Saúde mental na atenção básica: perspectivas a partir da clínica ampliada e compartilhada

Abstract

This article aims to understand the organization of care for mental health demands, focusing on psychological suffering, in a Basic Health Unitet (BHU) in a small city in the state of Santa Catarina. For this, data were collected through focus groups, audio-recorded, with 3 teams of Family Health Strategies from a UBS located in that municipality. The data were treated using Bardin’s Content Analysis, and the results were divided into 2 categories. The first analyzed the organization of mental health care in primary care, demonstrating that this care is focused on pathology to the detrimento of the subject, as well as on the biomedical model and traditional psychiatry, centered on the use of hard and light hard care Technologies, such as medications, diagnoses and consultations with specialists. In category 2, it was found that the difficulties listed by the participants to effect care through the parameters of the expanded clinic are due to the excesso demand, combined with the short time to listen and welcome, as well as the lack of training for this. To explain such results, it is importante to analyze teamwork based on the interprofessionality and longitudinality of care. In general, mental health care in these teams is oriented towards the traditional and biomedical clinic, widespread in the graduation of professionals