Cuidado em saúde mental na atenção primária: reflexão sobre os saberes e as práticas

Abstract

Introduction: The Psychiatric Reform movement defends the rights of people suffering from some kind of mental disorder, guaranteeing health care, transversally at all levels of attention. Basic Attention is fundamental for mental health care, it is where the risk factors that the society is exposed are identified and from there the intervention actions are elaborated to solve these factors.Some researches point out challenges encountered by nurses of Primary Health Care in the care of the user with mental disorder.From this we elaborate the problematic question of this revision: "What are the mental health care strategies used by nursing professionals in Brazil?" Objective: The main objective of this review is to analyze the mental health care strategies used by nursing in primary care in Brazil. Methodology It is an integrative review of the literature elaborated according to the six phases described by Ganong. We selected articles published in Portuguese and English, available in full in the online format, published in the last five years in the Portal of the Virtual Health Library. Results: After searching the VHL and PUBMED databases, 61 articles were selected from which were read and excluded those that did not have content compatible with the theme, so that only eight articles were selected. Discussion: Within the selected studies, we found strategies used by nurses, Matrix Support, Community Therapy Wheels and basic mental health consultations.Difficulties were found regarding the lack of personal training to work with patients suffering from mental disorders and also the prejudice against these users by the units' teams. Conclusion: We conclude that the strategies found are very important and efficient and that it is necessary to carry out training of the employees of the basic units regarding the rights imposed by the Psychiatric Reform to the individuals suffering with mental disorders.