Actions carried out in primary health care towards people with mental disorders: an integrative review

Keywords: Mental Disorders; Health Knowledge, Attitudes, Practice; Primary Health Care.

Abstract

Objective: to synthesize the types of actions developed by the multiprofessional team in the primary health care to people with mental disorders. Methods: integrative review, carried out in the databases Medical Literature Analysis and Retrieval System Online, via PubMed, Web Of Science, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Base de Dados de Enfermagem, and Índice Bibliográfico Espanhol de Ciências de Saúde. Results: six studies were selected and grouped into the following axes: actions with the use of digital technologies (PyDeSalud.com platform; Partnering to Achieve School Success; Audio computer-assisted self-interview version of the Alcohol, Smoking and Substance Involvement Screening Test) and traditional actions (questionnaires during consultation; intervention in stages; support network to stop smoking). Conclusion: evidences show that traditional or digital actions in mental health are necessary to offer an integral care. The multiprofessional team has the tendency to incorporate digital technologies to care for these people.

References

World Health Organization (WHO). Depression and other common mental disorders [Internet]. 2017 [cited Jul 7, 2020]. Available from: https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf?sequence=1&isAllowed=y

Smolen JR, Araújo EM. Race/skin color and mental health disorders in Brazil: a systematic review of the literature. Ciênc Saúde Coletiva. 2017; 22(12):4021-30. doi: https://doi.org/10.1590/1413-812320172212.19782016

Amarante P, Nunes MO. Psychiatric reform in the SUS and the struggle for a society without asylums. Ciênc Saúde Coletiva. 2018; 23(6):2067-74. doi: https://dx.doi.org/10.1590/1413-81232018236.07082018

Oliveira EC, Medeiros AT, Trajano FMP, Chaves Neto G, Almeida AS, Almeida LR, et al. Mental health care in the territory: conceptions of primary health care professionals. Esc Anna Nery. 2017; 21(3):e20160040. doi: https://doi.org/10.1590/2177-9465-ean-2017-0040

Santos FPA, Acioli S, Machado JC, Souza MS, Rodrigues VP, Couto TA, et al. Care practices of the family health strategy team. Rev Enferm UFPE on line. 2018; 12(1):36-43. doi: https://dx.doi.org/10.5205/1981-8963-v12i01a230589p36-43-2018

Portela GZ. Atenção Primária à Saúde: um ensaio sobre conceitos aplicados aos estudos nacionais. Physis. 2017; 27(2):255-76. doi: https://dx.doi.org/10.1590/s0103-73312017000200005

Lima JG, Giovanella L, Fausto MCR, Bousquat A, Silva EV. Atributos essenciais da Atenção Primária à Saúde: resultados nacionais do PMAQ-AB. Saúde Debate. 2018; 42(1):52-66. doi: https://dx.doi.org/10.1590/0103-11042018s104

Wenceslau LD, Ortega F. Mental health within primary health care and Global Mental Health: international perspectives and Brazilian context. Interface. 2015; 19(55):1121-32. doi: https://dx.doi.org/10.1590/1807-57622014.1152

Rotoli A, Silva MRS, Santos AM, Oliveira AMN, Gomes GC. Mental health in Primary Care: challenges for the resoluteness of actions. Esc Anna Nery. 2019; 23(2):e20180303. doi: https://dx.doi.org/10.1590/2177-9465-ean-2018-0303

Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009; 6(7):1-6. doi: https://doi.org/10.1371/journal.pmed.1000097

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para incorporação de evidências na saúde e na enfermagem. Texto Contexto Enferm. 2008; 17(4):758-64. doi: https://dx.doi.org/10.1590/S0104-07072008000400018

Karino ME, Feli VEA. Enfermagem baseada em evidências: avanços e inovações em revisões sistemáticas. Ciênc Cuid Saúde. 2012; 11(suppl):11-5. doi:https://doi.org/10.4025/cienccuidsaude.v11i5.17048

Mendes KDS, Silveira RCCP, Galvão CM. Use of the bibliographic reference manager in the selection of primary studies in integrative reviews. Texto Contexto Enferm. 2019; 28:e20170204. doi: https://doi.org/10.1590/1980-265x-tce-2017-0204

Lopes-Júnior LC, Bomfim EO, Nascimento LC, Nunes MD, Pereira-da-Silva G, Lima RA. Non-pharmacological interventions to manage fatigue and psychological stress in children and adolescents with cancer: an integrative review. Eur J Cancer Care (Engl). 2016; 25(6):921-935. doi: https://doi.org/10.1111/ecc.12381

Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, MsQuay HJ, et al. Assessing the Quality of Reports of Randomized Clinical Trials: Is Blinding Necessary?. Control Clin Trials. 1996; 17(1):1-12. doi: https://doi.org/10.1016/0197-2456(95)00134-4

Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003; 73(9):712-6. doi: https://doi.org/10.1046/j.1445-2197.2003.02748.x

Critical Appraisal Skills Programme. CASP Checklists [Internet]. 2018 [cited July 7, 2020]. Available from: https://casp-uk.net/casp-tools-checklists/

Weich S, Morgan L, King M, Nazareth I. Attitudes to depression and its treatment in primary care. Psychol Med. 2007; 37(9):1239-48. doi: https://doi.org/10.1017/S0033291707000931

Walton JR, Mautone JA, Nissley-Tsiopinis J, Blum NJ, Power TJ. Correlates of Treatment Engagement in an ADHD Primary Care-Based Intervention for Urban Families. J Behav Health Serv Res. 2014; 41(4):539-47. doi: https://doi.org/10.1007/s11414-013-9385-4

Spear SE, Shedlin M, Gilbert B, Fiellin M, McNeely J. Feasibility and acceptability of an Audio Computer-Assisted Self-Interview Version of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) in Primary Care Patients. Subst Abus. 2016; 37(2):299-305. doi: http://dx.doi.org/10.1080/08897077.2015.1062460

Perestelo-Perez L, Rivero-Santana A, Sanchez-Afonso JA, Perez-Ramos J, Castellano-Fuentes CL, Sepucha K, et al. Effectiveness of a decision aid for patients with depression: Aa randomized controlled trial. Health Expect. 2017; 20(5):1096-105. doi: https://doi.org/10.1111/hex.12553

García-Sancho JCM, Puerto AG, Egea C, Díaz G, Cáscales MJC, Gil RME, et al. Stepped psychological intervention with common mental disorders in Primary Care. An Psicol. 2018; 34(1):30-40. doi: http://dx.doi.org/10.6018/analesps.34.1.281491

Sipos V, Pálinkas A, Kovács N, Csenteri KO, Vincze F, Szõllõsi JG, et al. Smoking cessation support for regular smokers in Hungarian primary care: a nationwide representative crosssectional study. BMJ Open. 2018; 8(2):1-8. doi: https://doi.org/10.1136/bmjopen-2017-018932

Nascimento LA, Leão A. Estigma social e estigma internalizado: a voz das pessoas com transtorno mental e os enfrentamentos necessários. Hist Cienc Saude-Manguinhos. 2019; 26(1):103-21. doi: https://doi.org/10.1590/s0104-9702019000100007

Mazzaía MC, Souza MA. Adesão ao tratamento no transtorno afetivo bipolar: percepção do usuário e do profissional de saúde. Rev Port Enferm Saúde Mental. 2017; 17:34-42. doi: http://dx.doi.org/10.19131/rpesm.0181

Frosi RV, Tesser CD. Mental health care practices in primary health care: an analysis based on experiences developed in Florianópolis, Brazil. Ciênc Saúde Coletiva. 2015; 20(10):3151-61. doi: https://doi.org/10.1590/1413-812320152010.10292014

Cass SJ, Ball LE, Leveritt MD. Passive interventions in primary healthcare waiting rooms are effective in promoting healthy lifestyle behaviours: an integrative review. Aust J Prim Health. 2016; 22(3):198-210. doi: https://doi.org/10.1071/PY15043

Hawk M, Coulter RWS, Egan JE, Fisk S, Reuel Friedman M, Tula M, et al. Harm reduction principles for healthcare settings. Harm Reduct J. 2017; 14(1):70. doi: https://doi.org/10.1186/s12954-017-0196-4

Rathbone AL, Prescott J. The use of mobile apps and SMS messaging as physical and mental health interventions: systematic review. J Med Internet Res. 2017; 19(8):e295. doi: https://doi.org/10.2196/jmir.7740

Iglesias A, Avellar LZ. Matriciamento em saúde mental: práticas e concepções trazidas por equipes de referência, matriciadores e gestores. Ciênc Saúde Coletiva. 2019; 24(4):1247-54. doi: https://doi.org/10.1590/1413-81232018244.05362017

Published
2021-01-04
Section
Review Article