties in articulating the network. There is a need to invest in the continuing education of nursing in the face of psychological care, as they do not feel prepared to meet this demand. This research generated as a product an initial care guide in mental health to assist in the nursing consultation and in the reception of people with complaints of emotional distress.