Substance misuse services for patients with complex needs

Fernandez, Jeff; Medjesi-Jones, M

doi:10.7748/phc2013.10.23.8.29.e767

Cited by 2 publications

(3 citation statements)

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“…Substance misuse was also reported by the participants. Primary care is a prominent part of care related to this type of demand and therefore, general health professionals should develop skills to address such situations (13) . Furthermore, early detection and prevention for these disorders are expected from primary care services that intend to integrate mental health into their work process (7,9) .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, early detection and prevention for these disorders are expected from primary care services that intend to integrate mental health into their work process (7,9) . Discussions about including mental health care into primary care also address the fact that, theoretically, this level of care is directed at less complex needs (common mental disorders with no serious physical comorbidity) (9)(10) , but some shared care models, such as consultancy, allow professionals to deal with more "problematic" cases (13)(14) , as identified in the studied teams. It is understood that meeting these demands at the primary level minimizes the stigma of treatment, favors adherence and enable care that fits the context of individuals' reality (9)(10) .…”

Section: Discussionmentioning

confidence: 99%

“…Emphasis also goes to consultancy actions that increment and optimize the mental health care delivery of these teams. This resource has been well documented in the literature as a factor that leads to effective provision of psychosocial care (3,(9)(10) , in addition to enabling the health team to give priority to mental health care in primary care, including following up on more complex demands (13)(14) . In relation to mental healthcare resources, the participants reported possibilities within the teams and the area covered by the unit.…”

Section: Discussionmentioning

confidence: 99%

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Mental health in the Family Health Strategy as perceived by health professionals

et al. 2017

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RESUMOObjetivo: analisar o manejo das necessidades de saúde mental na atenção primária à saúde de acordo com a percepção dos profi ssionais da Estratégia Saúde da Família. Método: estudo qualitativo, descritivo exploratório, desenvolvido no território de abrangência de cinco equipes de saúde da família. Os participantes foram cinco enfermeiras, cinco coordenadores e 17 agentes comunitários de saúde. Os dados foram coletados utilizando observação, entrevistas grupais, entrevistas individuais semiestruturadas e grupos focais. Fez-se a análise de conteúdo com o auxílio de um Software de análise textual, e a interpretação baseou-se nas estruturas analíticas correspondentes. Resultados: inúmeras e desafi adoras demandas de saúde mental têm sido acolhidas nesse setting, para as quais as equipes identifi caram recursos de atendimento; no entanto, apontaram difi culdades, sobretudo relacionadas à operacionalização e integração destes recursos. Conclusão: destaca-se a necessidade de uma rede de cuidados sensível a tais demandas, mais articulada e gerida de modo efi caz. Descritores: Enfermagem; Saúde Mental; Atenção Primária à Saúde; Estratégia Saúde da Família; Enfermagem Psiquiátrica.ABSTRACT Objective: to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals. Method: this was a qualitative descriptive exploratory study developed within the coverage area of fi ve family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures. Results: numerous and challenging mental health demands occur in this setting, for which the teams identifi ed care resources; however, they also indicated diffi culties, especially related to the operationalization and integration of such resources. Conclusion: there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed. Descriptors: Nursing; Mental Health; Primary Care; Family Health Strategy; Psychiatric Nursing. RESUMENObjetivo: analizar el manejo de necesidades de salud mental en la atención primaria de salud, según la visión de los profesionales de la Estrategia Salud de la Familia. Método: estudio cualitativo, descriptivo, exploratorio, desarrollado en el campo de acción de cinco equipos de salud familiar. Participaron cinco enfermeras, cinco coordinadores y diecisiete agentes comunitarios de salud. Datos recolectados mediante observación, entrevistas grupales, entrevistas individuales semiestructuradas y grupos focuses. Se aplicó análisis de contenido, con ayuda de software de análisis textual. La interpretación se basó en las correspondientes estructuras analíticas. Resultados: numerosas y desafi antes demandas de salud mental fueron recogidas en este setting, para las cuales los equipos identifi caron recursos de atención; Mental health in the Family Health ...

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Section: Discussionmentioning

confidence: 99%