O conselho local de saúde e a discussão das ações de saúde mental na estratégia saúde da família

Fernanda Barreto Mielke,Agnes Olschowsky,Andiara Cossetin

doi:10.1590/s0104-07072012000200017

Abstract

O artigo tem o objetivo de avaliar a participação do Conselho Local de Saúde na discussão sobre a inclusão das ações de saúde mental na Estratégia Saúde da Família em uma Unidade de Saúde da Família de Porto Alegre-RS. Estudo avaliativo qualitativo, desenvolvido a partir dos pressupostos teórico-metodológicos da Avaliação de Quarta Geração. Para a coleta de dados utilizamos observação e entrevistas individuais com 14 trabalhadores do referido serviço de saúde. Os dados foram analisados por meio do Método Comparativo Constante. O Conselho Local de Saúde foi avaliado pelos trabalhadores como um facilitador no processo de inclusão das ações de saúde mental na atenção básica. Frente a isso e, de acordo com o caráter formativo do processo avaliativo, os dados da pesquisa foram apresentados aos membros do conselho local, uma vez que essa instância deliberativa pode possibilitar a ampliação da discussão sobre a inclusão da saúde mental na atenção básica.

Highlights

In Brazil, the 1970’s and 1980’s were marked by the explosion of social movements that demanded changes in the way the State operated, advancing from bureaucratic logic to society’s active participation in the construction of a new State, which culminated in the social and historical process of redemocratization. It is in this process that the health reform movement gains strength when it expands its goals in society, including the struggle for the universalization of the right to health, unification of individual and group care in the same system and holistic health care, guaranteeing access and health equity for the entire population.[1]
It is in this context that primary care stands out as an important structural axis of health care, further enhanced in 1994 through the creation of the Family Health Program (FHP)
The professionals were asked to comment on the following question: Talk about the difficulties and facilities to deliver mental health care at this family health unit

Summary

Introduction

In Brazil, the 1970’s and 1980’s were marked by the explosion of social movements that demanded changes in the way the State operated, advancing from bureaucratic logic to society’s active participation in the construction of a new State, which culminated in the social and historical process of redemocratization It is in this process that the health reform movement gains strength when it expands its goals in society, including the struggle for the universalization of the right to health, unification of individual and group care in the same system and holistic health care, guaranteeing access and health equity for the entire population.[1]. The FHS was created to reorganize care practice, centering health care on the family group as a care object ESF, and giving preference to practices that go beyond those based on cure and hospitalization.[4,5] When multiprofessional teams were put in practice, the FHS prioritized the establishment of bonding with the population, through registration within a territory, with a view to professionals’ commitment and co-responsibility towards the community.[5]

Objectives

Methods

Results