title: [Accessibility and resolution of mental health care: the matrix support experience].
abstract: Psycho-social Care Centers (PCC) are also designed to coordinate actions in mental health care in Brazil, mainly at Primary Health Care (PHC) level. Matrix support is one of the pillars of the program, as it aims to ensure assistance of specialized back-up staff to the health teams. In this respect, this research seeks to understand how matrix actions in mental health contribute to the accessibility and resolution of mental health cases. This study involved qualitative research conducted in the cities of Fortaleza and Sobral in the State of Ceará, where 37 (thirty-seven) mental health workers, 14 (fourteen) primary health care users and 13 (thirteen) relatives who took part in matrix support actions were interviewed. As the results revealed, the PHC workers do not feel qualified to intervene in mental health cases. There is also excess haste in referring users to PCCs making access to mental health care more difficult. However, it was identified that discussions on mental health in primary care allow the appropriation of cases by PHC workers and promote rapprochement between the teams. In this way, they influence the resolution of mental health cases.
authors.affiliation: Saúde Pública, Universidade Estadual do Ceará, Av. Paranjana 1700, Itaperi, Fortaleza, CE. quinderephd@gmail.com
authors.forename: Paulo Henrique Dias
authors.initials: PH
authors.lastname: Quinderé
authors.forename: Maria Salete Bessa
authors.initials: MS
authors.lastname: Jorge
authors.forename: Maria Sônia Lima
authors.initials: MS
authors.lastname: Nogueira
authors.forename: Liduina Farias Almeida da
authors.initials: LF
authors.lastname: Costa
authors.forename: Mardenia Gomes Ferreira
authors.initials: MG
authors.lastname: Vasconcelos
mesh_terms: D006297:Health Services Accessibility; D006801:Humans; D008605:Mental Health Services / Q000592:standards*; D011320:Primary Health Care