Devir-cuidado-minoritário & matriciamento em saúde mental: cartografias com trabalhadores da saúde

Abstract

The present study shows the result of a bibliographic survey stringed together with qualitative field research, producing a knowledge about the caring of people with psychic suffering throughout a matrix support in mental health. In the first stage, cartography presents itself as a possibility for production of knowledge, showing that the data recorded during the research are not detached from what happens on the field. In the second stage, there is the recovery of a debate about the various sides that the act of caring throughout health care practices can take on and its relation to the act of researching itself. Mental Health Reform Movement and the principles from Unified Health System SUS) are redeemed in order to rethink our health care practices related to modern psychological distress, according to the meanings we have assigned to the signs “treatment” and “caring”. One proposes a “minority-care-becoming”, an action in process in the territory of the psychosocial attention´s clinic, demanding relations between several actors and devices, promoting new ways of subjectivity. The third stage outlines the health care worker´s visions, taking their experiences related to the work of the matrix support in mental health undertaken by one Brazil´s Centre for Psycho Social Attention (CAPS) and Brazil´s Family Health Strategy´s teams (ESF). This brings light to the debate about the matrix support carried out among the singularities of two distinctive services: CAPS and Family´s Health Support Centers (NASF). The debate displays the tensions found in the field when trying to make the distinctions between a “CAPS-matrix support” and a “NASF-matrix support”. Finally, different opinions are revealed in active and reactive movements linked to the researched subject, pointing out the importance of the co-existence of both services, CAPS and NASF, as well as sharing their work on mental health matrix support in/with (the) territory.