ANALYSIS OF THE SPEECH OF FAMILY MEMBERS AND CAPS USERS IN THE DISTAL LAYERS OF THE DAHLGREN AND WHITEHEAD MODEL ON SOCIAL DETERMINANTS IN HEALTH
Mental Health Services. Social Determinants of Health. Mental Health.
Family Relationships.
Introduction: The state of mental well-being permeates intrinsic and extrinsic factors of the human being, including biological, psychological, emotional, and sociocultural factors inherent to each society. Objective: To analyze the speeches of family members and CAPS users in the layers Living and working conditions and General socioeconomic, cultural, and environmental conditions, according to the Dahlgren and Whitehead model. Method: Cross-sectional study, with a descriptive and exploratory approach of a qualitative nature. Data collection took place at CAPS II Chiquita Bacana, located in the municipality of Santa Cruz-RN, in the Trairi region. The study included all users aged 18 or over who sought care at the CAPS during the data collection period and were accompanied by a person they identified as family. The statements collected through interviews were structured and regrouped into thematic categories. The findings obtained were analyzed using the Dahlgren and Whitehead Social Determinants of Health model. Results: The statements of 12 users and 12 family members were analyzed and presented in thematic categories. Users and family members were unemployed or engaged in informal activities; those who worked were satisfied with their jobs. The main source of income cited came from social assistance programs and social security benefits. Living in their own home was the most common response in the study. Those who lived with someone else predominated, with an average of three to four people per household. Regarding the water supply, there were reports of supply difficulties. Regarding basic sanitation, septic tanks and sewage systems were mentioned, and for garbage collection, the burning of waste and collection vehicles were mentioned. Users and family members reported having three to four meals a day. The most mentioned health services were the Basic Health Units and referral hospitals in the region; the most mentioned public services were the health center and educational institutions. There was a lack of interest in participating in cultural activities and activities related to public policies. Participants reported living in places with adequate public lighting; reports on urban paving mentioned unpaved streets and others that were paved; the greatest dissatisfaction among interviewees was with public safety.