Apoio matricial em saúde mental na atenção primária: estratégia de resolutividade e satisfação da equipe

• Autor(a) principal: Suarez, Maria Clara Schnaidman
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_SP
• Texto Completo: https://tede2.pucsp.br/handle/handle/20776
• topic: Saúde mental; Hospitais psiquiátricos; Atenção Primária à Saúde; Mental health; Psychiatric hospitals; Primary Health Care; CNPQ::CIENCIAS DA SAUDE

The region of Sorocaba/SP concentrated between the 1960s and 2012, the largest number of psychiatric beds in the country, mainly occupied by long-term patients. Based on the precepts of the Brazilian Psychiatric Reform and motivated by denunciations of ill-treatment, in December 2012, the signing of a Conduct Adjustment Agreement determined the deinstitutionalization of all persons interned together with the restructuring of the Psychosocial Care Network. From the GM Ordinance 3088/2011, which included the Primary Care as one of the main points of the PCN, there have been several changes and adjustments necessary for the mental health care in these services would be possible and effective. The Matrix Support came as the main tool suggested by the Ministry of Health for this construction. This research aims to demonstrate the relationship between the matrix support in mental health in primary care and the improvement in solving cases, and know the opinion of the BHU teams after the matrix support in order to better understand the needs of users with mental suffering. This is an observational, cross-sectional and exploratory study with a quanti-qualitative approach. Information collection were obtained through a semi-structured questionnaire with open questions validated by an expert committee of 5 specialists and applied to 36 health professionals from four of the thirty-one BHU of Sorocaba/SP, after approval by The Ethics Committee of Faculdade de Ciências Médicas e da Saúde of PUC-SP. A Laurence Bardin content analysis method was used for open questions analysis. The research showed that the matrix support improves the resolution of the problems related to Mental Health in the BHU and in the opinion of the participants offers greater satisfaction to the team in this resolution, for a better understanding of the cases attended, and for the opportunity to discuss the cases with the matrix support teams, despite pointing obstacles to be overcome