"Ah, mais uma reunião, mais uma reunião!" : um estudo sobre os sentidos atribuídos ao matriciamento em saúde mental no município de Vera Cruz - RS.

Abstract

The matrix support in mental health, with its proposal of integration in Primary Care, constitutes an important strategy of articulation and sharing of knowledge and practices for the accomplishment of the principles and guidelines of the Unified Health System (SUS, in Portuguese). It is a practice in the process of construction in the network, which needs to be placed under constant analysis to establish itself as an efficient strategy for health promotion and for the deinstitutionalization of care. This study presents the intervention research whose general objective was to understand the meanings attributed to matrix support, based on professionals working in mental health and primary health care, and the actions potentiated by such practice. For this proposal, higher education professionals who work in CAPS I and Family Health Strategies in the city of Vera Cruz - RS participated in three focus groups and a restitution group. The data produced were analyzed based on social constructionism, as proposed by Mary Jane Spink (2013). Four thematic axes were constructed for analysis, namely: a) Dis/articulation of the network; b) Role of actors and difficulties in implementation; c) Expectations in implementation; d) The still fragmented model of care and impressions about matrix support. Through the results, similarities between the findings in the literature and the data produced can be identified, such as the desire to increase the interaction of primary care and specialized care teams, as there is a large gap; the instability of the composition of the teams that ends up demotivating the professionals; and the little importance given by the teams to the matrix process. However, despite this, the teams show a desire to change this scenario. It’s concluded that, despite the difficulties presented, there is a hopeful look for effective changes in the sense of more possibilities for exchanges, interaction, and care with the teams, as well as a collective interest in promoting spaces for the production and maintenance of knowledge, as proposed by permanent health education.