Competência Cultural no Matriciamento em Saúde Mental.

Abstract

The collaborative care, adopted in Brazil, and defended by the World Health Organization (WHO) allows the early detection of mental disorders, treatment and continuity of care in the community. Incorporating a culture outlook can be helpful in dealing with the challenges raised in clinical encounters. It was then sought to observe if and how cultural diversity, materialized by the specific cultural configurations of services and their communities are recognized as obstacles and / or potentialities for the therapeutic planning negotiated between family health professionals and mental health supporters. For that, a qualitative research was conducted, interviewing family health professionals and mental health supporters through episodic interviews, analyzed according to the discourse analysis framework. Although professionals observe sociocultural determinants related to clinical cases and interactions with users, community and professionals, the notion of cultural competence has proved insufficient for a broad and critical understanding of cultural diversity, demonstrating the need to stimulate the debate around of the socio-cultural dimension, considering the particularities of the Brazilian sanitary and psychiatric reforms.