MENTAL HEALTH IN PRIMARY CARE: ADVANCES AND CHALLENGES

Abstract

Introduction: Mental health is an essential part of primary care, fundamental for the prevention and management of mental disorders. This study highlights the advances and challenges of this integration, such as collaborative models and the use of telemedicine, which have expanded access and care effectiveness, especially in remote contexts. Material and Methods: A literature review was conducted following PRISMA guidelines, including articles published between 2007 and 2023, in Portuguese, English, and Spanish. The search was carried out in the PubMed, SciELO, Scopus, and Google Scholar databases, using specific descriptors. The articles were qualitatively analyzed, identifying patterns, gaps, and relevant strategies for integrating mental health into primary care. Results and Discussion: The results point to significant advances, such as the inclusion of specialized professionals, continuous training, and technologies like telemedicine, which have increased the resolvability and reach of care. However, barriers such as insufficient financial resources, social stigma, and workload overload still limit the effectiveness of the integrated model. Future strategies include increased funding, intersectoral articulation, and the adoption of technological tools, as well as public policies focused on equity and stigma reduction. Conclusions: The integration of mental health into primary care is a complex yet indispensable challenge to improve the quality of life of the populations served. This study reinforces the need for sustainable and collaborative solutions aligned with local and global demands.