Care strategies adopted by nurses for the implementation of Psychosocial Care Centers

Keywords: Nursing; Strategies; Mental Health Services.


Objective: to understand nursing care strategies during the implementation of the Psychosocial Care Centers. Methods: this is a qualitative research with a social-historical approach, whose primary sources were written documents and seven oral statements. Results: the care strategies evidenced were: integration in the team; organization of the work process; study group; interdisciplinary action; workshops; use of light care technologies. Conclusion: the strategies were in agreement with the Brazilian Psychiatric Reform movement and reinforced that the nurse was a fundamental member in the team for the development of the deinstitutionalization and psychosocial rehabilitation with the patients of the Psychosocial Care Centers researched.


Almeida Filho AJ, Fortes FLS, Queirós PJP, Peres MAA, Vidinha TSS, Rodrigues MA. Trajetória histórica da reforma psiquiátrica em Portugal e no Brasil. Referência. 2015; 21(4):117-25. doi:

Maftum AM, Silva AG, Borba LO, Brusamarello T, Czarnobay J. Changes in professional practice in the mental health area against brazilian psychiatric reform in the vision of the nursing team. Rev Pesq Cuid Fundam on line. 2017; 9(2):309-14. doi:

Emmanuel-Tauro DV, Foscaches DAL. As atuais políticas de saúde mental no Brasil: reflexões à luz da obra de Cornelius Castoriadis. Mental [Internet]. 2018 [cited 2018 July 13]; 12(22):90-112. Available from:

Fortes FLS, Peres MAA, Santos TCF, Martins GCS, Montenegro HRA, Almeida Filho AJ. Mental health nurses: conceptions about professional qualification in a Psychosocial Care Center. Rev Rene. 2017; 18(6):763-70. doi: 10.15253/2175-6783.2017000600009

Lourenço BS, Peres MAA, Porto IS, Oliveira RMP, Dutra VFD. Physical activity as a therapeutic strategy in mental health: an integrative review with implication for nursing care. Esc Anna Nery. 2017; 21(3):e20160390. doi:

Lima DWC, Silveira LC, Vieira AN, Cunha BMC, Almeida ANS, Guerreiro EM. Theoretical references that guide nursing practice in mental health. Esc Anna Nery. 2014; 18(2):336-42. doi:

Almeida Filho AJ, Queirós PJP, Rodrigues MA. Psychosocial rehabilitation in assisted housing in Brazil and Portugal. Texto Contexto Enferm. 2016; 25(1):1-9. doi:

Padilha MICS, Bellaguarda MLR, Nelson S, Maia ARC, Costa R. The use of sources in historical reserarch. Texto Contexto Enferm. 2017; 14(4):e2760017. doi:

Delgado LAN, Ferreira MM. História do tempo presente. Rio de Janeiro: FGV Editora; 2014.

Longden E, Read J, Dillon J. Improving Community Mental Health Services: The Need for a Paradigm Shift. Isr J Psychiatry Relat Sci [Internet]. 2016 [cited Jul 28, 2018]; 53(1):22-9. Available from:

Santos SN, Esperidião E, Queiroz BAL, Gonçalves CAC, Silva SAC, Carvalho Silva KK. Perception of nurses about advantages and constraints of their practice in mental health services. Rev Bras Enferm. 2013; 66(5):745-52. doi:

Cai SY, Fung DSS. Community Mental Health as a Population-based Mental Health Approach. Isr J Psychiatry Relat Sci [Internet.] 2016 [cited Oct 28, 2018]; 53(1):33-9. Available from:

Silva NS, Esperidião E, Gonçalves CAC, Silva SAC, Carvalho SKK. Development of human resources for work in mental health services. Texto Contexto Enferm. 2013; 22(4):1142-51. doi:

Marie M, Hannigan B, Jones A. Challenges for nurses who work in community mental health centres in the West Bank, Palestin. Int J Ment Health Syst. 2017; 11(3). doi:

Bandeira PM, Sousa CHP, Guimarães JCS, Almeida Filho AJ, Peres MAA. Psychiatric nursing in integrated wards accommodating both female and male patients: a historic pioneering reform initiative implemented by the Institute of Psychiatry, a Unit of the Federal University of Rio de Janeiro, Brazil. Issues Ment Health Nurs. 2015; 36(10):791-8. doi:

Liu WI. Examining Taiwanese psychiatric nurses’ knowledge and confidence in case management. J Contin Educ Nurs. 2014; 45(1):43-8. doi:

Research Article