Censo dos pacientes internados em uma instituição asilar no Estado do Rio de Janeiro: dados preliminares

Abstract

Rio de Janeiro State has one of the largest networks of psychiatric hospitals in Brazil, one of them the Dr. Eiras Paracambi Hospital (CSDE-P). In late 2000, the current Mental Health Advisory Division of the Rio de Janeiro State Health Department conducted a clinical and psychosocial census of patients hospitalized in the CSDE-P. The hospital population consisted of 1,494 individuals, the majority men (53.4%), single (81.6%), working-age (66.4%), and with limited schooling (only 11.5% with a complete primary education or more). Most had been in hospital for at least two years (77.6%), received visits from relatives (60.5%), but did not have hospital leave (73.8%). The predominant diagnoses were schizophrenia (53.6%) and mental retardation (26.4%). The main therapeutic approach was psychiatric (84.1%). Only 13.3% took part in systematic activities during the day, although 36% were in a condition to do so. CSDE-P is a mega-hospital where most patients have precarious social links, demanding treatment strategies which take this characteristic into account.

Quem são os egressos de internação psiquiátrica?

“…The individual income was not more than one minimum salary (R$380.00) for 66.7% of patients, noting that 54.2% had primary education or less and only 14.6% had some kind of regular job. These findings are similar to that of other studies performed with patients cared for at community services (6)(7)(8)(9) . These and other studies have shown that low education and socioeconomic levels affect the lives of many mentally ill patients.…”

Quem são os moradores de residências terapêuticas? Perfil de usuários portadores de transtornos mentais desinstitucionalizados

“…It is important, however, to evidence that the prevalence of users of productive age (from 18 to 59 years) was significant (66.8%). High prevalence of persons of economically active age in psychiatric hospitals or the Psychosocial Care Network (Raps) services (such as outpatient clinics and Caps) results in an increase in the need to grant financial benefits due to temporary incapacity for public coffers (GOMES ET AL., 2002).…”

Redes Sociais e Atenção em Saúde Mental: Uma Revisão da Literatura

“…Outros sete artigos avaliam e montam propostas para a elaboração e/ou aprimoramento de políticas públicas em saúde mental (Vivanco & Irazoque, 1996;Brêda & Augusto, 2001;Pechansky, Halpern, Soibelman, Bicca, Szobot, & Lima, 2001;Gomes, Couto, Pepe, Almeida, Delgado, & Coutinho, 2002;Salles & Barros, 2011;Salles & Barros, 2013;Montanher & Leal, 2013). O Projeto Ocidente, buscando analisar a situação da saúde mental no Chile, propõe um modelo de atenção baseado na perspectiva de redes sociais e no atendimento ambulatorial em substituição ao modelo asilar (Vivanco & Irazoque, 1996), mostrando a convergência da Reforma Psiquiátrica além das fronteiras brasileiras e a relevância do trabalho com as redes sociais significativas.…”