Implantação de um modelo de cuidado em saúde mental na APS: experiência em uma unidade de saúde da família da Amazônia legal

Abstract

This experience report describes the implementation of a mental health care model in primary health care, carried out in the municipality of Vilhena, in the state of Rondônia, Brazil, between 2022 and 2023. The initiative was conducted in partnership with the Israelite Albert Einstein Institute through a project linked to the Institutional Development Support Program of the Brazilian Unified Health System. The objective was to strengthen the mental health approach in the territory through four main stages: situational diagnosis, team training, psychosocial interventions, and care management. The main challenges faced included the high demand for mental health care, limited resources in the psychosocial care network, and difficulties in articulating the different components of the health system. Notable advances included the training of community health workers, the implementation of psychosocial practices, and the improvement of care management processes. The experience demonstrated the importance of organizing mental health care pathways within primary health care as a strategy to promote access and comprehensive care, especially in Amazonian regions marked by social vulnerabilities and limited access to mental health services.