O desafio colocado pelas pessoas em medida de segurança no âmbito do Sistema Único de Saúde: a experiência do PAILI-GO

Silva, Martinho Braga Batista e

doi:10.1590/s0103-73312010000200017

Cited by 8 publications

(11 citation statements)

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“…Mesmo compondo o Sistema Prisional, não associam aos seus internos caráter de pena, e sim a denominação de cumprimento de medida de segurança, pois estes indivíduos são considerados perante a lei inimputáveis ou semi-imputáveis. Necessitam, assim, de tratamento psiquiátrico obrigatório, exibindo como grande desafio de funcionamento a falta de entrosamento entre as equipes no desenvolvimento de ações interdisciplinar 44,45 .…”

Section: Discussionunclassified

Atenção à saúde de indivíduos privados de liberdade no sistema prisional brasileiro: uma revisão integrativa

et al. 2019

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Objetivou-se realizar um levantamento sobre a atenção à saúde de indivíduos privados de liberdade no sistema prisional brasileiro da última década. Foi realizada uma revisão integrativa de publicações nacionais, utilizando-se os descritores “prisões”, “saúde”, “doença”, “prevenção” e “assistência à saúde” nas bases de bancos BIREME e SciELO. O número de estudos relacionados à saúde de indivíduos privados de liberdade vem crescendo no Brasil. Entretanto, nas regiões Norte, Nordeste e Centro-Oeste tais números ainda são baixos. Verificou-se que a maioria das pesquisas levantadas caracterizaram os principais problemas de acordo com o Plano Nacional de Saúde no Sistema Penitenciário (PNSSP) e propuseram algumas soluções para o sistema prisional, mas ainda são escassos estudos intervencionistas, de estratégias preventivas e relacionadas com doenças como hanseníase, diabetes, hipertensão arterial, cânceres, saúde oral, uso de drogas e alcoolismo.

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Section: Discussionunclassified

Atenção à saúde de indivíduos privados de liberdade no sistema prisional brasileiro: uma revisão integrativa

et al. 2019

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“…Judicial Psychiatric Hospitals, today known as CPHs, are yet places with important contradiction in terms of classification; these establishments are destinations to which are sent people on defining situation: those who are waitng for the expert medical report [7]. Diniz (2014) [2] classifies CPHs as hybrid institutions of criminal confinement and psychiatric hospitalization.…”

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confidence: 99%

“…Ultimately, this reform has condemned the society to deal with the complexity of mental disorders and with the usage of psychoactive substances. [10] silva (2010) [7] mentioned that prison-like CPHs and psychiatric infirmary continue to be created around the country. On the other hand, some security measure has been taken into account for a hospital or outpatient treatment.…”

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confidence: 99%

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Hidden Lives in Hidden Patients: an Analysis of Custody Hospitals in Brazil

Saraiva¹,

Braga²,

Júnior³

et al. 2015

Int Arch Med

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There are important limitations regarding the Brazilian Custodial Psychiatric Hospitals or Judicial Psychiatric Hospitals situation. They way how they are administrated, as prisons and non as hospitals, could make the health of their patients worst than when they were admitted. These limitations are not just in the hospitals, but on current Laws of the Brazilian Unified Health System. In addition, patients with mental disorders suffer a complex process of stigmatization, prejudice and social reclusion. Despite the existing Laws to the adequate caring and treatment of mentally ill patients and the advances in the psychiatric and mental health field, radical changes should be made on the Judicial Psychiatric Hospitals and on the Judicial and Health Systems in Brazil in order to achieve better results in the life quality of people with mental disorders.

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“…Essa lei cria condições jurídicas e de aparato normativo às políticas públicas de assistência em saúde capazes de atender às particularidades das pessoas em sofrimento mental. Ela tem sido cada vez mais apontada como uma possibilidade para orientar a aplicação das medidas de segurança como alternativa à internação em HCTPs (BARROS-BRISSET, 2010;BRASIL, 2010b;SILVA, 2010).…”

Section: Governamentalidade E Dispositivos De Segurança: O Espírito Do Familismo Que Vai Da Segurança Pública à Assistênciaunclassified

Os esquecidos : familismo e assistência pública na inimputabilidade por doença e deficiência mental no Brasil

Santos¹

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This thesis is a study of both quantitative and qualitative methods of data collection and analysis on the suspension of internment process of individuals in security measures that have already met the psychiatric and criminal criteria for returning to freedom. Security measure is a device created in the 1940 Brazilian Penal Code to ensure compulsory psychiatric treatment to individuals with mental illness or disability who have been diagnosed, at the time of the crime, as unable to understand the wrongfulness of the act or determined in accordance with this disability. Security measures can be outpatient treatment and/or hospitalization; the latter being performed on restriction of freedom, both being accompanied and executed by the Custody and Psychiatric Treatment Institutions (ECTPs). According to the 2012 publication The custody and psychiatric treatment in Brazil -Census 2011, there were 2,956 individuals under security measures in the country in 2011 within the 26 existing ECTPs. At least 25% of those (741) should not be admitted because they are already danger-free, or have a suspension of internment sentence, extinct security measure or detention without judicial process. These 25% of individuals in security measures that have already met the criteria for suspension but are still in undue freedom restriction, are called in this thesis the forgotten of Brazilian forensic psychiatric hospitals. An analysis of mental health policies and social assistance was done to assess how they interrelate with the public security policy at the time of suspension of internment of individuals in safety measures. The hypothesis that guided the empirical analysis in this thesis was that both welfare and mental health policies are structured according to welfare provision of shared responsibility of individuals between the State and families. As individuals in security measures, especially at the stage of suspension of internment, have complex relationships with their families and many of them have no relationships with family members whatsoever, sharing responsibility policies might prevent their social protection in the suspension of internment phase, causing undue freedom restriction. We investigated whether there was presence of familism in mental health and assistance policies. Familism is a feature of social policies in which the family is seen as an agent that offers goods and services for the well-being of individuals, assuming most of the functions of public policies that should be of State responsibility. It was outlined that, in the case of mental health policies and social welfare in Brazil, familism manifests itself in three different ways: sharing familism, transfer familism and default familism. In the case of security measures in suspension of internment, these three types of familism are present and are able to explain the emergence of the forgotten of Brazilian forensic psychiatric hospitals.

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O desafio colocado pelas pessoas em medida de segurança no âmbito do Sistema Único de Saúde: a experiência do PAILI-GO

Cited by 8 publications

References 1 publication

Atenção à saúde de indivíduos privados de liberdade no sistema prisional brasileiro: uma revisão integrativa

Atenção à saúde de indivíduos privados de liberdade no sistema prisional brasileiro: uma revisão integrativa

Hidden Lives in Hidden Patients: an Analysis of Custody Hospitals in Brazil

Os esquecidos : familismo e assistência pública na inimputabilidade por doença e deficiência mental no Brasil

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