Reforma Psiquiátrica no Rio de Janeiro: situação atual e perspectivas futuras

Júnior, Hugo Marques Fagundes; Desviat, Manuel; Silva, Paulo Roberto Fagundes da

doi:10.1590/1413-81232015215.00872016

Cited by 26 publications

(12 citation statements)

References 12 publications

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“…Research, Society and Development, v. 9, n. 11, e35991110006, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i11.10006 11 O Sistema Único de Saúde (SUS) no Brasil considera a atenção básica como o eixo organizacional de toda a atenção à saúde. A articulação entre equipes de atenção básica e equipes de saúde mental é fundamental para a integralidade da atenção na área (FAGUNDES et al, 2016). A atenção primária à saúde é uma das principais vias de acesso para as pessoas com transtorno mental, pois é um espaço privilegiado para a gestão da atenção à saúde mental.…”

Section: Resultsunclassified

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Family repercussion of the deinstitutionalization of the ent with mental disorder

Batista¹,

Barbosa²,

Silva³

2020

RSD

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The deinstitutionalization of care for individuals with mental illness is one of the fundamental purposes of Psychiatric Reform in Brazil. Therefore, there is as a central phase, the resizing of the asylum with the argument of the gradual extinction of this circumstance, through the reduction of the number of beds and exchange for therapeutic services that are made available to the community. To identify the repercussions of the deinstitutionalization process for the family member of patients with mental disorders. Scientific articles were searched in the SCIELO, LILACS, BVS-BIREME databases, referring to the theme, with no distinct period. The inclusion criteria for the selection of the sample were: articles published in Portuguese, English, Spanish and European Portuguese that portrayed the theme under study, published and indexed in the referred databases. It can be seen that the greater predominance was given to the qualitative study with 12 articles (80%) due to being researches that mostly interpret qualitative data. It is understood, therefore, that living with the chronic condition becomes, in addition to the difficulties for the family member, a condition that alters the process of being healthy for individuals and groups.

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Section: Resultsunclassified

“…A doença mental muitas vezes perturba o núcleo da família e cria obstáculos cheios de preconceito e medo. As manifestações são em grande parte insidiosas, apresentando grande tensão e sofrimento à família, que muitas vezes vê a hospitalização como o único meio possível (Fagundes et al, 2016).…”

Section: Resultsunclassified

Family repercussion of the deinstitutionalization of the ent with mental disorder

Batista¹,

Barbosa²,

Silva³

2020

RSD

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“…Primary care has potential in the development of mental health actions, being a strategy of demystification of insanity of greater reach than the specialized services (12) due to its greater capillarity in the territory. This articulation, however, still presents itself as a complex and at the same time stimulating challenge for the development of practices and new technologies of care.…”

Section: Discussionmentioning

confidence: 99%

“…It is related to delivering health care according to the needs of each subject. It considers, therefore, that each subject differs from the other in his/her health demands (12) .…”

Section: Discussionmentioning

confidence: 99%

Inclusion of mental health in primary health care: care strategy in the territory

2019

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Objective: To analyze the strategies, challenges and possibilities of the articulation between mental health and primary health care from the perspective of health managers. Method: Exploratory, qualitative research carried out with 28 managers of mental health and primary care. The data were collected through semi-structured interviews between July and November 2013 and submitted to thematic content analysis. Results: The inclusion of mental health actions in primary care made it possible, in the view of managers, to increase users’ access to the care they need. This care strategy allows the extension of care practices in the territory, with matrix support as the main tool for the implementation of this care strategy. Final considerations: The articulation between primary care and mental health is a powerful device for psychosocial care, but it demands a new conformation of the Psychosocial Care Centers (Caps) and primary care services.

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“…It is now believed that if a psychiatric patient requires hospitalization, it should be brief and efficient. To achieve this goal, the community and the healthcare system should provide the following: psychosocial care centers; integration of mental health with primary healthcare; more residential facilities; and specific services for people substance abuse disorders 11. Without these steps, psychiatric patients will return for more and/or longer hospitalization periods.…”

Section: Discussionmentioning

confidence: 99%

Profile and costs involved in long-term compulsory hospitalization of psychiatric patients

Venturini

Moura

Bastos

et al. 2017

Rev. Bras. Psiquiatr.

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Objective: Involuntary hospitalization for acute psychiatry cases can be acceptable when there is potential harm. However, there are few reasons for a patient committed on these grounds to stay in an institution for a long period. The objective of the present study was to identify the profile and costs of compulsory hospitalizations over 20 days in a public psychiatric hospital in the coastal region of the state of Sã o Paulo. Methods: Retrospective data were collected from the medical records of 1,064 patients admitted between July 2013 and June 2016 from an intensive mental healthcare unit in Santos, state of Sã o Paulo, Brazil. Results: Records were found of 527 patients who had been hospitalized for at least 21 days during the study period. Long-term hospitalization related to judicial mandates represented 5.9% of the total sample. These patients stayed in the hospital for an average period of 142 days, while patients hospitalized for any other reason stayed an average period of 35 days (p o 0.001). The cost of a longterm court-ordered hospitalization averaged US$ 21,311 per patient. Conclusion: Judicial mandate has been an important reason for the long-term hospitalization of chronic psychiatric patients in Santos, Brazil.

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Reforma Psiquiátrica no Rio de Janeiro: situação atual e perspectivas futuras

Cited by 26 publications

References 12 publications

Family repercussion of the deinstitutionalization of the ent with mental disorder

Family repercussion of the deinstitutionalization of the ent with mental disorder

Inclusion of mental health in primary health care: care strategy in the territory

Profile and costs involved in long-term compulsory hospitalization of psychiatric patients

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