Núcleo de Apoio a Saúde da Família(NASF) como componente do cuidado em saúde mental : perspectivas de profissionais da estratégia saúde da família

Abstract

The Centers for Family Health Support (CFHS) aims to expand the breadth and the scope of the actions of primary care in the Unified Health System (UHS) in Brazil. Aligned with current changes in the model of mental health care advocated by (UHS) and considering the increasing number of cases related to the topic, the CFHS proposal elects Mental Health as one of the strategic areas of operation of the program. Considering the need to monitor ongoing experiments in the national scenario, this research aimed to understand from the perspective of a Family Health Team (FHT), the place of CFHS concerning the mental health care in primary care in Fortaleza-CE. This research is characterized for having a qualitative approach, aligned to the critical interpretive perspective. It was developed through documentary analysis, observation and semi structured interviews in a health care establishment located in the third region of Fortaleza, covering all staff in one of the in service teams. The categorization of empirical data led to three main themes which are: A) understanding of professionals in a FH team investigated about the phenomenon of "Mental Health"; B) The "Mental Health" care in the context of primary care: the everyday practice in the investigated service and C) The place of (CHFS) in terms of care concerning "Mental Health" in primary care. The results indicate the predominance of a stigmatized and stereotyped vision of the person with a mental disorder by the majority of the respondents. It also marked a process of incipient mental health experiences shared among the professionals of health as well as the staff on the team of FH and CFHS. Among the currently ongoing actions there was little interaction among practitioners of those teams, so we concluded that the reorganization of health care, based on the implementation of CFHS, is facing different kinds of difficulties in the scenario investigated. Nevertheless, it is recognized that the process is already occurring and it is of great importance to the strengthening of the mental health services of the city to guarantee the existence of collective spaces of discussion, planning, pact and evaluation of the process of team work, thus extending the resolution capability in health actions under the responsibility of the Family Health Strategy (FHS).