Abordagem intersetorial nos serviços de atenção em saúde mental

Abstract

Intersectoral approach in mental health care services Noncommunicable chronic diseases are one of the greatest challenges in global health, since they cover the most varied chronic conditions that affect health and physical, social and mental well-being, causing suffering: among them we highlight mental illnesses. Often misunderstood, stigmatized and marginalized, people affected by mental health problems need protection and from the implementation of policies and strategies that involve treatment, social support and, above all, reintegration into the community. It is imperative that misconceptions in society are reversed, so that the key elements of the success of such policies imply family and community involvement in the purposes and measures of care, treatment, inclusion and integration in the various social spheres. World leaders have stated in 2015 that mental health, well-being, substance abuse prevention and treatment are health priorities within the global development agenda. This decision was crucial for a positive impact on the lives of millions of people who need help to overcome their condition of dependency, or live with family in these situations. The decision to include Mental Health as part of the 3 goals that make up the 17 Sustainable Development Goals (SDGs) is symbolic and representative of the recognition of its importance (1). In 2011 the WHO signaled to the complex web of determinants that relate to and affect the health and quality of life, stressing the concept that the health sector alone cannot adequately address the complex interrelated factors, such as social , economic and environmental factors that affect people's health. It urged member states to an intersectoral call for action, with active involvement and commitment to the goal of providing health and well-being to the entire population (2). Forty years separate us from the creation of the concept of intersectorality in coordinated actions to improve health: in 1978, the Declaration of Alma-Ata recognized the benefit of economic and social development for health. In the definition of primary health care, the Declaration clearly identified the role of different sectors at both national and local levels, while calling for coordinated intersectoral action (3). The rationale behind this broader public health approach is related to emerging evidence that reveals the key role that socioeconomic factors play in determining health status. Mental health is no exception, since it constitutes, together with physical health, two inseparable aspects of health.