Since the regulation of the Unique Health System (SUS), the transformations in the public health have brought reflexes in the work organization. The Family’s Health Strategy (ESF), one of the measures to bring into reality the extolled changes, was the scenery of this research, whose aim was to identify the relation between the psychological distress of the worker and the organization of work in the ESF. The theoretical foundation was historical materialism, with contributions of Social Psychology, Psychodynamics of Work and Health, enabling the understanding of psychological distress in the organization of work, permeated by the capitalist logic. Participant observation and interviews were used in the survey data in a qualitative approach. The analysis was performed using themes and subthemes, with content analysis. The three themes were: implications of personal order, everyday work of care, and the institutional infrastructure, showing relationships between functional and structural difficulties in the organization of work and psychological distress.
Psychic distress; family health program; work organization