Mental health care technologies: Primary Care practices and processes

Abstract

Objective: To analyze the technologies of mental health care used in the practices and processes that constitute Primary Health Care from the discourses of nurses of the Family Health Strategy. Method: Qualitative approach based on the dialectical hermeneutic composition which aims to perform a comprehensive and critical analysis of semi-structured interviews, and free field observation. Results: From the empirical material analyzed, two essential analytical categories emerged: “Health technologies used in PHC for the care of users with psychological distress” and “To stop medicating suffering and to Train professionals”. Final considerations: The study pointed the reception and matrixing as the main technologies of care exercised in the interface of Primary Health Care with Mental Health. However, there was a need for reinforcing actions for matrixing, for training in order to improve the professionals’ autonomy in face of this demand, as well as the importance of stop medicating individuals with psychological distress.

Apoio matricial em saúde mental infantojuvenil na Atenção Primária à Saúde: pesquisa intervenção socioclínica institucional

“…They still consider it secondary to other forms of care, such as performing procedures. However, listening is a powerful work tool that allows creating a bond and a sensitive look (19)(20) .…”

“…Using relational/soft technologies (20) allows deepening the understanding of the construction of subjects' subjectivity, important technologies for caring for children and adolescents. As portrayed in the results, workers initially reported a certain approximation with children and adolescents in their care.…”

A Unique Way to Analyze the Realities of Health Workers Within A Hermeneutic-Dialectic Perspective

“…The current literature presents the applicability of Minayo's perspective to analyze phenomenon regarding SUS workers. Several issues are studied using this perspective, such as workers' medication to avoid mental suffering, training of professionals to identify situations of violence, stigmatizing, and community health workers' mental health (Campos et al, 2018;Egry et al, 2018;Fernandes et al, 2020). According to such theoretical orientations, we can create a way to analyze data grounded in methodological steps as follows.…”

Matrix support in mental health in primary care: the vision of supporters and nurses

“…In the operationalization of the work, the understanding of the nurses' posture change to perform matrix support in Primary Care revealed the need to expand the therapeutic offerings of teams with psychosocial tools (18) , where reports of having been jointly supported affirmed the need to build more effective and productive therapeutic flows and projects. In this context, the matrix supporter articulates institutional goals with the knowledge and interests of workers and users, with a view to promoting spaces for communication and assistance for producing knowledge (19) .…”