COLLABORATIVE CARE IN BRAZIL: THE USE OF MATRIX SUPPORT AS AN INSTRUMENT FOR STRENGTHENING INTEGRATED CARE.

INTRODUCTION/ OBJECTIVE: Family Health Teams (FHT) were implemented, in 1994, each being responsible for 3500 people in a delimited area. In 2008, the interdisciplinary Matrix Support Team (MST), was created to, offer support and expand their scope of actions through collaborative care which includes joint consultations and home visits, and helps building a network with specialized health services. We aim to demonstrate different methods of matrix support work in mental health. METHODOLOGY: Presentation of 3 cases evaluated together by psychiatrist and family doctor in Rio de Janeiro, in 2014, where a therapeutic project was established. RESULTS: First case: woman of 45 years with psychotic symptoms, where the family doctor initiated antipsychotic and the patient started presenting extrapyramidal side effects, A Joint consultation with the psychiatrist was held to alter medication and manage side effects, demonstration the potential of collaborative care as permanent education. Second case: 35 years old man with psychotic symptoms that has not left home for 3 years without any treatment. Due to the severity of the symptoms, hospitalization was indicated, an example of the expansion of access offered by matrix support work. Third case: 40 years old psychotic female with without adherence to treatment, demanding discussion with the mental health community center interdisciplinary team so that several joint strategies be organized to maintain adequate care. CONCLUSION: Collaborative care widens scope of care , generating discussion of therapeutic projects, development of effective interventions, and reorganizing health care through the strengthening of the bonds between professionals, families and patients.