Limits and potentialities of the accommodation of users with mental suffering in primary care of the Federal District: report of experience in a basic health unit

Abstract

The experience report has as its object of study the organization of user embracement with mental health demands in a Basic Health Unit - UBS in the Federal District, aiming to identify the challenges and potential of this user embracement in primary care. Based on experiences in the Reception room of the UBS, reflections are made about how the team and service are understood as a care device also in mental health. It was observed that the Welcoming carried out by the professionals consisted of a kind of screening, where blood pressure was measured, a protocol of questions was followed and little qualified listening and acceptance of the real demands that arose there were required. It was also found that most users who complained about mental suffering or even cried during the Welcoming were instructed to seek care in the room of the Expanded Family Health Center - NASF, without being assisted by the Health Strategy teams of the Family - ESF. In view of these observations, reflections were also raised on the problems of work processes at the UBS that permeate the difficulties in Welcoming, especially with regard to the demands of mental health. Therefore, it is concluded that Primary Health Care is very powerful in solving the main demands in mental health that arise in the territory through its capacity for intervention and accountability to increase the problem-solving capacity of care with the support of the NASF. However, there is still a way to go in terms of training teams to reduce the fragmentation of care provided and strengthen the capacity for bonding between staff and users.