Transtornos psiquiátricos menores e suas associações em familiares cuidadores de pessoas com transtorno mental

ABSTRACT:Objective: This study aims to assess the satisfaction of family members of patients of mental health community services through a tested, validated and previously applied scale in order to allow comparison of results. Methods: The results were obtained by applying the scale SATIS-BR to 1242 relatives of patients of 40 mental health community services in Brazil. The average scores of the three subscales of the SATIS-BR scale were compared using the Wilcoxon test. To measure statistical significance for each item of the scale, the Friedman test was applied, considering significant p-value < 0.05. Results: The average overall satisfaction score was 4.35 with a standard deviation (SD) of 0.44, with a range varying from 1 to 5. The subscale with the highest score refers to the "Results of Treatment", what presents scores of 4.54 with SD of 0.66. As for the other subscales, which refer to "Reception and Staff Competence" and "Service Privacy and Confidentiality" had scores of 4.25 (SD: 0.51) and 4.17 (SD: 0.51). Conclusion: The high level of satisfaction with the service among families of patients highlights the potential of these services and their contribution to the advance of a model of mental health community care, as it seems to be the global trend. The different results between the scales further suggest that the family distinguishes different aspects of the service and evaluates separately, providing a good reference for evaluation studies. INTRODUCTIONIt is estimated that mental disorders reach about 20 to 25% of the world's population at some point in life, creating a major impact on the quality of life of these individuals and their families. Thus emerges the need to structure and qualify services that are able to manage and support these individuals according to their demands and needs. In this sense, studies show that, in many countries, there have been initiatives to develop community services in order to care for the individuals within the community, preserving their family and social ties, promoting their autonomy and reducing high costs with hospitalizations [1][2][3] . Brazil currently counts with a structured policy in the mental health area, ensuring community care. However, among the factors highlighted as difficulties in consolidating a network effective community mental health in the country, as well as in other countries that have adopted similar models, are the difficulty of defining criteria for evaluation and the setting of priorities in assistance.In 13-15 the realization of evaluative studies seems to be an important ally in the consolidation of structured health systems based on community service, since it allows the identification of areas that require investment and strengthening and allow to include the family in discussions on this perspective.The inclusion of the family in the evaluative processes, besides being an important strategy of valorization, allows perceiving their impressions, needs and desires, provided that RESUMO: Objetivo: Este estudo objetivou avaliar a satis...

Clustering of minor psychiatric disorders and burden among family caregivers of individuals with mental illness

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Community health agents carry out significant actions on the ground to provide prevention and care and bring health services to families. These practices in the field constitute a constant collective mapping process using the knowledge of the territory that the agents possess. Based on intensive fieldwork starting in 2012 in conjunction with local social organizations and health institutions in Brazil and Argentina, the binational project App+Health (App+Salud in Spanish and App+Saúde in Portugués) was initiated. The project's objective was to develop a monitoring and georeferencing system for community health management in the form of an application for cell phones or tablets with internet access, which would take into account the basic conditions of the environment and movement history of users and connect map updating methodologies using social cartography with free collaborative mapping platforms. As a result, the beta version of App+Health was developed, through a heightened process of exchange of interdisciplinary knowledge.