Evaluation of intersectoral partnerships for mental healthcare in the Brazilian family health strategy

Abstract

The aim of this study was to evaluate intersectoral partnerships for mental health in the Brazilian Family Health Strategy. This was an evaluative, qualitative study guided by the Fourth Generation Evaluation framework, developed in a Family Health Strategy unit in a municipality of the state of Rio Grande do Sul. A total of 39 subjects (10 patients, 10 family members and 19 employees) were interviewed. As observed, intersectoral partnerships for mental healthcare are important, as they allow for greater freedom of patients with psychological distress. Among these, the partnership with the resident association and between the Family Health Strategy and the Federal University of Rio Grande do Sul stand out. Despite the difficulties, the consolidation of inclusive projects through an intersectoral approach is emerging as a new way to construct a healthcare agenda that is linked to the needs of the territory, and driven by the premises of the Brazilian Unified Health System.

Mental health in children and adolescents: vision of the professionals on challenges and possibilities in building up intersectoral networks

“…In this sense, a dynamic territory, where life creates and recreates itself, which is committed to the other, plus the articulation between services, sectors, people and policies, highlights intersectorality as a powerful strategy in the construction of actions and partnerships, to meet the complex dimensions of the individual under psychological distress beyond the care in the health axis (3) .…”

“…In this direction, the intersectorality herein is based on the articulation between people and diverse sectors, allowing, therefore, integrating knowledge, and sharing joint actions, diverse powers and wills. It is betting on the power of collective outputs, producing a new way of working and building up public policies (3) .…”

Multiprofessional team perception of a music therapeutic workshop developed by nurses

“…For many years, the treatment of the "mentally ill" in Brazil was directly related with prolonged hospitalization in psychiatric hospitals and withdrawal from social and family relationships. With the idealism from the Psychiatric Reform process, political discussions began among health professionals, aiming at transforming care practices in the field of mental health by gradually replacing the asylum model (1)(2) .…”

Intervenção Musical Como Estratégia De Cuidado De Enfermagem a Crianças Com Transtorno Do Espectro Do Autismo Em Um Centro De Atenção Psicossocial

“…These new scenarios are called substitutive mental health services, which offer distinguished care practices to the subjects in their experience of pain and mental suffering. [1][2][3] In this context, the Psychosocial Care Centers (CAPS) were created as specialized care services for people in severe mental suffering, replacing for psychiatric internments, with a view to favoring the exercise of citizenship and the social inclusion of the users and their families. 4 Among the existing types of CAPS, the ChildJuvenile Psychosocial Care Center (CAPSi) is a service for daily care delivery to children and adolescents in intense mental suffering who are incapable of maintaining or creating social bonds, who do not fit into the imaginary of childhood cultivated by society.…”

“…5 Nursing care at the CAPSi involves individual and group care, therapeutic workshops, home visits, besides the articulation of care in an intersectorial network, involving stakeholders like guardianship councils, schools, non-governmental organizations, among others. 1,4 In this context, the nurses' main challenge is clinical practice itself, which requires the development of new specific care technologies for this activity area, which permit the experience of different places, functions and modes of doing in order to establish bonding and a therapeutic relationship with children and adolescents. 5 Technologies are tools or instruments used in health care practice and in the organization of the relationships inherent in the care process.…”