Mental health: doctor and nursing practice in the family health program
DOI:
https://doi.org/10.5380/ce.v9i1.1709Keywords:
Mental Health, Family Health, Psychiatric Reform.Abstract
This study objectifies to analyze
nursing and doctor practice in the Family Health
Program (abbreviated PSF in Portuguese)
regarding mental health under the perspective of the
Psychiatric Reform. It is as descriptive study,
qualitave in nature, accomplished with seven nurses
and five doctors of Caucaia municipality in Ceara
State/Brazil. Data were collected through a
semistructured interview and free observation from
May to July/ 2003. After being grouped in categories
and sub-categories, the results show that nurses and
doctors of PSF carry out their actions according in
logic of the programming in heath, accomplishing
the foreseen protocol. We observed that they feel a
lot of difficulty for working appropriately with the
demands of the attended community’s mental health,
condition that become evident through some
answers of the group, such as: the confused way that
they define what is mental health; the use of the
guiding as one of the main action strategies; inability
recognition in the management of the community’s
demands; ignorance and low use of the management
of the community’s resources to act in preventive
actions; restricted use of a sensitive listening and of
the interpersonal relationship. Finally, it was possible
to understand that the actions of mental health
developed by the researched group are guided by
the practice of the traditional psychiatry, in which the
medicating and the guiding are the choice
instruments. This condition not goes against that
what the Psychiatric Reform foresees when it
includes the actions of mental health among those
developed in the primary attencion, creating a net pf
attendance that has for objective to assist the
community’s demands.
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