Table 5 Open-ended question summary
Mental Health and Primary Care Integration | Positive aspects | Negative aspects |
|---|---|---|
Network category | • Connecting primary care and mental health services. • Planning care together | • Lack of knowledge about different units, system structures and work processes • Constraints regarding institutional processes |
Primary Mental Health education category | • Helping non-specialists managing mental health problems • Training SUS gatekeepers to identify mental health problems • Narrowing the communication gap between different work processes • Favouring primary teams to diagnose and prescribe appropriate interventions. | • Lack of human resources, excessive turnover of GPs, excessive working hours • Lack of knowledge regarding psychosocial interventions in PC |
Primary Mental Health Interventions category | • Improving access to cases of difficult adherence • Delivering mental health care in the community • Integrating actions to care of co-morbidities | • Integrating different professionals’ timetables • Low frequency of mental health matrix support in the community (once a month) • Continuity of care is not perceived as a health tenet |