Saúde mental em atenção primária no Estado de São Paulo

Abstract

This dissertation starts from the presupposition that Mental Health, Primary Care and their articulations are propositions originated specific historical contexts and social conditions, implying necessarily in a translation when their assimilation occurs in Brazil and the state of São Paulo.The investigation developed along two lines: the building of the Mental Health field and its links with health and Primary Care in general and the articulation of Mental Health and Primary Care in the state of São Paulo.The study concludes that Mental Health emerges in historical conditions which favor public policies of social inclusion, through the extension of care, In this way it integrates hygiene and therapeutic propositions, and continues to exert a normative social hygiene.The integration of preventive and medical practices, taken as part of specific levels of prevention, makes possible the articulation of Mental Health to Primary Care and public health services.In the state of São Paulo, Mental Health in Primary Care emerges in the context of political redemocratization in 1982, as part of the implementation of specific forms of financing health care ("Ações Integradas de Saúde -AIS"), the decentralization of the governmental programs and the importance of Primary Care as a political banner.This implementation occurs in specific conditions in the state of São Paulo, with the inclusion of multiprofessional mental health teams in public primary health care services, as an experience of psychiatric reform.