Apoio matricial em saúde mental: representações sociais de trabalhadores da atenção primária à saúde

Abstract

The objective of this study was to investigate the social representations of workers of a Family Health team about Matrix Support. We seek to analyze, understand and interpret the ideas, perceptions and concepts reported by participants. The study had as a field of study a family health unit in a municipality in the interior of São Paulo. In the construction of this work, we counted on the participation, as interviewees, of thirteen members of this FHS selected for the research (all the workers who worked there in a superior period two months ago and who were in contact with the actions of matrix support). This is a qualitative research, like a case study, in which methodological approach we used semi-structured interviews from which the contents were analyzed by IRAMUTEQ software. The results presented point to the formation of 5 classes based on two themes: Experiences in mental health, with classes in mental health and mental health learning, classes 1 and 4 respectively; the second theme, attributions and actions of the matrix support with the classes: the role of the NASF in the matrix support, the matrix support in the establishment of the diagnosis and referrals to the specialized services by the primary care and activities of matrix support performed by NASF professionals, being classes 2, 3 and 5, respectively. The matrix support was presented by the group as synonymous with NASF, and represented as something important, however, with notes of poor comprehension, difficulties of knowing the role and for what it effectively serves, thus, how they perceive that it is an activity for a group professionals, doctors, and all other workers are left without the need for such support. Such perception seems to be anchored and maintained by the hegemonic tradition of the domain of health knowledge by certain groups of workers. Thus, mental health activities, such as care and learning in mental health, remain ineffective, pointing out that the matrix support should be better organized and grounded as a policy for transforming primary health care.