Network articulation practices in psychosocial care: what challenges do professionals face in matriciar, meeting, and referring?
Mental Health. Mental Health Services. Health Care. Deinstitutionalization
This study aimed to explore the network articulation practices developed by professionals working in two specific points of the Psychosocial Care Network in the Federal District: the Psychosocial Care Centers for Alcohol and Other Drugs and of Basic Health Units. Exploring the strategies used, as well as the difficulties and challenges that cross the effective implementation of the substitutive network to the asylum model. This is research with a qualitative approach and an exploratory approach. To complement and enrich the findings, intra-method triangulation was used, using two data collection techniques, the semi-structured interview in the synchronous format and the structured interview in the asynchronous format, both carried out through the virtual environment, with the participation of 36 professionals, 18 representatives of the Psychosocial Care Centers for Alcohol and Other Drugs and 18 representatives of Basic Health Units. Bardin's content analysis was adopted and the theoretical framework of the Psychosocial Care model was used. A lack of infrastructure and inputs was identified to weave network articulation practices satisfactorily according to the perspective of the participants, however, intervention and health promotion strategies emerged to strengthen the Psychosocial Care. Thus, evidencing the perceptions and experiences of professionals working in each Health Region of the DF, with focus on the practices of matrix support meetings, referrals (reference and counter-reference) and meetings with the other Psychosocial Care Network care points.