Psychiatric emergency service in Federal District: interdisciplinarity, pioneering spirit and innovation

Abstract

Objective: This study aims to discuss the care for people in psychic crises conducted by the team of the Mental Health Center of the Mobile Emergency Care Service of the Federal District - Brazil (NUSAM/SAMU/DF/BRAZIL), describing the dynamics of care, since the regulation from cases to follow-up. Methods: Qualitative, exploratory, descriptive study, with data collected through data collection in the information system of the Health Department of the Federal District (SES/DF), participant observation activities and interviews, over a period of three months, with professionals from NUSAM/SAMU/DF. The qualitative analysis consisted of Bardin’s content analysis. Results: NUSAM/SAMU/DF showed its ability to offer care in a humanized and resolving way to urgencies and emergencies of a psychosocial nature, considering the resources it has. Final considerations: The service’s pioneering spirit regarding the prehospital approach to people in psychic crises is highlighted, characterized by the singularized, humanized and resolutive service.

Psychosocial Care Circuit: the systematization of intervention in psychic crisis in mobile pre-hospital care

“…In the Federal District (DF), given the expressive number of consultations to patients with mental distress by SAMU-DF, the Mental Health Centre (NUSAM), was implemented, composed by two forms of consultation: stationary (teleconsultation) and mobile (consultation in loco) 9 . NUSAM is a crisis intervention service within the pre-hospital service and is considered a pioneer in Brazil due to its interdisciplinary work, with a team composed of social workers, psychologists, psychiatrists, nurses and emergency drivers 9,20 .…”

“…The mobile form is a vehicle driven by a multidisciplinary staff that hospitalizes the patient in crisis in private or public places and ensures the first psychosocial care. This intervention aims to help patients and their networks with strategies for overcoming the crisis and the search for services and social support 9,20 .…”