Mental health in Primary Care: A rhizomatic network for childhood and adolescence
DOI:
https://doi.org/10.5902/2179769271914Keywords:
Mental Health, Primary Health Care, Health Policy, Child, AdolescentAbstract
Objective: to map mental health care for children and adolescents, its flows, lines and connections based on the articulation of the Psychosocial Care Centers for Children and Adolescents (Centros de Atenção Psicossocial Infantojuvenil, CAPSi) and Primary Health Care (PHC). Method: a qualitative and cartographic research study conducted between August and December 2017 in a municipality from Rio Grande do Sul. The study participants were CAPSi and PHC professionals. Results: the cartographic experience with the rhizomatic network made it possible to monitor CAPSi's articulation with PHC services; planning and sharing care according to workers' collective action, and also the “knots” and challenges of the child and youth mental health network. Insecurity to deal with the demand, lack of knowledge and the need for training as a support modality are challenges mentioned by PHC professionals for networked assistance. Conclusion: care-related arrangements can articulate/share the assistance provided, evoking a “rhizomatic network” of connections, flows and varied lines.
Downloads
References
Ministério da Saúde (BR), Secretaria de Atenção à Saúde, Departamento de Atenção Básica. Saúde mental. Departamento de Ações Programáticas Estratégicas. Brasília (DF): Ministério da Saúde; 2013. 176 p. (Cadernos de Atenção Básica; 34).
Silveira CB, Costa LSP, Jorge MSB. Health care networks as producers of mental health care: a reflective analysis. Rev Port Enferm Saúde Mental. 2018;(19):61-70. doi: 10.19131/rpesm.0203
Santos AM, Cunha ALA, Cerqueira P. O matriciamento em saúde mental como dispositivo para a formação e gestão do cuidado em saúde. Physis. 2020;30(4):e300409. doi: 10.1590/S0103-73312020300409
Oliveira PS, Santana FR, Gatto Júnior JR, Santos KS, Araújo PN, Fortuna CM. Matrix support in children’s mental health in Primary Health Care: institutional socio-clinical intervention research. Rev Esc Enferm USP. 2021;55:e03731. doi: 10.1590/S1980-220X2020016803731
Silva JF, Cid MFB, Matsukura TS. Psychosocial teenage attention: the perception of CAPSij professionals. Cad Ter Ocup UFSCar. 2018;26(2):329-43. doi: 10.4322/2526-8910.ctoAO1081
Pupo LR, Rosa TEC, Sala A, Feffermann M, Alves MCG, Moraes MLS. Saúde mental na Atenção Básica: identificação e organização do cuidado no estado de São Paulo. Saúde Debate. 2020;44(N Esp 3):107-27. doi: 10.1590/0103-11042020E311
Ceballos-Garcia Y, Paula CS, Ribeiro EL, Santos DN. Child and Adolescent Psychosocial Care Center service use profile in Brazil: 2008 to 2012. Braz J Psychiatr. 2019. doi: 10.1590/1516-4446-2018-0011
Romagnoli RC, Lima TAS, Pastana DH. Saúde mental e práticas intersetoriais: os desafios da transversalidade. In: Paulon SM, Londero MFP, organizadores. Saúde mental na Atenção Básica: o pesquisar como cuidado. Porto Alegre: Rede UNIDA; 2019. 216 p.
Teixeira MR, Couto MCV, Delgado PGG. Primary care and collaborative care in children and adolescents psychosocial interventions: facilitators and barriers. Ciênc Saúde Colet. 2017;22(6):1933-19. doi: 10.1590/1413-81232017226.06892016
Peduzzi M, Agreli HF. Teamwork and collaborative practice in Primary Health Care. Interface Comun Saúde Educ. 2018;22(Suppl 2):1525-34. doi: 10.1590/1807-57622017.0827
Deleuze G, Guattari F. Mil Platôs: capitalismo e esquizofrenia. Rio de Janeiro: Ed 34; 2011.
Silva EA. O trabalho em equipe na saúde mental: construções rizomáticas e (re)invenções. Rev NUFEN. 2019;11(2):1-18. doi: 10.26823/RevistadoNUFEN.vol11.n02artigo50
Freire MAB, Yasui S. O território, as redes e suas (im)potências: o cuidado aos usuários de álcool e outras drogas em um CAPSad. Fractal Rev Psicol. 2022;34:e5992. doi: 10.22409/1984-0292/2022/v34/5992
Romagnoli RC, Amorim AKMA, Severo AKS, Nobre MT. Intersetorialidade em saúde mental: tensões e desafios em cidades do sudeste e nordeste brasileiro. Rev Subj. 2017;17(3):157-18. doi: 10.5020/23590777.rs.v17i3.6075
Barros LP, Kastrup V. Cartografar é acompanhar processos. In: Passos E, Kastrup, V, Escóssia L. Pistas do método da cartografia: pesquisa-intervenção e produção de subjetividade. Porto Alegre: Sulina; 2015. p. 52-75.
Tedesco SH, Sade C, Caliman LV. A entrevista na pesquisa cartográfica: a experiência do dizer. In: Passos E, Kastrup V, Tedesco S, organizadores. Pistas do método da cartografia: a experiência da pesquisa e o plano comum. Porto Alegre: Sulina; 2016. P. 92-127.
Zanardo GLP, Bianchessi DLC, Rocha KB. Devices and connections in the psychosocial assistance network (RAPS) of Porto Alegre - RS. Estud Interdiscip Psicol [Internet]. 2018 [cited 2019 Dec 10]; 9(3): 80-101. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S2236-64072018000300006&lng=pt&nrm=iso
Fortuna CM, Matumoto S, Mishima SM, Rodríguez AMMM. Collective Health Nursing: desires and practices. Rev Bras Enferm. 2019;72(Suppl 1):336-40. doi: 10.1590/0034-7167-2017-0632
Silva EA. O trabalho em equipe na saúde mental: construções rizomáticas e (re)invenções. Rev NUFEN. 2019;11(2):1-18. doi: 10.26823/RevistadoNUFEN.vol11.n02artigo50
Argiles CTL, Andrade APM, Kantorski LP, Willrich JQ. Processes of subjectivation of workers and users in the micropolitical relations of the psychosocial attention mode. Av Psicol Latinoam. 2018;36(2):285-97. doi: 10.12804/revistas.urosario.edu.co/apl/a.5181
Tãno BL, Matsukura TS. Intersectoriality and care in mental health: experiences of psychosocial care centers for children and adolescents (CAPSIJ) in Brazil’s Southeastern Region. Physis. 2019;29(1):e290108. doi: 10.1590/S0103-73312019290108
Maffissoni AL, Silva KJ, Vendruscolo C, Trindade LL, Metelski FC. Matrix role of the Primary Care Extended Centers: an integrative review of the literature. Saúde Debate. 2018;42:1012-23. doi: 10.1590/0103-1104201811918
Quintanilha BC, Belotti M, Tristão KG, Avellar LZ. The production of care in a Center of Psychosocial Care for Childrenand Adolescents. Mental [Internet]. 2017 [cited 2019 Oct 30];11(20):261-78. Available from: http://pepsic.bvsalud.org/pdf/mental/v11n20/v11n20a14.pdf
Silva JF, Matsukura TS, Ferigato SH, Cid MFB. Adolescence and mental health from the perspective of Primary Healthcare professionals. Interface Comun Saúde Educ [Internet]. 2019 [acesso em 2020 jan 29];23:e18063. Disponível em: https://www.scielo.br/pdf/icse/v23/1807-5762-icse-23-e180630.pdf
Rocha MNT, Calheiros DS, Wyszomirska RMAF. O sistema de referência e contrarreferência em saúde mental sob a perspectiva do médico atuante na atenção primária. Res Soc Develop. 2022;11(4):e50211427458. doi: 10.33448/rsd-v11i4.27458
Ferreira TPS, Sampaio J, Souza ACN, Oliveira DL, Gomes LB. Care production in Mental Health: the challenges beyond institutional walls. Interface Comun Saúde Educ. 2016;21(61):373-84. doi: 10.1590/1807-57622016.0139
Argiles CT, Kantorski LP, Willrich JQ, Coimbra VC. Singularization processes in the psychosocial mode. Physis . 2017;27(1):61-77. doi: 10.1590/S0103-73312017000100004
Treichel CAS, Campos RTO, Campos GWS. The consolidation and effectiveness of matrix support in mental health in Brazil - bottlenecks and challenges. Interface Comun Saúde Educ. 2019;23:e180617. doi: 10.1590/Interface.180617
Published
Versions
- 2023-11-29 (4)
- 2023-06-05 (3)
- 2023-05-15 (2)
- 2023-03-21 (1)
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista de Enfermagem da UFSM
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.