Psiquiatria institucional: do hospício à reforma psiquiátrica

Mângia, Elisabete Ferreira

doi:10.1590/s0102-311x2008000300028

Cited by 6 publications

(4 citation statements)

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“…In the Asylums, people were hospitalized during several years, sometimes until their decrease, as reported by Maurício Lougon´s experiences (Lougon M 2006) during the deinstitutionalization of Juliano Moreira Colony, from 1982 to 1985, highlighting the hospitalization of 2600 patients, in their majority elderly, who lived years of their lives suffering several kinds of abandon, violence and social isolation.…”

Section: Victims Of the Alienistmentioning

confidence: 94%

Physical, Emotional, and Social Pain During Covid-19 Pandemic-Related Social Isolation

P¹,

Ac²,

Jpc³

et al. 2020

Preprint

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The recognition and management of the socio-emotional pain facing the COVID-19 pandemic refer to different, but interdependent, clues regarding cognitive and emotional aspects of the pandemic threat, considering the need of social distancing as a prophylactic procedure to avoid spreading the pathogen. The socio-emotional condition at the time of outbreak subsidizes the (re)modulation of interactive neural circuits underlying the risk assessment behaviour at physical, emotional, and social levels. Experiences of social isolation, exclusion or affective loss are generally considered to be some of the most “painful” things that people face. The threats of social disconnection are processed by some of the same neural structures that process basic threats to survival. The lack of social connection can be "painful" due to an overlap in the neural circuitry responsible for both physical and emotional pain related to feelings of social rejection. Indeed, many of us go to great lengths to avoid situations that may engender these experiences. Because of this, this work focusses on times of pandemic, the somatization mentioned above seeks the interconnection and/or interdependence between neural systems related to emotional and cognitive processes, so that the person involved in that aversive social environment becomes aware of himself, the others, and the threatening situation experienced to avoid daily psychological and neuropsychiatric effects. Social distancing during the isolation evokes the formation of social distress, raising the intensity of learned fear that people acquire, consequently enhancing the emotional and social pain.

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Section: Victims Of the Alienistmentioning

confidence: 94%

Physical, Emotional, and Social Pain During Covid-19 Pandemic-Related Social Isolation

P¹,

Ac²,

Jpc³

et al. 2020

Preprint

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“…The de-institutionalization process aimed to restructure psychiatric care within different local healthcare systems -wards in general hospitals, treatments in day-hospitals, and mental health outpatient units. 1,3 The main advantages of this new model were a greater proximity and easier access to the services, better care of patient physical health in general hospital wards, improved interdisciplinary exchange with other medical specialties, and a reduction in the stigma associated with mental illness. 2 However, de-institutionalization is a controversial topic, and some view it as social abandonment of a large number of patients, with a negative effect.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional study of readmissions to the psychiatric ward of Hospital Estadual Mário Covas in Santo André, state of São Paulo, between 2008 and 2015

Wakim

Martella

Castaldelli-Maia

et al. 2019

Trends Psychiatry Psychother.

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Objectives To assess the sociodemographic and diagnostic profile of data related to psychiatric readmissions to the psychiatric ward at Hospital Estadual Mário Covas between January 2008 and September 2015, in order to investigate the possible correlation between the rate of admission and readmission and the presence or absence of a discharged patient unit or other outpatient treatment unit. Methods This was a cross-sectional, descriptive study. Data on patients readmitted during the study period were sourced from a statistical analysis of the Hospital Estadual Mário Covas database using STATA 11.0. Results During the study period, hospitalization rates decreased, while the readmission rates increased over the years, at a total of 662 readmissions. This rise in readmissions had no correlation with the presence of a discharged patient unit or other outpatient unit. Women comprised the majority of the sample, with a mean age of 42; the most prevalent disorder among women was bipolar affective disorder, while among men it was schizophrenia. The length of hospitalization increased over time, with a maximum mean time of 23 days in 2015. Most of the patients were referred from Santo André as well as from hospitals in São Paulo. Conclusion The increase in the rate of readmissions over the years suggests that the mental healthcare model may have shortcomings along the chain. It is important to understand the epidemiological profile and chain of events that led to repeated hospitalizations in order to design new strategies and approaches to care so as to keep the patients stabilized.

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“…Como resultado dessa nova política, o número de leitos em hospitais psiquiátricos vem apresentando um declínio contínuo no Brasil. Em 1996, o seu número era de 72.514 leitos (39) , sendo que, em 2010, esse número de leitos psiquiátricos, credenciados ao SUS, diminuiu para 34.390 leitos (40) .…”

Section: Em 1992 Em Brasília é Realizada a II Conferência Nacional unclassified

“…Paralelamente à redução do número de leitos psiquiátricos, vem ocorrendo um aumento dos modelos substitutivos de assistência psiquiátrica, pois os Centros de Atenção Psicossocial tiveram uma expansão progressiva da cobertura assistencial passando de 424 em 2002 (39) para 1.792 CAPS em 2010 (40) , distribuídos em todo o país, entre o período de 2002 e 2010, as residências terapêuticas passaram de 85 (39) para 570 (41) e as equipes do Núcleo de Apoio à Saúde da Família (NASF) cresceram de 464 em 2008, para 1415 equipes em dezembro de 2010 (40) .…”

Section: Em 1992 Em Brasília é Realizada a II Conferência Nacional unclassified

O profissional da estratégia saúde da família na promoção da saúde mental

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Psiquiatria institucional: do hospício à reforma psiquiátrica

Cited by 6 publications

References 0 publications

Physical, Emotional, and Social Pain During Covid-19 Pandemic-Related Social Isolation

Physical, Emotional, and Social Pain During Covid-19 Pandemic-Related Social Isolation

Cross-sectional study of readmissions to the psychiatric ward of Hospital Estadual Mário Covas in Santo André, state of São Paulo, between 2008 and 2015

O profissional da estratégia saúde da família na promoção da saúde mental

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