Hospital-dia: para quem e para quê?

Lima, Maria Cristina Pereira; Botega, Neury José

doi:10.1590/s1516-44462001000400006

Cited by 15 publications

(16 citation statements)

References 11 publications

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“…Most of the time an individual with a mental disorder needs to be hospitalized in order to have his/her clinical condition stabilized due to symptoms such as delusions, hallucinations, agitation or speech disorders and suicidal thoughts or even to meet the needs of families with relational difficulties and emotional overload (4,6,8,15,19) .…”

Section: Discussionmentioning

confidence: 99%

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Sociodemographic and Clinical Characteristics of Psychiatric Re-hospitalizations

Castro

Furegato

Santos

2010

Rev. Latino-Am. Enfermagem

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Segregated individuals with mental disorders, families without support or guidance concerning disease and treatment, and unprepared professionals are some of the factors that can contribute to re-hospitalizations. This study identifies sociodemographic variables, clinical conditions, diagnoses and treatments in order to identify their relationship with psychiatric re-hospitalizations. This is an exploratory and descriptive study. A form was used to search data in patients' files from 2006 and 2007 in a regional psychiatric facility. A total of 681 re-hospitalizations were identified, the majority due to treatment abandonment.Length of hospitalization was higher for women between 40 and 49 years of age. Positive associations of sociodemographic data with previous hospitalizations were found, such as type of discharge, and physical and mental condition, which is in accordance with the literature. Readmissions are associated with sociodemographic and clinical indicators. These findings can guide care and public policies regarding mental health. Caracterización sociodemográfica y clínica de reinternaciones psiquiátricasAlgunos de los factores que pueden contribuir para las reinternaciones psiquiátricas son los trastornos mentales que ocurren en familias sin apoyo u orientación acerca de la enfermedad y tratamientos y, por causa de profesionales mal preparados. El objetivo de este estudio fue identificar las variables sociodemográficos, las condiciones clínicas, los diagnósticos médicos, los tratamientos y su relación con las reinternaciones psiquiátricas.Se trata de un estudio exploratorio y descriptivo, en el cual se utilizó un guía para recolectar datos en los registros médicos de 2006 y 2007, en un hospital psiquiátrico regional.Fueron identificadas 681 reinternaciones, la mayoría por abandono de tratamiento. El tiempo de permanencia en la internación fue mayor para la mujeres que tenían de 40 a 49 años. Se encontró asociaciones positivas de los datos sociodemográficos con internaciones anteriores, tipo de alta, estado físico y mental, los cuales están de acuerdo con otros datos de la literatura. Se concluye que las reinternaciones están asociadas con indicadores sociodemográficos y clínicos; conocimiento que puede ser utilizado en las políticas públicas en salud mental sobre el cuidado.

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Section: Discussionmentioning

confidence: 99%

“…A recent study carried out in Brazil with 307 adults with a history of three or more hospitalizations and a control group of 354 individuals hospitalized for the first time showed that psychosocial variables play an important role in the prevention of multiple readmissions (19) .…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic and Clinical Characteristics of Psychiatric Re-hospitalizations

Castro

Furegato

Santos

2010

Rev. Latino-Am. Enfermagem

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“…13 Lima and Botega warn of the fact that, in order to program changes in psychiatric care, we must be aware of the patients and the purpose of referring them to a DH, as well as the factors that interfere in their adherence to treatment. 14 Menezes and Mann call attention to the fact that when they are not hospitalized, many patients remain in their homes for months or years, with difficulties establishing contact with other people and adhering to outpatient treatments. 15 We cannot lose sight of the fact that the choice of hospitalizing a patient for treatment, from a medical point of view, responds directly to the need required by the severity imposed by the illness and the resultant risks.…”

Section: Discussionmentioning

confidence: 99%

Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health

Weber

Juruena

2016

Rev. Assoc. Med. Bras.

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Introduction: Since the second half of the twentieth century the discussions about mental patient care reveal ongoing debate between two health care paradigms: the biomedical/biopsychosocial paradigm and the psychosocial paradigm. The struggle for hegemony over the forms of care, on how to deal optimally with the experience of becoming ill is underpinned by an intentionality of reorganizing knowledge about the health/disease dichotomy, which is reflected in the models proposed for the implementation of actions and services for the promotion, prevention, care and rehabilitation of human health. Objective: To discuss the guidelines of care in mental health day hospitals (MHDH) in contrast to type III psychosocial care centers (CAPS III). Method: Review of mental health legislation from 1990 to 2014.Results: A definition of therapeutic project could not be found, as well as which activities and techniques should be employed by these health services. Conclusion:The MHDH and PCC III are services that replace psychiatric hospital admission and are characterized by their complementarity in the care to the mentally ill. Due to their varied and distinctive intervention methods, which operate synergistically, the contributions from both models of care are optimized. Discussions on the best mental health care model reveal polarization between the biomedical/biopsychosocial and psychosocial paradigms. This reflects the supremacy of the latter over the former in the political-ideological discourse that circumscribes the reform of psychiatric care, which may hinder a better clinical outcome for patients and their families.

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“…No entanto, ainda não há uma padronização dos hospitais-dia em relação ao tratamento e às atividades oferecidas, tendo em comum a internação em regime parcial e a proposta de ser uma alternativa à internação fechada (8) .…”

Section: Hospital-diaunclassified

Representações sociais das famílias e dos usuários sobre participação de pessoas com transtorno mental

Jorge

Ramirez

Lopes

et al. 2008

Rev. esc. enferm. USP

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RESUMENEl objetivo de la investigación fue investigar las representaciones sociales de las familias y usuarios de los servicios de salud mental respecto a su participación en el tratamiento de personas con trastorno mental severo. El estudio estuvo fundamentado en la Teoría de las Representaciones Sociales. Para la recolección de datos: test de asociación libre de palabras y entrevista con una guía a los familiares y usuarios de dos hospitales-dia, situados en Fortaleza-CE, Brasil. Conforme los resultados reve-laron, los sujetos de la investigación con-sideran ventajoso el cuidado en este tipo de servicio y el apoyo familiar esencial para el progreso en el tratamiento de personas con trastorno mental. DESCRIPTORESSalud mental. Trastornos mentales/terapia. Familia. ABSTRACTThis study was aimed at investigating the social representations of families and users of mental health services regarding their participation in the treatment of persons with severe mental disease. The study was based on the Theory of Social Representations. Data collection was carried out through the application of a free association of words test and an interview with a script with relatives and users of two dayhospitals in Fortaleza, State of Ceará. The results showed that the subjects of the research consider the care in this kind of service beneficial and think that family support is essential for progress in the treatment of persons with mental disease. Como mostra a literatura, a mudança da noção de doença para saúde mental implica a socialização do sofrimento mental, e passa a vê-lo como detentor da dimensão social, cultural e política, além da biológica. Neste contexto, a reabilitação psicossocial se alia a esta visão na medida em que ela é [...] um processo de reconstrução, um exercício pleno de cidadania, e também de plena contratualidade nos três grandes cenários: habitat, rede social e trabalho com valor social (2) . KEY WORDSNo Brasil, a atual concepção política da reforma psiquiátrica foi construída a partir I Conferência Nacional de Saúde Mental ocorrida em 1987, quando foram formuladas propostas para reestruturação da assistência em saúde mental pautada no modo psicossocial de cuidar. Em 1992, com a II Conferência Nacional da Saúde, a reforma psiquiátrica se tornou política oficial do país e as famílias passaram a integrar as comissões representativas junto aos órgãos institucionais. Nesta ocasião, o Ministério da Saúde, pela Portaria n° 224, propôs o atendimento à família em todos os serviços e a ampliação da rede de assistência mediante criação dos Centros de Atenção Psicossocial (CAPS), Núcleos de Atenção Psicossocial (NAPS), lares protegidos, serviços de urgências psiquiá-tricas, unidades psiquiátricas em hospitais gerais e hospitais especializados em psiquiatria (3) .No campo legislativo, destacamos o Projeto-lei n° 3.657/89 do deputado Paulo Delgado, denominado Lei da Reforma Psiquiátrica, sancionado em 2001 com a aprovação da Lei n° 10.216. Esta lei dispõe sobre os direitos e proteção dos doentes mentais, regulamenta a ...

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Hospital-dia: para quem e para quê?

Cited by 15 publications

References 11 publications

Sociodemographic and Clinical Characteristics of Psychiatric Re-hospitalizations

Sociodemographic and Clinical Characteristics of Psychiatric Re-hospitalizations

Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health

Representações sociais das famílias e dos usuários sobre participação de pessoas com transtorno mental

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