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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Mental health in Primary Care: identification and organization of care in the state of São Paulo

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Author(s):
Ligia Rivero Pupo [1] ; Tereza Etsuko Costa Rosa [2] ; Arnaldo Sala [3] ; Marisa Feffermann [4] ; Maria Cecília Goi Porto Alves [5] ; Maria de Lima Salum e Morais [6]
Total Authors: 6
Affiliation:
[1] Instituto de Saúde (IS). Secretaria de Estado da Saúde - Brasil
[2] Instituto de Saúde (IS). Secretaria de Estado da Saúde - Brasil
[3] Secretaria de Estado da Saúde. Coordenadoria de Regiões de Saúde - Brasil
[4] Instituto de Saúde (IS). Secretaria de Estado da Saúde - Brasil
[5] Instituto de Saúde (IS). Secretaria de Estado da Saúde - Brasil
[6] Instituto de Saúde (IS). Secretaria de Estado da Saúde - Brasil
Total Affiliations: 6
Document type: Journal article
Source: Saúde debate; v. 44, p. 107-127, 2021-08-13.
Abstract

ABSTRACT This article aimed to describe and discuss how mental suffering is identified and how mental health care is organized in Primary Care services in the state of São Paulo. In order to do so, the study was based on a quantitative and descriptive cross-sectional study, carried out through a telephone survey in Primary Health Care services in the state. Data were analyzed according to the size of the city and to the presence of at least one Mental Health professional in the services. The results reiterate the high frequency with which demands for mental health appear in Primary Care services, and indicate: low proactivity in the search for problems in mental health; exchange of prescriptions and a more biomedical perspective as relevant to the identification of problems; low care planning and little coverage in intersectoral articulation. It also reveals the importance of the presence of mental health professionals in qualifying care and strengthening psychosocial actions. The services in the city of São Paulo proved to be more potent in identifying, organizing care, psychosocial management of problems, and intersectoral articulation. Small cities stood out by the presence of mental health professionals and by using home visiting by community health agents in identifying problems. (AU)

FAPESP's process: 16/15186-0 - Survey of mental health care technologies in primary health units in São Paulo State
Grantee:Maria de Lima Salum e Morais
Support Opportunities: Research Grants - Research in Public Policies for the National Health Care System (PP-SUS)