Matrix support, individual therapeutic project and prodution in mental health care

Abstract

The study aimed to understand how to conform the Support Matrix and Individual Therapeutic Project and its relation with the production of mental health care. This is qualitative research conducted in Fortaleza-CE, Center for Psychosocial Care and Center for Family Health. 17 people participated, between professionals and patients. It was used as for dates collecting semi-structured and systematic observation. The findings were analyzed by narrative analysis, grounded theory by Ricoeur. The results reveal themselves excessive referrals, medical-centered, dependence Health Center to support the specialized care, deficiency of physical space, network disconnection, outsourcing and professional unpreparedness of the Health Center as the production difficulties of care. The Support Matrix and Individual Therapeutic Project therefore happen in everyday services, but with difficulties that affect the organization and production of care.

Projeto Terapêutico Singular e Processo de Enfermagem em uma perspectiva de cuidado interdisciplinar

“…The studies sought to understand or discuss the construction of the therapeutic project of CAPS users and the articulations of the mental health team with other health services and sectors of society. It was observed that the construction of the PTS is based on the health needs of each user, through mutual effort between the team, users and families, being an important mental health care instrument and a strategy for the organization of these services (17,32) . The elaboration of PTS in hospital care was identified in only one (4.3%) study on the insertion of multiprofessional residency in a university hospital in Brazil.…”

“…The singularity of individuals and collectives is the essence of the therapeutic project, considered as the central articulating element of this instrument (17,25) . In the work team axis, the frequent specificity of PTS was the insertion in the interdisciplinary context.…”

Singular therapeutic project in mental health: an integrative review

“…However, it is observed that the difficulty or even absence of intersectional articulation and network treatment, mainly in matters related to violence and social ruptures throughout the development of a PTS, even with matrix support in NAAB and NASF teams (18) . Neglect towards subjective issues of the environment where users are inserted can be noticed from the speech of some patients (individuals) as they complain about the treatment they received in certain health services, criticizing objective therapeutic approaches that are restricted to the indication and use of medication and the reissue of prescriptions (19) .…”

Resources, objectives and guidelines in a Psychosocial Care Network structure

“…With regard to the feasibility of PTS, a device that allows appropriation of living conditions and users' needs and enables full care (16) , it is fundamental that the network establish CL. Except in the PSC, one has as a technological resource compromised, indicating a gap between what is planned and performed in terms of care.…”