Estratégia Educacional em Saúde Mental para Médicos da Atenção Básica

Pereira, Alexandre de Araújo; Andrade, Daniela Correia Leite

doi:10.1590/1981-52712015v41n4rb20160021

Cited by 13 publications

(11 citation statements)

References 11 publications

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“…The data represent the understanding that the psychiatrist and specialized environments are the sole responsible for the management of these patients. This perception exempts the non-specialist physician from the responsibility of comprehensive care for the mentally ill, contrary to the principles of the current guidelines for medical training 18,19 . It is also noted that there are few publications that address the care provided to patients with severe mental disorders admitted to a general hospital due to clinical and/or surgical complication 17 .…”

Section: Discussionmentioning

confidence: 92%

“…A significant percentage of physicians feel unprepared to meet the demands of mental health patients, probably due to training gaps during undergraduate medical school 19 .…”

Section: Discussionmentioning

confidence: 99%

“…Topics related to mental health and psychiatry are approached superficially, sometimes outside the social and community context and with an eminently curative approach 19 . In certain cases, the training takes place in negative contexts, which contributes to reinforce stereotypes regarding psychiatric care, creating resistance that hinder the availability of general practitioners to provide care to patients with mental disorders 19 .…”

Section: Discussionmentioning

confidence: 99%

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Perception of internal medicine residents regarding psychiatric patients’ care

Santana

Rodrigues

2021

Rev. bras. educ. med.

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Introduction: Mental disorders are accountable for the segregation of patients in many diverse cultures and historical moments worldwide. The evolution of neuroscience, technologies and advances in the psychosocial sphere have not been enough to change this paradigm. Many people still fear having social relations with someone with a psychiatric disorder, despite scientific progress and efforts to reduce prejudice in recent decades. Objective: The aim of this study was to assess the training in mental health during the undergraduate course offered to residents in Internal Medicine and analyze the feelings, perceptions, and stigmas of these physicians regarding the care offered to patients with mental disorders. Method: This study has a qualitative, quantitative approach and descriptive, cross-sectional design. Thirty-two residents in Internal Medicine participated and, for comparison, the questionnaires were also answered by 8 residents in Psychiatry. Two instruments were applied: one for the characterization of the participants’ sociodemographic profile and the attribution questionnaire (AQ-26B). Qualitative data were obtained through a focus group with 14 residents and the content analysis was used for categorization. The most frequent categories were illustrated with Pareto charts. Results: The results demonstrated that residents in internal medicine showed higher indexes of stigma regarding aspects such as fear and intolerance. It was also possible to infer gaps related to training in mental health, low perception of care responsibility, in addition to the difficulty in legitimizing complaints and showing negative feelings. Conclusion: One can conclude the need for educational interventions that promote the decrease of the stigma and the search for training regarding comprehensive and empathic care for patients with mental disorders.

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Section: Discussionmentioning

confidence: 92%

“…A significant percentage of physicians feel unprepared to meet the demands of mental health patients, probably due to training gaps during undergraduate medical school 19 .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Perception of internal medicine residents regarding psychiatric patients’ care

Santana

Rodrigues

2021

Rev. bras. educ. med.

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“…The professionals pointed out that these aspects are barriers to effective bonding, co-participation and commitment 7 . The results suggest the need for Permanent Education in order to enhance knowledge about mental health in order to promote the autonomy of team members and to organize care in the context of the Family Health Strategy [15][16][17] .…”

Section: Discussionmentioning

confidence: 98%

“…In this context, medical care prioritizes medicalization, rather than the mobilization and use of community resources for mental health care, such as community therapy, self-help groups for family members and a group of refractories or somatizing patients 15 . The barriers in relation to the professional performance from the instrumentalization to the care to the person with mental disorder in the Primary Care, are not exclusively of the doctors; the community nurses share this premise, showing difficulties to carry out actions to promote mental health 16 .…”

Section: Discussionmentioning

confidence: 99%

Mental health in Primary Care: challenges for the resoluteness of actions

et al. 2019

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Objective: To identify the challenges faced by professionals to add resoluteness to actions in mental health developed in the context of Primary Care. Method: Qualitative study with 30 professionals, including 17 nurses, four doctors, five psychologists and four social workers. Data were collected in three municipalities of Rio Grande do Sul, Brazil, in April 2018, through a semi-structured interview, later submitted to thematic analysis. Results: Challenges pointed out by professionals to add resoluteness to actions in mental health are related to the lack of specific knowledge to support the actions professionals perform; with the organization of services and participation of managers; and with the ambivalence of people with mental disorders regarding acceptance and continuity of treatment. Conclusion: The construction of shared practices among professionals, people with mental disorders and their families is necessary. Implications for practice: The study allows theoretical-practical articulations capable of generating transformations in mental health care model.

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Diretrizes da Organização Mundial da Saúde relacionadas aos recursos humanos em saúde mental

Ventura

Mendes

Zanardo

et al. 2021

SMAD, Rev Eletrônica Saúde Mental Álcool Drog

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Objetivo: avaliar, com base em documentos-chave, o escopo, potencial e desafios para a atuação de recursos humanos na área de saúde mental. Método: pesquisa documental, descritiva, realizada por meio da análise de três documentos de domínio público, considerados centrais para a formulação de políticas e programas na área de saúde mental, propostos e aprovados no contexto da OMS e, portanto, aplicáveis a todos os seus países membros. As categorias analíticas foram formuladas mediante análise por comparação dos dados. Resultados: Em um contexto em que a maioria dos países com baixa e média renda possui poucos recursos humanos treinados e disponíveis, os documentos demonstram que a realidade brasileira não é isolada, mas reflexo de uma cultura centrada em modelo predominantemente biomédico na saúde, bem como na saúde mental. Conclusão: os documentos demonstram as fragilidades dos serviços de saúde mental e remetem aos desafios vivenciados na área de recursos humanos, já que muitos profissionais não têm a formação adequada ou não se sentem atraídos para atuarem na saúde mental.

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Estratégia Educacional em Saúde Mental para Médicos da Atenção Básica

Cited by 13 publications

References 11 publications

Perception of internal medicine residents regarding psychiatric patients’ care

Perception of internal medicine residents regarding psychiatric patients’ care

Mental health in Primary Care: challenges for the resoluteness of actions

Diretrizes da Organização Mundial da Saúde relacionadas aos recursos humanos em saúde mental

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