Encaminhamentos de usuários ao ambulatório de psiquiatria elaborados por médicos de familia: análise em quatro municípios do leste de Minas Gerais

Abstract

The mental health and family health politics are both considered a great skill for lhe reorganization of the health assistance practcíes. These practicíes are stíll on inplantation and intend to overcome lhe tradicional health model wich is based on the individual clinicai practice of physicians. The psychlalry ambulatory was recruted as one of lhe first mechanisms from the mental health politics to substitute the psychiatry hospitais. The comunication between the membership of family and mental health staff has been encouraged by lhe Health State Department Ministry. ln this way, this study analyses how family physícians from the contryside of Minas Gerais are acting about the people who have mental disorders. For this, we analised the guidings from those physicians to the psychiatry ambulatory and also interviewed them (with non-structured interviews). We concluded that is a challenge to overcome the praclice of physicíans, that saw difficulties on working with subjectives aspects of ilness. Also, lhe clinicai guídelines on mental dísorder are no! well-known by the physícians interviwed. Fragile and transilory link between those physicíans and lhe communíty was also observed. Non-padronization of reference versus against­ reference instruments made lhe comunication between the professíonals difficult.