A Integração do Cuidado em Saúde Mental na Atenção Primária: um estudo sobre o matriciamento na Área Programática 2.2 do município do Rio de Janeiro

Abstract

Integrating mental health into primary care: a study about Brazilian collaborative care model in a Programmatic Area in Rio de Janeiro, analysed the Brazilian mental health collaborative care called matrix support. The relevance of this study is due to the world mental health gap, as well as mental health and primary care joint activities development in Brazil, which aims to improve primary care teams skills and raise access to mental health suffering community based. The aims were: to review a literature; to study perceptions of health professionals and managers about primary mental health care integration; to study emotional suffering women s narratives about mental health offer treatment in primary care setting, and comparing these views about the same subject. The study method was triangulation between Literature Review, a Mixed-method and a narrative study. The literature review was crucial to understand how this process f work integration perspective has been experienced in the last years, before and after the creation of Family Health Support Centres. Besides that, three articles were published: Matriciamento em saúde mental na Atenção Primária: uma revisão crítica (2000-2010); Perceptions of Health Managers and Professionals about Mental Health and Primary Care Integration in Rio de Janeiro: a Mixed Methods Study e Anxious and Depressed Women s Experiences of Emotional Suffering and Help Seeking in a Rio de Janeiro Favela (Experiências de Mulheres Ansiosas e Deprimidas sobre Sofrimento Emocional e Busca de Cuidado em uma Favela do Rio de Janeiro. The comparison between these studies demonstrated that the mental health matrix support in Brazil started a process of care based in prevalence data, however this Brazilian model have been building new perspective in health work; for instance, task sharing, building a network, and recognizing people with emotional suffering, which matches with Brazilian Psychiatric Reform. Moreover, this study emphasizes how important is to developing cultural and social competences in primary mental health care in order to treat people with gender, violence e vulnerability issues.