Accessibility and resolution of mental health care: the matrix support experience/Acessibilidade e resolubilidade da assistencia em saude mental: a experiencia do apoio matricial

Psycho-social Care Centers (PCC) are also designed to coordinate actions in mental health care in Brazil, mainly at Primary Health Care (PHC) level. Matrix support is one of the pillars of the program, as it aims to ensure assistance of specialized back-up staff to the health teams. In this respect, this research seeks to understand how matrix actions in mental health contribute to the accessibility and resolution of mental health cases. This study involved qualitative research conducted in the cities of Fortaleza and Sobral in the State of Ceara, where 37 (thirty-seven) mental health workers, 14 (fourteen) primary health care users and 13 (thirteen) relatives who took part in matrix support actions were interviewed. As the results revealed, the PHC workers do not feel qualified to intervene in mental health cases. There is also excess haste in referring users to PCCs making access to mental health care more difficult. However, it was identified that discussions on mental health in primary care allow the appropriation of cases by PHC workers and promote rapprochement between the teams. In this way, they influence the resolution of mental health cases. Key words Mental health, Primary health care, Matrix support, Access to health services Os Centros de Atencao Psicossocial (CAPS) tem tambem como finalidade articular acoes de saude mental no territorio, principalmente na Atencao Primaria a Saude (APS). O apoio matricial euma das formas para esta articulacao, pois objetiva assegurar retaguarda especializada as equipes de saude. Diante disto, a pesquisa pretende compreender como as acoes de matriciamento em saude mental contribuem para a acessibilidade e a resolubilidade dos casos. Trata-se de uma pesquisa qualitativa realizada nas cidades de Fortaleza e Sobral, no Estado do Ceara, cujos sujeitos entrevistados foram 37 (trinta e sete) trabalhadores de saude mental e da atencao primaria, 14 (quatorze) usuarios e 13 (treze) familiares que participaram das acoes do apoio matricial. Conforme os resultados demonstraram os trabalhadores da APS nao se sentem instrumentalizados para intervir nos casos de saude mental. Existe uma precipitacao nos encaminhamentos dos usuarios para os CAPS, dificultando a acessibilidade da assistencia em saude mental. Porem, identificou-se que as discussoes em saude mental na atencao primaria possibilitam a apropriacao dos casos pelos trabalhadores da APS e promovem a aproximacao entre as equipes. Deste modo influenciam na resolubilidade