Made available in DSpace on 2014-12-17T14:46:45Z (GMT). No. of bitstreams: 1 TarcianaSC_DISSERT.pdf: 2117561 bytes, checksum: a2f9349c2f46dbd6ce80b38d80f3068e (MD5) Previous issue date: 2010-10-26 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Brazilian health public assistance is going through two Reforms, Sanitary and Psychiatric, and through these the assistance is guaranteed in the three levels: primary, secondary and tertiary. Thus, mental health assistance should be offered since preventive cares until the ones that demand larger technological apparatus. Programs like Health Community Agent's Program (HCAP) and Family Health Strategy (FHS), besides increasing the services coverage, have been making possible the system reorientation in the meaning of integrality, universalization and equity. Thus, united intervention of mental health team and FHS can offer several benefits to the population, providing assistance and follow-up to patients with mental disorder. It was aimed to assess health community agents facing the user of Family Health Strategy in depressive state. This quanti-qualitative study took place in the municipal district of Abaiara-CE. Semi-structured interview was applied with health community agents and Beck Depression Inventory with the users registered in Family Health Strategy. It was verified that among the 64 users interviewed, 12.5% didn't present symptoms of depression, 10.9% presented symptoms of light depression, 14.1% symptoms of moderate depression and 62.5% symptoms of serious depression. For the 22 health community agents interviewed, they all reported the existence of people with symptoms of depression in their personal micro-areas, being difficult to work with them, once the FHS team is not qualified to work with mental health problems. It was verified that the Municipal district doesn't have specialized professionals, making difficult the routing and treatment. Based on these results, it was concluded that in spite of the articulation of mental health with FHS is necessary and benefactor to the population, it still doesn't exist, worsening the situation, mainly in small Municipal districts, once they don't have mental health services. Thus, the population is exposed and without follow-up, which allows the identification of installed diseases and with gravity, like depression, because there are no prevention and control activities. It is recommended, due the extreme need, the elaboration and implantation of a mental health program in these municipal districts, articulated with FHS / A assist?ncia p?blica ? sa?de brasileira perpassa por duas Reformas, a Sanit?ria e a Psiqui?trica, e trav?s destas garante-se a assist?ncia nos tr?s n?veis: prim?ria, secund?ria e terci?ria. Neste sentido, a assist?ncia ? sa?de mental deve ser prestada desde os cuidados preventivos at? os que exigem maior aparato tecnol?gico. Programas como o Programa de Agentes Comunit?rios de Sa?de (PACS)/ Estrat?gia Sa?de da Fam?lia (ESF), al?m de ampliarem a cobertura de servi?os, t?m possibilitado reorienta??es do sistema no sentido da integralidade, universaliza??o e equidade. Assim, a interven??o conjunta da equipe em sa?de mental e a ESF podem oferecer diversos benef?cios ? popula??o, proporcionando assist?ncia e acompanhamento aos portadores de transtorno mental. Desse modo, objetivou-se avaliar as a??es dos agentes comunit?rios de sa?de diante do usu?rio da Estrat?gia Sa?de da Fam?lia com estados depressivos. Este estudo do tipo quantiqualitativo, realizou-se no munic?pio de Abaiara-CE. Aplicou-se a entrevista semiestruturada com os agentes comunit?rios de sa?de e o Inqu?rito de Beck aos usu?rios cadastrados na Estrat?gia Sa?de da Fam?lia. Verificou-se que dentre os 64 usu?rios entrevistados, 12,5% n?o apresentaram sintomas depressivos, 10,9% sintomas de depress?o leve, 14,1% sintomas de depress?o moderada e 62,5% sintomas de depress?o grave. Os 22 agentes comunit?rios de sa?de entrevistados relataram a exist?ncia de pessoas com sintomas depressivos em suas micro ?reas e destacaram a dificuldade em atuar junto a esta clientela, pois para eles a equipe da ESF n?o se encontrava capacitada para lidar com problemas de sa?de mental. Constatou-se que o Munic?pio n?o dispunha de profissional especializado, o que dificultava o encaminhamento e tratamento. Com base nestes resultados, concluiu-se que apesar da articula??o da sa?de mental com a ESF ser necess?ria e benfeitora ? popula??o, esta ainda ? inexistente, agravando a situa??o, principalmente em munic?pios de pequeno porte, uma vez que estes n?o disp?em de servi?os de sa?de mental. Assim, a popula??o permanece exposta e sem acompanhamento, o que permite a identifica??o de doen?as instaladas e com gravidade, como a depress?o, por n?o haver atividades de preven??o e controle. Recomenda-se a elabora??o e implanta??o de um programa de sa?de mental nestes munic?pios, de forma articulada com a ESF