Mental health care in primary health care during the psychiatric pre-reform period
DOI:
https://doi.org/10.5935/1415-2762.20190076Keywords:
Psychiatric Nursing, Mental Health, History of Nursing, Primary Health CareAbstract
Introduction: to analyze the mental health care in primary health care in a Minas Gerais municipality, in the 1980s. Method: a qualitative study, from the perspective
of the history of the present time. Sources: Written and oral documents obtained by an interview with six professionals from a basic health unit (BHU). We used the inductive method that starts from the internal and external critical posture of the sources, establishing the relationships with the historical-social context in which
they were inserted. Results: the data resulted in two categories: revealing the asylum reality in Juiz de Fora through the narrative of the professionals of the basic health unit and the professionals' reports about difficulties in understanding the reform proposal and consequences in the organization of services and care. Discussion: in the pre-psychiatric retirement period, the de-hospitalization process determined the demand for mental health care at the BHU, which was not properly received due to the unpreparedness of the health team. The asylum logic guided the care and did not sufficiently contemplate the care of people with mental disorders, being limited to the reproduction of medical prescriptions and referrals to specialized services.
Conclusion: the team faced, as far as possible, the difficulties found, and the BHU studied was a pioneer in out-of-hospital mental health care, which would later be
qualified by the Municipal Secretariat of Mental Health of Juiz de Fora.
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