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The search was done in April and May of The retention of articles emphasized the inclusion of those that treated the following themes: Worker Health Surveillance and Mental Health. For this stage, a reading of the title and abstract of each work was carried out. Finally, considering the established criteria, the review identified sixnteen documents: ten articles, two dissertations, two theses, and two protocols of mental healthcare and work.

After the selection of the material, the data was collected which took into account: title of the work, descriptors, sources consulted, scientific journal where it was disseminated, methods employed, objectives, and results. The results were categorized according to previous knowledge about the subject and its lacunas, and by repetition in the content. Thumbnail Chart 1 Distribution of documents by type, methodological approach, authors, period, and journal.

One of the protocols identified in this study was developedby the Board of Directorates in Worker Health of the Health Secretary of the State of Bahia, published in , aiming to identify, settle and follow up its cases, notification and the SUS health surveillance actions 9 9. Based in the found data, the following analytical categories were organized: a the prospect of Work-related Mental Health SMRT , contextualizing the current epidemiological scenario, policies and present rules, related to work organization and mental healthrepercussions; b main limitations insufficiency or lack of fulfillment actions, the articulation between theSurveillance sectors, causal nexus difficulties and under-reporting which promote the low visibility of the problem; c issues related to the few actions of intervention, insufficient and characterized by reductionist logic that does not combat the origin of the problems related to worker illness.

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In spite of the little attention given to mental and behavioral disorders concerning work-related illnesses, official statistics from Social Security and the results of epidemiological studies strengthen the relevance of these events as a cause of illness benefits concession due to incapacity, or indicate higher prevalence of mental illness in groups of workers in Brazil 10 Brito 14 Brito CO.

The participation of the Family Health Units was very low only 1. The most frequent diagnoses were neurotic and mood disorders, with Cordeiro et al. Epi Serv Saude ; 25 2 The men were The study emphasized the greater frequency of cases among workers with high school and college educations, in the formal job market, belonging to the sales and service sectors.

The grievances with the most notification were post-traumatic stress, followed by depressive episodes. Temporary incapacity was the most prevalent outcome, representing In , 12, cases were reported, and in there were 8, cases, contrasting with data from the period of to in which an increase was verified in the number of benefits from this cause 10 The number of rural retirements due to disability in this same period also fell, from to The same logic prevails for the quantities of sick leaves granted in the period, which fell from , to , In an analogous way, it is probable that the reduction in the number of observed cases beginning in reveals barriers to the recognition of cases, as a reflex of governmental efforts encouraging the refusal of benefits to sick workers, by way of restrictions and guidelines adopted by the INSS.

These examples, for their part, reveal how much this event is bound up with the context of the correlation of the relationships between capital and labor, and the degree to which we are still far from a more precise understanding of the scale of the problem. Various studies 15 Sato L, Bernardo MH. Cien Saude Colet ; 10 4 Freire LSM. Souza HA. Campinas: PUC-Campinas; Because of these skewed statistics, mental health at work still lacks prioritization in the planning of actions and public policies.

The role of the health professional - in the investigation and establishment of the nexus between the mental grievance and the work condition, in the notification, in the follow-up on cases, monitoring of the conditions, and organization of work - is emphasized. This highlights that the professionals still confront troubling difficulties in their education, which includes lack of training, and a traditional view of illness centered on the medical model with a focus on the disease, which obstructs, impedes, or weakens the actions of VISAT in the RENAST 19 The issue of under-reporting of the TMRT is only one of the difficulties encountered, which also extend to the offering of health services with a focus on mental illness.

Rev Bras Saude Ocup , e7. The inspection of the work environment Therefore, there is much progress to be made in the structuring of mental health and work services at the SUS, including their expansion at RENAST itself, since the actions carried out were still incipient.

It is further noted that These data, as a group, demonstrate much fragility in the incorporation of mental health in the VISAT actions. Cien Saude Colet ; 19 12 In spite of the robustness of the whole Network, there is enormous difficulty in the coordination among the different organs and sectors that act on the issues related to SMRT.

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The surveillance actions are local, and many times reduce the problem to curative care, without focusing on the determining factors for the observed illness. Therefore, a crucial aspect in the consolidation and strengthening of the VISAT refers to the role of the worker as an active subject and articulating agent of change at their work.

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The exercise of this active role, decisive in the effectiveness of Surveillance action, depends on the awareness of the worker in recognizing him or herself as a protagonist in these actions. This links back, for its part, with the process of valuing oneself and the appropriation of knowledge pertaining to the work context. This process, however, has its own challenges. Daldon and Lancman 23 Rev Bras Saude Ocup ; 38 However, it is worth stressing that the active participation of the workers as a crucial point for the development of the VISAT is an aspect highlighted by practically all the authors that produce research on this subject 17 Rev Esp para Saude ; 16 2 Physis Rev Saude Colet ; 25 4 In addition to these, other outstanding lacunas in the VISAT actions can be perceived, like the distinctions among such actions in different regions.

In fact, to regionalize such actions could be considered positive in the sense of understanding the specific demands of each locale, and to act sensitively regarding them. In practice, however, this has meant a great heterogeneity in RENAST actions, with very different theoretical and methodological foci and presuppositions.

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Thus, instead of strengthening actions in this field, it has produced fragmentation, absence of planning and the minimum consensus that, concretely, act as a buffer to the desired growth of these actions. The needed advances thus remain inviable or difficult. The definition and implementation of public policies of mental health protection and promotion is a central aspect of this context. Freire 18 In this document, normative instruments for the guidance and theoretical and methodological support for activity in mental health and work were brought together.

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These included the following: configuration of the causal nexus for mental disorders, observation and referral of cases, of monitoring of work conditions and organization, so as to follow the principle of integrated care, envisioned in the SUS principles. This instrument reinforces the Surveillance actions from the perspective of strengthening the institutional relations and interconnection among the different types of health surveillance 9 9.

Some initiatives, even while still tentative, were carried out with the intention of standardizing the processes for establishment of the technical epidemiological nexus, such as were instituted in Law Epi Serv Saude ; 12 3 Diogo 10 hotels You'll love tranquillity, nature and relaxation during your next trip to Diogo! Baixio 9 hotels Baixio is highly rated by travelers for tranquillity, nature and relaxation. Guanambi 8 hotels You'll love meeting new people, relaxation and wine during your next trip to Guanambi! Jenipabu 7 hotels.

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