Banca de DEFESA: VALDECIR CARNEIRO DA SILVA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : VALDECIR CARNEIRO DA SILVA
DATE: 16/12/2022
TIME: 14:30
LOCAL: REMOTA - https://meet.google.com/prz-uhdd-boq
TITLE:

INTEGRATION OF MENTAL HEALTH TO THE PRIMARY HEALTH CARE IN BRAZIL

KEY WORDS:

Mental Health. Primary Health Care. Social Determinants of Health. Collaborative Care. Health Assessment.

PAGES: 30
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Primary health care is the preferred entry point for the Health Care Networks, including the Psychosocial Care Network. In Brazil, this level of care represents 80 to 90% of health problems of its enrolled population. However, the organization, offer, and access to mental health services in primary care have barriers and gaps. Therefore, this study generally aimed to analyze the integration of mental health in primary health care in Brazil and specifically aimed (1) to analyze the relationships between the provision of primary care and socioeconomic indicators for equity in access to health for people with mental disorders in Brazilian capitals; and (2) to analyze the association of criteria and agreement flows between Family Health and NASF teams for collaborative care in mental health in capitals and non-capitals of Brazil, considering the offer of processes at the point of primary care of the Psychosocial Care Network at SUS in municipalities with different structures and population sizes for its effectiveness. This is an observational study based on secondary data from the Program for the Improvement of Access and Quality of Primary Care and the Atlas of Human Development in Brazil, with two association studies: (1) for primary care relationships and socioeconomic factors for equity in access to mental health in Brazilian capitals; and (2) for the effectiveness of criteria and agreement flows of collaborative mental health care in primary care in capital and non-capital cities. In drawing, (1) findings indicate associations between the organization and supply of primary care with the municipal human development index and per capita income. In design, (2) prevalence ratios of negative associations showed protective factors for matrix support actions and follow-up at the Psychosocial Care Center, management of psychopharmacotherapy, provision of other therapeutic actions, care process for users of psychoactive substances, and provision of activities to prevent the use of psychoactive substances. However, the provision of primary mental health care is correlated with the reduction of inequalities for equity in access to the Psychosocial Care Network in the Unified Health System. Moreover, collaborative care in primary care was effective where capitals demonstrate a protective factor compared to non-capitals in Brazil. Such evidence validates the effectiveness of primary mental health care through community or territorial-based services in a country with historical regional disparities and inequalities, a continental dimension, and the largest national and public health service 

COMMITTEE MEMBERS:
Externa à Instituição - CARLA CAMPOS MUNIZ MEDEIROS - UEPB
Externa à Instituição - CLÁUDIA HELENA SOARES DE MORAIS FREITAS - UFPB
Interna - 347027 - EULALIA MARIA CHAVES MAIA
Interno - 2626634 - PAULO MOREIRA SILVA DANTAS
Presidente - 1245215 - SEVERINA ALICE DA COSTA UCHOA