Mental Health at Work: An Experience Report from a Discussion Group with Community Health Agents.

Abstract

Introduction: The WHO defines mental health as a state of well-being and functionality. Within this concept, the mental health of healthcare workers deserves attention, especially Community Health Agents (CHAs), who are exposed to excessive workloads, emotional distress, and, more recently, the impacts of the pandemic. Considering this, a conversation circle was proposed to address this topic with professionals, promoting listening, reflection, and awareness in a welcoming environment. Objective: To report on the implementation of a conversation circle about mental health with CHAs at a Primary Health Unit (PHU) in Fortaleza, organized by medical students from UNIFOR. Experience Report: During their internship at the PHU, students noticed that, although patients were well cared for, the unit's staff, especially the CHAs, showed signs of psychological distress. After analysis, a conversation circle focused on occupational health was planned. Educational materials and a QR Code with useful information were used. The session included six CHAs and one staff member, leading to deep discussions about stress, overload, social roles, domestic violence, and emotional challenges. The participants’ testimonies were spontaneous and sincere, revealing latent demands that are often overlooked in their professional routine. Experience Reflection: Three main themes emerged: parental stress, childhood violence, and burnout syndrome. Each directly affects the well-being of CHAs, who face emotional and physical challenges, intensified by their close ties with the communities they serve. Conclusions: The conversation circle achieved its goals by providing a space for listening, support, and sharing. The experience highlighted the need to expand mental health care for CHAs, given their emotional burden and often invisible struggles. Furthermore, the activity was enriching for the students, helping them develop skills such as empathy, active listening, and communication. It also underscored the importance of public policies focused on the well-being of these professionals and the strengthening of continuous psychological support actions.