Hospitalization due to drug use did not change after a decade of the Psychiatric Reform

Abstract

OBJECTIVE To investigate whether the psychiatric hospitalization rates due to use of psychoactive substances and average time of hospitalization suffered any changes after the first decade of effective implementation of the psychiatric reform in Brazil.METHODS This article examines the evolution of hospitalizations due to disorders arising from the use of alcohol or other substances in the state of Santa Catarina, Southern Brazil, from 2000 to 2012. This is an ecological, time-series study, which uses data from admissions obtained by the Informatics Service of the Brazilian Unified Health System. Hospitalization rates by 100,000 inhabitants and average time of occupancy of beds were estimated. Coefficients of variation of these rates were estimated by Poisson Regression.RESULTS The total and male hospitalization rates did not vary (p = 0.056 and p = 0.244, respectively). We observed an increase of 3.0% for the female sex (p = 0.049). We did not observe any significant variation for occupancy time of beds.CONCLUSIONS The deployment of services triggered by the Brazilian psychiatric reform was not accompanied by a reduction of hospitalization rates or mean occupancy time of hospitalized patients during this first decade of implementation of the reform.

Risk Management in First Aid for Acute Drug Intoxication

“…Concomitant diseases that can require hospitalization-like psychosis, schizophrenia, depression, cardiovascular diseases, hepatitis C, HIV, traumatic lesions-have to also be assessed [8][9][10][28][29][30][31]46]. For this reason, the management of the acute intoxicated patient is often multidisciplinary.…”

“…Regarding mental health disorders, a Brazilian study analyzed the effects on the hospitalization of drug abusers after ten years from the psychiatric reform and concluded that there was no reduction in the hospitalization rates or mean occupancy time [31].…”

Night beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization

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Feelings of families regarding drug dependence: in the light of comprehensive sociology

“…Among the main characteristics aiming at implementing the change, the right to be cared for in a comprehensive manner, taking into account all the aspects that permeate the human being, such as culture, spirituality, socioeconomic, psychological, emotional, and not just biological factors, as well as ensuring that treatment is humanized and respectful, free from discrimination or prejudice. Thus, the reform sought to incorporate new ways of thinking and implementing mental health care for this part of the population (2)(3) .…”