Apoio Matricial em saúde mental: a perspectiva dos especialistas sobre o processo de trabalho

Abstract

RESUMO O artigo aborda a descentralização em saúde mental por meio do Apoio Matricial na Atenção Primária à Saúde (APS). A pesquisa teve como objetivo geral investigar o Apoio Matricial em saúde mental na APS na perspectiva dos especialistas, levando em conta as diretrizes do Sistema Único de Saúde (SUS) e da Reforma Psiquiátrica. Trata-se de uma pesquisa qualitativa, realizada mediante entrevistas semiestruturadas e grupo focal com apoiadores matriciais em saúde mental. Os resultados evidenciam o aspecto processual da construção conjunta de intervenções sustentadas pela corresponsabilização e pela cogestão; os arranjos organizacionais e operacionais fundamentados em ações de supervisão, discussão de casos clínicos e atendimento conjunto. As relações personalizadas com as equipes de referência, o viés de saúde pública dos especialistas e o investimento em sensibilizar os profissionais generalistas e especialistas foram identificados na pesquisa. Conclui-se que o Apoio Matricial se sustenta por meio de tecnologias relacionais, na sistematicidade dos encontros e na longitudinalidade, devendo ser tais questões consideradas no cuidado interprofissional.

Impacto do apoio matricial a idosos na atenção primária: ensaio comunitário randomizado

“…It is also important to highlight that the Brazilian Ministry of Health considered, in the evaluation of the quality of primary care, the standard related to the matrix support received by the family health team as a strategy of permanent education of its workers 17 , 18 . It is also important for managers to provide this type of support to teams, in order to better qualify and fix the FHS professionals 17 , 19 . In this study, the actions of matrix support in the health of the older adults in PHC reduced the clinical and functional vulnerability of people aged 60 years or older.…”

“…There are good experiences of PHC strengthening that combine the empowerment of health teams with support for the management of health care, such as matrix support 17 , 18 . Matrix support (MS) in health emerged as an innovative strategy, based on the promotion of an organizational system of continuous care and educational services network within the scope of SUS 17 . The main idea of the MS is to operationalize the integrated functioning of the network by ecoparticipative and interprofessional relationship of its elements 17 , 19 - 21 .…”

“…Matrix support (MS) in health emerged as an innovative strategy, based on the promotion of an organizational system of continuous care and educational services network within the scope of SUS 17 . The main idea of the MS is to operationalize the integrated functioning of the network by ecoparticipative and interprofessional relationship of its elements 17 , 19 - 21 . Matrix support consists of theoretical and conceptual reconstruction of interdisciplinary work methodology in health — considering the relationship between reference teams (RT) and matrix support professionals (secondary care).…”

“…Among the successful experiences of MS, the case of mental health can be highlighted, with a reform model of care in shared interprofessional practices associated with co-responsibility between team and users, contributing to the development of actions to decentralize care 17 , 18 . The proposal of a matrix model in the health care of older adults is an idea not yet consolidated in the country and it is in line with the needs of health services to enhance care network 1 , 3 , 8 .…”

Contribuições da educação permanente aos núcleos ampliados de saúde da família

“…Although few studies corroborate this finding, recent research on matrix support supports this activity as strengthening a broader look at the community rather than the logic of meeting the demand alone. 27 Continuous education emerges in the context of FHEC as part of the daily routine of its work process and, thus, favoring the interprofessional dimension inherent to the performance of the teams. This perspective shares goals, develops team identity 28 and seeks comprehensive care, considering the complex and dynamic nature of the health needs of communities as co-producers of health.…”