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

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

doi:10.1590/s1516-44462012000200006

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…Respecto al perfil de estas personas que demandan una atención psiquiátrica reiterada predominan las mujeres y de raza caucásica, con empleo, casados o con pareja estable y/o residentes con sus padres (Calfat, Pan, Shiozawa, & Chaves, 2012;Padilha, Schettini, Santos Junior, & Azevedo, 2013), sin embargo otros estudios muestran un perfil más común en varones jóvenes (Arfken et al, 2004;Garrido, & Saraiva, 2012;Pasic, Russo, & Roy-Byrne, 2005), solteros, con un nivel educativo bajo, desempleados y bajo apoyo social (de Castro, Furegato, & Santos, 2010;Morlino et al, 2011;Sousa et al, 2010). A esto hay que añadirle la tendencia al consumo de sustancias que aparece en diversos estudios, como ya hemos mencionado.…”

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Apoyo social y consumo de tóxicos en reingresos hospitalarios psiquiátricos.

Martín-Agudiez¹

2017

PSSA

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Marco teórico: Son muchos los pacientes con patología psiquiátrica que requieren más de un ingreso hospitalario a lo largo de su proceso de enfermedad. El presente estudio trata de evaluar si la ausencia de apoyo social o el consumo de sustancias son posibles factores de riesgo en los reingresos psiquiátricos. Método: Se trata de un estudio descriptivo transversal que consta de 100 pacientes psiquiátricos que al menos reingresaron dos veces en el Hospital General Universitario Reina Sofía de Murcia, en un período de tiempo de año y medio. Resultados: No hemos obtenido significación estadística en relación a las variables "reingresos" y "apoyo social" y "consumo de tóxicos", pero sí entre el apoyo social y el consumo de tóxicos. Conclusiones: Ni el apoyo social ni el consumo de sustancias se relacionan con los reingresos hospitalarios psiquiátricos de nuestra muestra, sin embargo la ausencia de apoyo social está relacionada con el consumo de sustancias.

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Apoyo social y consumo de tóxicos en reingresos hospitalarios psiquiátricos.

Martín-Agudiez¹

2017

PSSA

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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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Psychiatric Crisis Management in the Emergency Care Hospital Network

Dimenstein

Gruska

Leite

2015

Paidéia (Ribeirão Preto)

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Since psychiatric crisis treatment is crucial in mental health care, this study aimed to characterize the psychiatric crisis in the hospital emergency services of Natal/RN. Semi-structured interviews were conducted with 33 professionals employed in four local public hospitals. The results revealed the absence of adequate beds for psychiatric conditions, scarcity of psychiatric drugs, lack of clarity regarding diagnostic criteria, treatment based on chemical restraint and inpatient care as a priority strategy. Furthermore, there is fragmentation of the work processes with physician centrality in the management of crisis, disarticulation between hospitals and other services of the psychosocial care network and systematic referrals to psychiatric hospital. We conclude that the configuration of the local hospital network does not present satisfactory responsiveness to psychiatric crisis situations and its clinical and institutional weaknesses reflect the process of psychiatric reform in the region.

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

Abstract: Psychotropic medications were routinely prescribed for PES patients, but this practice did not increase compliance to outpatient treatment referral after two months.

Cited by 3 publications

References 17 publications

Apoyo social y consumo de tóxicos en reingresos hospitalarios psiquiátricos.

Apoyo social y consumo de tóxicos en reingresos hospitalarios psiquiátricos.

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

Psychiatric Crisis Management in the Emergency Care Hospital Network

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