Programa de Saúde da Família e Saúde Mental: impasses e desafios na construção da rede / The Family Health Program and Mental Health: difficulties and challenges for building a network

O presente artigo é fruto de uma pesquisa denominada " A dinâmica do cuidado em saúde mental: signos, significados e práticas de profissionais no PSF e no CAPS" , cujo objetivo central era compreender como os profissionais de saúde interpretam o sofrimento mental e, para reduzi-lo, planejam e desenvolvem suas intervenções em dois contextos: PSF e CAPS. Para tanto, fizemos um trabalho de campo que envolve desde observação e acompanhamento de práticas desenvolvidas pelos profissionais dos serviços em questão até entrevistas com os mesmos. Apresentaremos, nesse momento, os dados produzidos acerca do PSF, em que, além das estratégias acima descritas, foram também realizados grupos focais. Os dados foram posteriormente analisados a partir de categorias previamente definidas. Como resultados, foi possível identificar que os profissionais experenciam dificuldades diversas que vão desde a identificação do sofrimento mental, passando pelos impasses relativos ao manejo de situações específicas até as questões relativas ao encaminhamento para os serviços especializados. Por outro lado, é importante destacar o quanto os profissionais se mostraram sensíveis ao sofrimento social, articulando-o, inclusive, ao sofrimento psíquico.

This paper is fruit of an investigation called " The dynamics of mental care: signs, meanings and practices of professionals working in the Family Health Program (FHP) and in the Psychosocial Care Centers (PCCs)" . The main objective of this study was to understand how health professionals working in these two services interpret mental suffering and how they plan and develop their interventions for reducing it. To this purpose, we selected qualitative fieldwork methods that included interviews with the professionals and observation of the practices they develop in the context of the mentioned services. In this work, we present the data produced with regard to the FHP, where we also established focal groups with professionals. The data obtained were later analyzed on the basis of previously defined categories. As a result, we have been able to pin down a number of difficulties the professionals were facing, ranging from the identification of mental suffering to the challenge of dealing with specific situations and to the questions involved with the referral to specialized services. On the other hand, the degree of sensibility to social suffering demonstrated by these professionals and their ability to articulate it with psychological suffering deserve to be emphasized.

[The Family Health Program and Mental Health: difficulties and challenges for building a network]. / Programa de Saúde da Família e Saúde Mental: impasses e desafios na construção da rede.

This paper is fruit of an investigation called ' The dynamics of mental care: signs, meanings and practices of professionals working in the Family Health Program (FHP) and in the Psychosocial Care Centers (PCCs)' . The main objective of this study was to understand how health professionals working in these two services interpret mental suffering and how they plan and develop their interventions for reducing it. To this purpose, we selected qualitative fieldwork methods that included interviews with the professionals and observation of the practices they develop in the context of the mentioned services. In this work, we present the data produced with regard to the FHP, where we also established focal groups with professionals. The data obtained were later analyzed on the basis of previously defined categories. As a result, we have been able to pin down a number of difficulties the professionals were facing, ranging from the identification of mental suffering to the challenge of dealing with specific situations and to the questions involved with the referral to specialized services. On the other hand, the degree of sensibility to social suffering demonstrated by these professionals and their ability to articulate it with psychological suffering deserve to be emphasized.