Banca de DEFESA: MARÍLIA MARTINS DE ARAÚJO REIS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : MARÍLIA MARTINS DE ARAÚJO REIS
DATE: 31/10/2023
TIME: 08:00
LOCAL: Remoto (Link: meet.google.com/zhe-bkfq-dyi)
TITLE:

THE MATRIXING PROCESS BETWEEN MENTAL HEALTH AND PRIMARY CARE IN THE EXTREME SOUTH OF BAHIA – ADVANCES AND CHALLENGES OF THIS NETWORKING

KEY WORDS:

Matrix support; Mental health; Basic Care; Challenges in Mental Health; Democratic practices in Health; Far-south region of Bahia.

 

PAGES: 290
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Matrixing constitutes a democratic dialogical strategy, fundamental to enable actions and dialogues, in a transdisciplinary and intersectoral way, in network articulations, in territories. This health-producing social technology has made it possible to expand the actions of substitute services for psychiatric hospitals - the Psychosocial Care Centers (CAPS) - impacting and reconfiguring interprofessional relationships, by making co-responsibility for care. Faced with recent setbacks in Mental Health, of which the legitimized return of asylum practices stands out, there is an interest in expanding research on the Matrixing between Mental Health (MH) and Primary Care (PC) in the South region of Bahia. The research aimed to characterize the perception of Mental Health and Primary Care professionals about the advances and challenges encountered in their professional practice in the Matrixing process within the context of network work in the municipalities of the Region and execute and analyze a proposal for a Permanent Education Workshop/Preparatory Workshop for Matrix Support with these professionals. It was mixed nature research, qualitative and quantitative, developed in two stages: in the first, bibliographical and documentary research was carried out on the phenomenon of Matrixing and its context with a view to composing the theoretical foundation chapters and allowing the discussion of the results. In the second stage, field research was conducted, with two distinct moments: the first being of quantitative nature, involved the application of questionnaires and a psychometric scale, which was preliminarily validated in this study, which measured the professionals' perception regarding the challenges and advances of the Matrixing. The data collected at this stage were analyzed using descriptive and inferential statistics, with the IBM SPSS 25 program, with a significance level of 0.05 being considered acceptable. In the second moment, of action research, the Permanent Education Workshop preparatory to Matrix Support was held, with the purpose of exchanging knowledge and developing critical reflection on their own practice, with a view to transforming their realities, in which the researcher acted as a participant observer. The quantitative moment of the field stage was carried out with 354 Mental Health and Primary Care professionals (of which 83.1% were women, 58.2 aged between 36 and 55 years, 83% were black and 33.1% were community agents) in the eight municipalities of the region under study. In the qualitative moment, 345 professionals with a similar sociodemographic profile participated. The results show that although the majority (74%) correctly indicate the concept of Matrix Support, 45.2% say they do not know or do not remember that it is part of their job to carry it out. Furthermore, 46.3% do not know the documents from the Ministry of Health (MS) that deal with the topic and 20.9% do not remember these documents. The majority of survey participants (58.2%) did not receive training on Matrix Support, even though 48.9% had already participated in matrix actions. From the Scale that measures challenges and advances in matrix support, it was observed that this social technology provided opportunities for “Increased resolution/Expanded access, actions/forms of care and knowledge” and “Positive changes in cultural paradigms”. On the other hand, the challenges that present themselves as the biggest obstacles are “Problems related to management”, “Negative view of matrix support and limited on how people with mental disorders should be treated”, “Deficiency in professional training and investment in education” and “Difficulties imposed by working conditions and lack of information among the population/family members about Matrix actions”. Furthermore, the dimension “Problem with professionals’ attitudes/Commitment” was not perceived as a challenge for participants. Regarding inferential analyses, the results indicated that the perception of these challenges does not depend on the sector in which the professional works, whether AB or SM, as well as the advances do not depend on the municipality in which they work. With regard to challenges, multiple effects of the municipality were found, which are described in detail in the results. There were no significant effects of training on the perception of advances and challenges observed with the matrix process, with the exception of the “Management problem”, which was perceived as more problematic by professionals who had already received training. In the final stage, the Workshops, a qualitative analysis of the process recorded in the “Logbook” was carried out, based on the interactions, the results of which demonstrated the impact of the information shared and the awareness of the participants towards the theme of anti-asylum care in MH in the PC and of Matrix Support. The lack of knowledge about Matrix Support and its real importance for more efficient care was confirmed, as well as the almost non-existence of robust actions regarding this social technology. In general, it was observed that there was no understanding of how to carry out Matrix Support in a permanent and efficient way, highlighting turnover, lack of information and management vision as problems. Furthermore, the strong presence of the asylum paradigm in daily care and in the way of seeing users with intense psychological suffering and severe mental disorders was common to participants in both AB and SM, suggesting that this also contributes to more medicated /medical-centered and less psychosocial care. It is hoped that this study can corroborate to expand reflections on the importance of democratic practices in Health, such as Matrixing between SM and AB, and about professional training, in the aspect of network care, also contributing to the protagonism of its participants in territories of belonging, and to expand the possibility of effectiveness in SM in the South region of Bahia.

 

COMMITTEE MEMBERS:
Presidente - 1148978 - SANDRA ADRIANA NEVES NUNES
Interno - 1220616 - RAFAEL ANDRES PATINO OROZCO
Externa ao Programa - 2250961 - RAQUEL SIQUEIRA DA SILVA - UFSBExterna à Instituição - NINA ISABEL SOALHEIRO DOS SANTOS PRATA
Externo à Instituição - RENAN VIEIRA DE SANTANA ROCHA
Externo à Instituição - GASTÃO WAGNER DE SOUSA CAMPOS