Ações de saúde mental das equipes de saúde da família na atenção básica: dificuldades e possibilidades

Abstract

The history of mental health care in Brazil is marked by the asylum model. The Psychiatric Reform, which took place since the 1980s brings about changes in care users, replacing the asylum model for a new form of care. A Strategy for Family Health (ESF), created by the Ministry of Health, has been considered an important strategy for health care and means of transforming mental health care, bringing the User and family health professionals and all community. This study aims to review the literature on the mental health actions in the ESF, its difficulties and possibilities in primary care. Despite the difficulties pointed out by professionals can realize an openness to change, as reported by them in their speeches. His actions and suggestions for changes are consistent with the principles of desistituicionalização and not hospital, demonstrating that the ESF is favorable for the promotion of best mental health care. Most of the experiments showed the importance of technical support teams in family health for the realization of principles of psychiatric reform in the logic of the Strategies for Family Health.