Contra-referência e renovação de receituário de medicações psiquiátricas: projeto de intervenção

Abstract

The objective of this study is to develop an intervention project for establishing a resolute care network for patients with mental disorders. A literature narrative review was conducted based on a search in Virtual Health Library with the descriptors: Mental Disorders, Primary Health Care and Prescriptions. Selected articles from the year 1990 and the texts of the discipline Rede de Atenção: Saúde Mental of the Specialist course in the Family Health Strategy were used. The situational diagnosis of the community of the San Francisco neighborhood of Sete Lagoas municipality was stablished throught the rapid assessment method. The situational diagnosis showed the weakness of the link between primary and secondary care in comprehensive health care for patients with mental disorders and the renewal of the prescription of psychiatric medications without proper clinical evaluation. The literature shows that the prevalence of mental disorders in primary care in Brazil is high. The joint work with reference and counter reference flows is directly related to quality of the comprehensive health care. For the effective pharmacological treatment are necessary efforts of the entire health care team to monitor these patients. The intervention project is based on three steps: a rapid assessment to collect data related to the existing counter reference in the community, the development of a counter reference record sheet and finally a creation of a flow of this counter reference record sheet to allow renewal of psychiatric medication prescriptions and improve the mental health patient care.