Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.

The Matrix support as a mental health care management strategy

  • Marlene Costa Lima
  • Tonantzin Ribeiro Gonçalves
  • Marlene Costa Lima

    Prefeitura Municipal de Imperatriz , Secretaria Municipal da Saúde , Imperatriz , Maranhão , Brasil .

    Tonantzin Ribeiro Gonçalves

    Universidade do Vale do Rio dos Sinos , Programas de Pós-Graduação em Psicologia e em Saúde Coletiva , São Leopoldo , Rio Grande do Sul , Brasil



Abstract

The present qualitative and cross-sectional study has the aim of analyzing the perspective of the professionals of the psychosocial care centers regarding the matrix support as a psychosocial care strategy in mental health. We used ten semi-structured interviews with mental health service professionals from the municipality of Imperatriz, in the state of Maranhão, Brazil. We concluded that these professionals understand matrix support as an indispensable tool to organize psychosocial care, but it is still used incipiently in their everyday practice regarding the following challenges: coexistence of the psychosocial and biomedical models; lack of work conditions; lack of permanent and ongoing education in the care network; bureaucratization and verticalization of the management actions; and motivation to work on the part of the teams. Some successful experiences regarding matrix support for these workers resulted from the co-management of work processes between professional and users. We recommend that there be a clear direction of the work on the part of the management, with a definition of a team of matrix workers and a planning for its development, creating work processes that favor such a practice.

Keywords

matrix support,
psychosocial support systems,
mental health services

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