Planejamento em saúde

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Accessibility and resolution of mental health care: the matrix support experience

Paulo Henrique Dias Quinderé 1
Maria Salete Bessa Jorge 1
Maria Sônia Lima Nogueira 1
Liduina Farias Almeida da Costa 1
Mardenia Gomes Ferreira Vasconcelos 1

1
Saúde Pública,
Universidade Estadual do
Ceará. Av. Paranjana 1700,
Itaperi. 60740-000
Fortaleza CE. [e-mail] Abstract Psycho-social Care Centers (PCC) are also designed to coordinate actions in mental health care in Brazil, mainly at Primary Health
Care (PHC) level. Matrix support is one of the pillars of the program, as it aims to ensure assistance of specialized back-up staff to the health teams. In this respect, this research seeks to understand how matrix actions in mental health contribute to the accessibility and resolution of mental health cases. This study involved qualitative research conducted in the cities of Fortaleza and Sobral in the State of Ceará, where 37 (thirty-seven) mental health workers, 14 (fourteen) primary health care users and 13 (thirteen) relatives who took part in matrix support actions were interviewed. As the results revealed, the PHC workers do not feel qualified to intervene in mental health cases. There is also excess haste in referring users to PCCs making access to mental health care more difficult. However, it was identified that discussions on mental health in primary care allow the appropriation of cases by PHC workers and promote rapprochement between the teams.
In this way, they influence the resolution of mental health cases.
Key words Mental health, Primary health care,
Matrix support, Access to health services

Resumo Os Centros de Atenção Psicossocial
(CAPS) têm também como finalidade articular ações de saúde mental no território, principalmente na Atenção Primária à Saúde (APS). O apoio matricial é uma das formas para esta articulação, pois objetiva assegurar retaguarda especializada às equipes de saúde. Diante disto,