PSYCHIATRY IN THE PRIMARY CARE CONTEXT

Introduction: The Brazilian public health system started in 1808. Since its beginning, it went through several political and operational changes, until the creation of SUS (Unified Health System in Portuguese), in 1988. The presence of general practitioners leading the care is essential for the proper functioning of the primary care. Nevertheless, there are still some society demands that are not highlighted and/or tracked, as it is the case of mental health. Objectives: Study the context of mental health in primary care, with its changes throughout history, the way it is recognized and tracked in such level of care, analyzing its positive aspects and its deficiencies. Methodology: Appraisal of the related medical literature, taking as the starting point psychiatry, primary care and the relationship between both. Discussion: Epidemiological studies have shown that mental disorders have become commonplace in a global scale. Such disorders are very common and capable of leading to disabilities and suffering. Their correct and early diagnosis in primary care is essential. One of the benefits of the insertion of mental health in primary care is the possibility of a more heartening acceptance of the afflicted individuals by the medical personnel. That allows the medical staff to better know the individuals and their realities. Conclusion: It is fundamental to recognize psychiatry as a reality in the primary care context and to always assess the mental state, analyzing it and suggesting which treatment should be done.