%0 Journal Article
%T Modelos tecnoassistenciais e atua  o do psiquiatra no campo da aten  o prim¨¢ria ¨¤ sa¨²de no contexto atual do Sistema ¨²nico de Sa¨²de, Brasil Technical model and performance of the psychiatrist in the field of primary health care (PHC) in the current context of the Unified Health System (SUS), Brazil
%A Ana Maria Cortez Vannucchi
%A Nivaldo Carneiro Junior
%J Physis: Revista de Sa¨²de Coletiva
%D 2012
%I Instituto de Medicina Social da UERJ
%R 10.1590/s0103-73312012000300007
%X Este estudo escolheu como tema o trabalho do psiquiatra no campo da Aten  o Prim¨¢ria ¨¤ Sa¨²de (APS), com foco na Unidade B¨¢sica de Sa¨²de (UBS) e no N¨²cleo de Apoio ¨¤ Sa¨²de da Fam¨ªlia (NASF). Os dados foram obtidos por meio de entrevistas e observa  o participativa e trabalhados ¨¤ luz da an¨¢lise de conte¨²do. Os modelos em sa¨²de mental na APS em S o Paulo vieram desde a inser  o de psiquiatras nas UBS at¨¦, mais recentemente, no NASF. H¨¢ fragilidade na articula  o dos servi os e na defini  o do papel do psiquiatra. Sua forma  o n o contempla habilidades para atua  o na APS e para utiliza  o da ferramenta do apoio matricial. A atual pol¨ªtica p¨²blica para a aten  o ¨¤ sa¨²de mental na APS tem-se concentrado no NASF; por¨¦m, ¨¦ insuficiente para atender a maioria dos transtornos mentais. S o necess¨¢rias forma  o para atua  o na APS, melhores condi  es de trabalho, articula  o dos servi os e participa  o cont¨ªnua do psiquiatra na APS. The approach is Primary Health Care psychiatrist's work. We used qualitative methodology and have conducted interviews and participative observation. Data analysis has been done by content analysis. In S o Paulo, the inclusion of psychiatrists at the PHC is by the PHC Center, and the family health support center (NASF). There is a fragile articulation of the network and difficulties in establishing enhancing the psychiatrist role. The training does not include the work at the APS, particularly working with matrix-based strategy. Hegemonic policy has been focused on the NASF, which is insufficient to meet the needs of ongoing psychiatric care of most patients with mental disorders. Besides the need of training for working at the APS, it has been necessary to offer better working conditions for the professionals at this level of attention and to articulate resources of mental health for a better care of mental health and a better performance of the psychiatrist.
%K cuidados prim¨¢rios de sa¨²de
%K sa¨²de mental
%K psiquiatria
%K processo de trabalho
%K apoio matricial
%K primary health care
%K psychiatry
%K work process
%K matrix support
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-73312012000300007