Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

Abstract

Solvability of mental health care in the family health strategy: social representation of professionals and users RESUMENObjetivo: Asimilar las representaciones sociales acerca de la resolubilidad del cuidado en salud mental en la Estrategia Salud de la Familia de usuarios y profesionales de equipos de salud de la familia y Centro de Atención Psicosocial. Método: Estudio cualitativo con empleo de entrevista semiestructurada para recolección de las informaciones y el software Alceste para análisis. Este software utiliza la Clasificación Jerár-quica Descendente con base en el examen de las raíces lexicales, considerando la palabra como unidad y proporciona la contextualización en el corpus. Resultados: Las representaciones emergen en dos polos antagónicos: usuarios relatan satisfacción con la atención y profesionales advierten la necesidad de mejoría de las acciones de salud. Se desarrollan el matriciamiento en salud mental y la visita domiciliaria, pero persisten los óbices relacionados con la inversión en salud, la educación permanente y la organización de la asistencia. Conclusión: Las diferentes representaciones proporcionan mejoría de la atención, resolubilidad del cuidado y congregan saberes y prácticas en la perspectiva ampliada de las necesidades de salud en el contexto familiar, social y terapéutico. DESCRIPTORES ABSTRACTObjective: To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. Method: A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. Results: The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. Conclusion: The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context. DESCRIPTORS Integrality in health INTRODUCTIONThe search for solvability in mental health care requires the organization of a network of services and deepening of the subjective relationships among professionals, users and families. The key points in this search are to ensure access to quality services, in addition to establishing relationships that produce bonds and user embracement. Indeed, a resolute service should be able to address and solve the problem up to the limit of its performance (1) .Solvability is considered a dependent variable when analyzing the health care system in elements like access, u...

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