Work Process and Mental Health Care Flow in Primary Health Care

Cardoso, Luana Cristina Bellini; Arruda, Guilherme Oliveira de; Giacon-Arruda, Bianca Cristina Ciccone; Paiano, Marcelle; Pinho, Leandro Barbosa de; Marcon, Sônia Silva

doi:10.1590/1980-265x-tce-2019-0191

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…A Tabela 1 sintetiza os principais artigos que foram utilizados na presente revisão de literatura, contendo informações relevantes sobre cada um deles, como os autores do estudo, o ano de publicação, o título e a metodologia do estudo realizado. Cardoso et al, 2020).…”

Section: Resultsunclassified

O manejo da saúde mental na Atenção Primária à Saúde (APS): Uma revisão integrativa da literatura

Auad,

Avelar,

Bellini

2023

RSD

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Introdução: O manejo dos transtornos mentais sempre foi um objeto de estudo relevante para a Medicina, existindo diversas formas de se realizá-lo. Tendo como base o enfoque da Atenção Primária à Saúde (APS), essas patologias tiveram suas formas de manejo alteradas com o tempo, sendo necessário analisar tais mudanças. Objetivo: O presente estudo teve como objetivo avaliar os aspectos históricos, epidemiológicos e organizacionais sobre o manejo dos casos de saúde mental na atenção primária à saúde, alicerçando a construção do conhecimento com base em relatos de casos e embasamentos teóricos já estabelecidos. Materiais e Métodos: Trata-se de uma revisão integrativa de literatura acerca do manejo da saúde mental na atenção primária à saúde. Utilizou-se a estratégia PICO para a elaboração da pergunta norteadora. Ademais, realizou-se o cruzamento dos descritores “Saúde Mental”; “Atenção Primária à Saúde”; “Humanização”, nas bases de dados National Library of Medicine (PubMed MEDLINE), Scientific Eletronic Library Online (SCIELO), Ebscohost, Google Scholar e Biblioteca Virtual de Saúde (BVS). Resultados e Discussão: Os estudos mostraram que diversas formas de se manejar os transtornos mentais na APS, enfatizando a construção histórica do modelo atual de abordagem, a importância da humanização nesse processo, o papel central da Atenção Básica e as dificuldades inerentes ao diagnóstico psiquiátrico. Conclusão: Evidenciou-se que existe uma integração positiva entre os princípios e preceitos da APS no manejo dos transtornos psiquiátricos, possibilitando um cuidado mais humanizado e holístico desses pacientes nesse nível de atenção.

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Section: Resultsunclassified

O manejo da saúde mental na Atenção Primária à Saúde (APS): Uma revisão integrativa da literatura

Auad,

Avelar,

Bellini

2023

RSD

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“…That said, such spaces are based on the humanization of care, care and assistance. Namely, there are CAPS I, CAPS II, CAPS III, CAPSi (children) and CAPSad (alcohol and drugs), each of them having particularities for the management of different mental disorders 1,4 .…”

Section: History Of Mental Health In Phcmentioning

confidence: 99%

“…Therefore, the Ministry of Health establishes the development of Support Centers for Family Health in 2008 and proposes the Psychosocial Care Network in 2011. In this context, some authors emphasize that there is theoretical convergence between the premises of such public policies listed, that said, such actions are intended to expand attention to the psychosocial impasse, giving emphasis on autonomy, civil subjectivities, social inclusion and the permanence of the user registered in the territory 4 . Therefore, another public policy proposed to improve mental health care is Matrix Support.…”

Section: The Relevance Of Humanization In Mental Health Care In the P...mentioning

confidence: 99%

The management of mental health in the Primary Health Care Network: An integrative review

Santos,

Pereira,

Bueno

et al. 2024

Eyes on Health Sciences V.02

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The management of psychotic disorders has always been an important topic of study in Medicine, and there are numerous ways to do so. Taking the perspective of Basic Health Care as a bias, these clinical conditions had their administration mechanisms modified over time. Therefore, the present research aimed to analyze the historical, epidemiological and organizational assumptions about the management of mental health cases in primary health care. From this angle, an integrative literature review on the administration of mental health in basic health care was created. That said, the descriptors “Humanization” were crossed; "Mental health"; “Primary Health Care”, in the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (SCIELO) and Virtual Health Library (VHL) information bases. In this way, research has highlighted numerous ways of managing psychotic disorders in Primary Health Care, highlighting the historical composition of today's approach model, the relevance of humanization at this stage, the main conduct of Primary Care and the challenges inherent to the diagnosis of a mental disorder. Finally, it was demonstrated that there is a satisfactory interaction between the premises and precepts of Basic Health Care in the management of psychiatric disorders, which allows for care and more humanized and holistic care.

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“…Thus, growing efforts have been reported in the literature regarding the integration of mental health (MH) care in PHC [4,5]. In contrast, some obstacles related to stigma [6], the need for professional training and quali cation [7], and organization of work ows and processes [7,8] have been observed.…”

Section: Introductionmentioning

confidence: 99%

Effect of an intervention for organizing mental health care in primary health care

Eshriqui,

de Almeida,

de Mendonça

et al. 2024

Preprint

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Background The “Mental Health Care in Primary health Care (PHC)” project (SMAPS, from Portuguese) was developed in six health districts from three Brazilian states. Considering the gap and relevance of monitoring and assessing mental health (MH) care in real-world settings using data from service records, this study aimed to evaluate the effect of SMAPS on MH indicators in PHC. Methods This is a pilot study conducted between January 2022 and September 2023. The sample comprised 18 basic health units (BHU) in 14 municipalities, which were in one of the three Brazilian states that adhered to SMAPS and assigned to one of two groups: intervention and control (2:1). Secondary data were collected at two times using the same instrument to systematize the retrieval of aggregated data, which were extracted from management reports from BHU or municipalities departments. Data analysis was performed using descriptive statistics at the BHU or municipality level. Results The rate of referrals to MH specialties per consultation with a MH classifications record declined in intervention (75.3%) and control group (63.2%). The percentage of benzodiazepine medications dispensed for PHC decreased from 16.1–11.3% in intervention group municipalities but increased from 20.3–24.1% in control group. An inverse pattern was observed for antipsychotic, anticonvulsant, and antidepressant medications (increased from 82.2–86.2% in intervention group municipalities and declined from 77.6–74.4% in control group). There was no difference in suicide death rates on average across municipalities, but some variations were observed when analyzing each health district separately. Indicators related to the diagnosis of mental disorders and collective activities were also collected, however important inconsistencies were observed in the data collected for both groups. Conclusion The present pilot study points to potential effects of SMAPS for organizing MH care in PHC, especially regarding the referrals to specialty mental health care and the dispensation of psychotropic medications. Thus, contributes to the formulation of proposals for evaluating MH care based on data already available from records and reports from health services and emphasizes the need to improve the quality of MH care recording in PHC work routines.

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Work Process and Mental Health Care Flow in Primary Health Care

Cited by 4 publications

References 20 publications

O manejo da saúde mental na Atenção Primária à Saúde (APS): Uma revisão integrativa da literatura

O manejo da saúde mental na Atenção Primária à Saúde (APS): Uma revisão integrativa da literatura

The management of mental health in the Primary Health Care Network: An integrative review

Effect of an intervention for organizing mental health care in primary health care

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