EVALUATION OF THE ORGANIZATION OF CARE IN MENTAL HEALTH IN PRIMARY HEALTH CARE IN BRAZIL

Abstract The article is the result of a cross-sectional study about care in mental health with 29,778 teams from the Family Health Strategy from all over Brazil (87.1% of the total of teams), including a normative evaluation of the data of the second cycle of the National Program for the Enhancement of Access and Quality in Primary Health Care (2013-2014) in the dimensions of the profile of the professionals, promotion of mental health, management, and offer of care. The results showed that 33.8% of the interviewees had precarious labor relationships, and that 60.3% of them did not feel prepared to work in mental health. The offer of the set of actions evaluated only occurred in 9.5% of the teams in all of Brazil (2.2% in the Northern region). Around half of them did not develop strategies to promote health, and only 9.8% actually carried out the management of care. We concluded that the low percentages of implementation on the national level coexist with significant regional inequalities, with the worst results coming from the Northern region. It is necessary to strengthen the actions of promotion of health, the qualification of the teams, to reverse the precariousness of the labor relationships, and to reorganize the management of care.