The compliance to prescribed drug treatment and referral in a psychiatric emergency service: a follow-up study

Calfat, Elie Leal de Barros; Pan, Pedro Maia; Shiozawa, Pedro; Chaves, Ana Cristina

doi:10.1016/s1516-4446(12)70032-6

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…This profile is similar to what was described in other studies conducted in Brazil and elsewhere. 10,11 However, it differed from two Brazilian studies 12,13 performed in the cities of Ribeirão Preto and Sobral.…”

Section: Discussionmentioning

confidence: 69%

Profile of patients attended as psychiatric emergencies at a university general hospital

et al. 2013

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CONTEXT AND OBJECTIVE: The prevalence of psychiatric conditions in clinical settings is high, particularly in emergency services. This is a challenge for healthcare professionals and an essential element in the functioning of the mental health network. The objective here was to describe the sociodemographic and clinical profile and the practices among patients treated psychiatrically in the Emergency Unit. DESIGN AND SETTING: Descriptive and quantitative study, conducted at Hospital das Clínicas (HC), Universidade Estadual de Campinas (Unicamp). METHODS: Sociodemographic data, reasons for attendance, diagnostic hypotheses and practices were analyzed. RESULTS: Psychiatric staff attended 1,835 cases over the study period, corresponding to 1465 patients. The patients were predominantly women (53.7%) and white (79.6%); their mean age was 37 years and 41.3% lived with their parents. The commonest reasons for attendance were depressive symptoms (28.1%), agitation (23.6%) and problems with psychoactive substances (19.5%). The commonest diagnoses were psychoactive substance-related disorders (23%) and depressive disorders (18.5%). 31.6% of the patients were referred to healthcare centers and 29.2% to specialized outpatient clinics, while 8.2% were hospitalized. CONCLUSIONS: This study emphasizes that it is important for professionals working in emergency service to have information about the patients' profile and the main reasons that lead them to seek psychiatric care, and to establish a diagnosis that will allow proper management at the emergency service and case referral. RESUMO CONTEXTO E OBJETIVO:A prevalência de quadros psiquiátricos em contextos clínicos é elevada, particularmente em serviços de emergência, representando um desafio para os profissionais da saúde e um elemento essencial no funcionamento da rede de saúde mental. Objetivou-se descrever o perfil sócio-demográfico, clínico e condutas para pacientes atendidos pela psiquiatria na Unidade de Emergência.

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Section: Discussionmentioning

confidence: 69%

Profile of patients attended as psychiatric emergencies at a university general hospital

et al. 2013

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“…Many of these clients go to the outpatient clinic only to receive the administration of the Prolonged Neuroleptic (NAP) and have the medical care, which is periodic, being excluded from some therapeutic activities, making it easier to abandon treatment [9].…”

Section: Continued Customer Care In Crisis From the Perspective Of Thmentioning

confidence: 99%

“…The multiprofessional team of psychiatric care should help the client by developing activities that can improve their readaptation to the social environment and reduce the number of hospitalizations [9].…”

Section: Continued Customer Care In Crisis From the Perspective Of Thmentioning

confidence: 99%

Possibilities and limits of multiprofessional attention in the care of psychiatric emergencies: analytical study

et al. 2017

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Goal: To analyze the possibilities and limits of multiprofessional care in the attention to psychiatric emergencies. Method:It is an analytical study of the type integrative review of the comprehensive literature. Searches were conducted in the Latin American and Caribbean Literature (LILACS) and Nursing Database (BDENF) databases and in the ScieLo Virtual Library, with the use of Descriptors in Health Sciences (DECs): "Emergency Services, Psychiatric", "Forensic Psychiatry", "Psychiatric Rehabilitation", in the period from 2007 to 2017.Results: After data analysis, two thematic categories emerged: "Possibilities and limits in multiprofessional care for patients in crisis" and "The continuity of care to the patient in crisis by the multiprofessional team". The studies point out fragility in the management of the multiprofessional team of care to the patients in psychiatric crisis. Therefore, in the substitutive services to the psychiatric hospital, it is necessary IntroductionEmergency mental health situations refer to any disturbance of thinking, feelings or actions that require immediate intervention to protect the person or third parties from the risk of death. Among the most frequently encountered emergencies are suicidal behavior, aggressive behavior and disturbances in thinking and perception, with 20% of those assisted in emergency mental health services having suicide problems and 10% violent behavior [1].The violent and aggressive behavior expressed by the client denotes fear, anxiety and insecurity in those around him, including professionals. However, the culturally constructed fear of society towards all people in the psychiatric setting is disproportionate to the few that, in fact, constitute a risk to the social environment. Excessive fear in professionals may impair clinical judgment and lead to premature and large-scale use of sedative medications and physical restraints, such as bed restraints [1].Mental health emergencies are related to the various evolutionary and accidental crises related to human experience. But what specifies an emergency in mental health is the manifestation of behavior as a consequence of a situation in which the person is and for which his general performance is seriously impaired and the individual becomes incapable of assuming personal responsibilities [2].Emergency mental health refers to a situation of altered thinking (delirium) or actions (aggressive acts) that demand rapid care. These changes are associated with the risk of death, such as in suicide or in patients with violent behavior, or the situation of mental alterations resulting from the use of psychoactive substances or physical diseases, which must provide interventions for the reduction of sequelae. Thus, emergency is a set of contrasting emotional and practical interests, in which the patient and his/her crisis are only part and not the whole, and the health team must take into account all these possibilities at the time of evaluation [2].The approach to the person with mental disorder in an eme...

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The compliance to prescribed drug treatment and referral in a psychiatric emergency service: a follow-up study

Cited by 2 publications

References 17 publications

Profile of patients attended as psychiatric emergencies at a university general hospital

Profile of patients attended as psychiatric emergencies at a university general hospital

Possibilities and limits of multiprofessional attention in the care of psychiatric emergencies: analytical study

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