Matriciamento em saúde mental na atenção primária à saúde: uma revisão integrativa

Abstract

Introduction: Mental Health care must be part of the list of actions to be implemented by Primary Health Care to guarantee the assumption of comprehensiveness. Matrix support allows connection with specialized teams, proposing the integration of different knowledge and practices to achieve comprehensive care. Objectives: To point out how mental health matrix support has been implemented in the Brazilian reality. Methodology: This is an integrative review of the literature, based on a research question elaborated on the PIco strategy (Population: mental health users; Interest: Matrix Support; Context: Primary Health Care): “How has Matrix Support been carried out in Mental Health in the Brazilian reality?” The search was carried out independently, in November 2023, in the Virtual Health Library (VHL) and the databases: Web of Science, Medical Literature Analysis and Retrieval Sistem Online (MEDLINE/Pubmed) and SCOPUS. Primary studies related to the topic, available in full in the databases, published between 2018-2023, were included. The following were excluded: duplicate articles, review studies, theses, dissertations, and editorials. Those that did not clearly describe the actions developed were excluded. Results: 13 articles were selected. The majority of articles were published in 2021, in Brazil, and with the level of evidence 6. The main actions in mental health involve meetings, direct communication between teams, explanation of the difficulties faced, and sharing of knowledge and knowledge from multiple realities. Conclusion: Contributions were found in the dynamics of the functioning of the mental health service based on matrix support and guidance in effective contact between matrix teams. However, there were still difficulties inherent to this proposal. Descriptors: Matrix support. Mental health. Primary Health Care.