Trajetória psicossocial de uma criança: um estudo de caso sobre matriciamento

Abstract

Introduction: Matrix support is the model of producing health in multiple teams, with the process of shared construction developing a pedagogical-therapeutic intervention. Objectives: To report on a case study of matrix support in a CAPS for children and adolescents. Methodology: This is a case study with a qualitative approach, about the matrix support of a user from the CAPS for children and adolescents to a Primary Care Unit, carried out in 2023. Results: a training course on matrix support was held between a CAPSi and a UBS in the municipality of Goiânia, with the selection of a case for matrix support. The case chosen was that of C.D.S., a male child, 7 years old, being treated at CAPSi, presenting behavioral alterations such as difficulty concentrating, aggression and episodes of night terrors. He was diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and Post-Traumatic Stress Disorder (PTSD). Matrix support begins with a discussion of the case and guidance on the necessary psychosocial interventions to be adopted by the UBS and monitored by CAPSi. Difficulties were identified in the continuity of matrix support due to the change in CAPSi management, high staff turnover, lack of training and discontinuity in the process. The lack of data in the matrix support process led to difficulties in communication and in building the PTS. Final considerations: Matrix support is a complex strategy that requires the participation of both teams in order to be developed properly. The participation of more members of primary care is fundamental, as the cases must arise from the demands of primary care in order to qualify care. The lack of effective communication between professionals, managers and students was highlighted as a challenge in implementing matrix support.