masterThesis
Apoio matricial em saúde mental: ferramenta para o cuidado integral
Fecha
2019-04-29Registro en:
GARCIA, Lívia Cristina Siqueira. Apoio matricial em saúde mental: ferramenta para o cuidado integral. 2019. 156f. Dissertação (Mestrado Profissional em Práticas de Saúde e Educação) - Escola de Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2019.
Autor
Garcia, Lívia Cristina Siqueira
Resumen
The conception of Matrix support involves co-management strategies and support to
operate in networks and in the health system, incorporating the concepcion extended
health/disease process, the dialogue and the relational constitution of
multiprofessional teams for coping the problems. In the field of mental health this
methodology is considered strategic to guarantee the principle of completeness of
the actions in health, because it aims to establish better coordination between the
Centre for psychosocial care (CAPS) and the basic attention (AB). However, there
are aspects of this relationship developed by CAPS III East of Natal, Rio Grande do
Norte, in AB which need to be investigated, related to integration between teams of
basic attention and supporters in to institute in the work dynamics the requests of the
matrix support for sharing or discussion of cases. It is understood that the
construction of this relationship is complex and procedural task which we consider to
be potentially relevant to the strengthening of mental health policy in the city. Thus,
this study aimed to analyze the matrix support in mental health from the point of view
of professionals in the basic attention of Sanitary Districts East and South of
Natal/RN and develop according to the gaps identified a technical product suggestion
to qualify the Matricial Support, through the establishment of technologies (approach,
relation, action, other). This is a study whose design is descriptive and exploratory
nature of qualitative approach. The subjects of the research were the medical
professionals, nurses, nursing technicians and community health agents (ACS),
totaling 15 subjects, working in basic units with the model of the family health
strategy. The option for research in health districts South and East in virtue of being
the territory of the CAPS range III East. Data collection was used to interview with
semi structured roadmap and for analysis the analysis technique of thematic content.
To assist in the processing of textual data was used the ATLAS/ti software. The
findings built from the transcripts of the interviews revealed three categories and
subcategories, namely: a) what is said and what is meant, with their respective
subcategories, which brings understanding of the subjects of research about the
matrix support of mental health in the basic attention; b) what have and how to offer
and its subcategories covering the characteristics, organization and contributions of
the matrix support actions; c) limits and possibilities: what can we?, revealing the
difficulties identified and the paths pointed out by the subjects of the research on the
matrix support in mental health in basic care. Overall, the narratives reveal
antagonistic conceptions in relation to knowledge and practices Matrix support. The
results revealed the Matrix Support being offered by the CAPS and the Psychiatry
residents HUOL/UFRN, though with limitations related to organizational, relational
aspects and to request the Support flows, in the context both of the micropolitical in
the production and management of care, as in macropolitíca. The suggestions points
to aspects that promote continuity of support actions, the interprofessional work, the
link, and the exercise of Support based on the design of the clinic expanded and not
in the biomedical model, vertical. As technical product we suggest the strategy Matrix
Support Regulated as practical and feasible intervention, able to favor
communication processes from the request and coordination of AB, able to
establishing flows, criteria for requesting and management of care. From this study, it
is expected to contribute reflexively about the need to include new practices less
fragmentary, discontinuous and circumstantial in the daily services and guaranteeing
care in community-based mental health, especially of Christmas. And in this way
contribute to the methodology Matrix support, for your potential transformer of working relationships between the teams, a strategy that extends the networking and
that favors full, continuous care and quality for users the Health Unic System (SUS).