-
REVIEW
Mental health care provided to patients admitted to Brazilian psychiatric institutes: a scoping review
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20190548
07-10-2020
Resumo
REVIEWMental health care provided to patients admitted to Brazilian psychiatric institutes: a scoping review
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20190548
07-10-2020DOI 10.1590/0034-7167-2019-0548
Visualizações0Ver maisABSTRACT
Objective:
to identify and map the mental health care offered to patients admitted to forensic psychiatry institutes in Brazil.
Method:
a scoping review was guided by the JBI Institute Reviewer’s Manual. Searches took place in February 2019, in six databases, using descriptors and synonyms. Analysis was performed using simple descriptive statistics.
Results:
twelve studies were included, which were predominantly dissertations, published in 2014, carried out in the southeastern region of Brazil. Qualitative researches in the field of psychology and law stood out, with emphasis on the speeches of health professionals, and which did not specify the methodology of data analysis.
Final considerations:
the care provided to interns of the institutions has a punitive character, is based on excessive medicalization and diverges from the current legislation, which makes social reintegration difficult.
-
ORIGINAL ARTICLE
Psychosocial care network: managers’ perception and tensions of the field
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20180844
06-01-2020
Resumo
ORIGINAL ARTICLEPsychosocial care network: managers’ perception and tensions of the field
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20180844
06-01-2020DOI 10.1590/0034-7167-2018-0844
Visualizações0ABSTRACT
Objective:
to analyze the perception of workers and managers about the psychosocial care network in a medium-sized municipality in the inlands of the state of Minas Gerais.
Method:
qualitative, descriptive and exploratory study involving twelve participants from different points of the network. The semi-structured interviews were analyzed in the light of Pierre Bourdieu’s framework of constructionist structuralism.
Results:
the actions offered by the services were based on the perspectives of resocialization, user embracement, group and multiprofessional care, and on approaches to harm reduction, recreation and daily organization. These were configured as the network resources/capital. Tensions were identified in family embracement and in relationships between families and users, as well as in the prejudice towards people with mental disorders.
Final considerations:
the social agents were willing to contribute to processes of change in order to overcome the focus on specialties, the lack of training of some teams, lack of infrastructure and of some components, especially those related to leisure and community life.
Palavras-chave: DeinstitutionalizationHealth Services ResearchMental HealthMental Health CareMental Health ServicesVer mais -
ORIGINAL ARTICLE
Safety of patients with mental disorders: a collective construction of strategies
Revista Brasileira de Enfermagem. 2020;73(1):e20170905
02-10-2020
Resumo
ORIGINAL ARTICLESafety of patients with mental disorders: a collective construction of strategies
Revista Brasileira de Enfermagem. 2020;73(1):e20170905
02-10-2020DOI 10.1590/0034-7167-2017-0905
Visualizações0Ver maisABSTRACT
Objective:
to describe risk management implementation in the safety of patients with mental disorders through action research.
Method:
an action research carried out with a multidisciplinary team from a reference hospital in mental health in Southeast Brazil.
Results:
three strategies considered as managerial technologies for the mentally ill patient were developed: risk management diagram for patient safety; patient safety protocols; and textual proposal of software for internal management of incident notifications.
Final considerations:
this action research allowed a collective discussion by the whole multidisciplinary team, enabling strategy drafting for risk management implementation and improvement of care quality in the safety of patients with mental disorders at the study site.
-
RESEARCH
Weaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
01-01-2017
Resumo
RESEARCHWeaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
01-01-2017DOI 10.1590/0034-7167-2016-0566
Visualizações0ABSTRACT
Objective:
to understand how health service professionals involved in the care of users in psychic distress perceive the organization of the Psychosocial Care Network (RAPS - Rede de Atenção Psicossocial) in the western region of the city of São Paulo.
Method:
qualitative approach study conducted with 123 professionals with higher education who work in the care points of the network. A semi-structured interview was performed and data were submitted to the Alceste program for lexical analysis.
Results:
the network is in process of alignment with the mental health policy and the psychosocial rehabilitation strategy. However, the weaknesses in the work process of teams are related to deficits in human resources, structure, and communication, and to the limited appropriation of their guidelines.
Final considerations:
there are intense efforts of workers to weave the network, and barriers need to be overcome to support successful actions in mental health care in the territory.
Palavras-chave: Health PolicyIntegral Health CareMental HealthMental Health CareMental Health ServicesVer mais