Resumo

SANT’ANA, Marcela Ribeiro Lima; PENIDO, Cláudia Maria Filgueiras; OLIVEIRA, Julia Costa de  e  FERREIRA NETO, João Leite. Building Bonds in Mental Health Care within Primary Health Care. Paidéia (Ribeirão Preto) [online]. 2025, vol.35, e3538.  Epub 16-Jan-2026. ISSN 0103-863X.  https://doi.org/10.1590/1982-4327e3538.

Building bonds is a strategic relational technology for mental health care in Primary Health Care, which remains a challenge when dealing with severe psychological distress patients. We analyzed how bonds are and how they are formed between users with severe mental suffering, their families, and Family Health Teams in Belo Horizonte, Minas Gerais. Through qualitative research, thirteen open interviews with Primary Health Care workers, users with severe psychological distress, and their families were conducted and analyzed inductively by dialectical hermeneutic method. We identified some elements that permeate these bonds, such as precarious resources in the health network, the preponderance of the use of psychotropic drugs, the primacy of biomedical logic, and the stigma related to madness. Strengthening bonds between patients, their family members, and Primary Health Care workers can advance Psychiatric Reform. As a limitation of this research, there is a need to expand dialogue with patients and family members on this topic.

Palavras-chave : primary health care; expanded clinic approach; family health strategy; mental health services.

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