Mental health care and psychosocial care in Primary Health Care in Brazil: a scoping review

Abstract

A scoping review study aimed to map, in scientific literature, studies on experiences of mental health care and psychosocial care in Primary Health Care in Brazil. The search in databases took place on March 16, 2022, by combining the terms “Mental Health Care”, “Mental Health”, “Primary Health Care”, “Health Care Models” and “Brazil”, using the Boolean operators AND and OR. The final sample consisted of 54 studies, which highlighted general mental health care in primary care services, such as matrix support, reception and Singular Therapeutic Project, as the main care strategies. The analysis revealed the persistence of barriers or limits related to the biomedical model rooted in health practices, in addition to highlighting advances in the application and consolidation of concepts related to humanization and its care devices. Mental health and psychosocial care in Primary Health Care settings are in a constant process of technical-political construction and epistemological resignification.