Abstract:OBJETIVO Caracterizar o perfil dos pacientes que foram internados por transtornos mentais e comportamentais pelo Sistema Único de Saúde (SUS) no Brasil entre 2000 e 2014, bem como verificar como aspectos da nova política de saúde mental influenciaram a taxa de pacientes internados no referido período. MÉTODOS Estudo de coorte prospectiva não concorrente utilizando dados secundários de pacientes internados com diagnóstico primário de transtornos mentais e comportamentais entre 01/01/2000 e 31/12/2014. Foram sel… Show more
“…Notably, the availability of CAPS increased the diagnoses of SMHD. The CAPS are relatively new in the SUS, and are one of the Ministry of Health's strategy to replace long-term psychiatric hospitals [32]. The distribution of these services is regulated by federal laws, and for this reason, their geographic distribution is more homogeneous than the distribution of psychiatrists.…”
Purpose We aimed to describe the prevalence of 12-month reported MHD and evaluate associations with availability mental health (MH) care in Brazil.Methods Data from a nationwide probability survey (n = 16,273) and from the National Registry of Health Services have been analyzed. The main outcomes were 12-month reported diagnosis/treatment for anxiety, depression, and severe MHD. Multivariate logistic regressions were performed to assess the associations of the rates of psychiatrists, outpatient MH services (CAPS) and primary health care services (PHC) with the outcomes.Results The overall prevalence of anxiety, depression, bipolar disorder and schizophrenia were 15.5% (95%CI:14.4–16.6), 7.3% (95%CI:6.6–7.9), 1.0% (95%CI:0.8–1.3), and 0.4% (95%CI 0.3–0.5), respectively, with lower prevalences observed in less developed macroregions. The rate of psychiatrists varied from 1.52 (North) to 12.26 (South)/100,000 inhabitants, the rate of CAPS from 1.52 (North) to 2.72 (Northeast), and the rate of PHC from 26.12 (Southeast) to 52.25 (Northeast). Individuals living in regions with higher rates of psychiatrists and PHCs were more likely to report anxiety and depression, while those living in regions with higher rates of CAPS were more likely report severe MHD.Conclusion The distribution of services mirrors the emphasis on PHC and CAPS to enhance equity within the Brazilian Universal Health System. However, diagnostic and treatment rates remain elevated in regions with larger psychiatrist presence. Addressing information gaps is imperative to optimize MH policies and resources allocation.
“…Notably, the availability of CAPS increased the diagnoses of SMHD. The CAPS are relatively new in the SUS, and are one of the Ministry of Health's strategy to replace long-term psychiatric hospitals [32]. The distribution of these services is regulated by federal laws, and for this reason, their geographic distribution is more homogeneous than the distribution of psychiatrists.…”
Purpose We aimed to describe the prevalence of 12-month reported MHD and evaluate associations with availability mental health (MH) care in Brazil.Methods Data from a nationwide probability survey (n = 16,273) and from the National Registry of Health Services have been analyzed. The main outcomes were 12-month reported diagnosis/treatment for anxiety, depression, and severe MHD. Multivariate logistic regressions were performed to assess the associations of the rates of psychiatrists, outpatient MH services (CAPS) and primary health care services (PHC) with the outcomes.Results The overall prevalence of anxiety, depression, bipolar disorder and schizophrenia were 15.5% (95%CI:14.4–16.6), 7.3% (95%CI:6.6–7.9), 1.0% (95%CI:0.8–1.3), and 0.4% (95%CI 0.3–0.5), respectively, with lower prevalences observed in less developed macroregions. The rate of psychiatrists varied from 1.52 (North) to 12.26 (South)/100,000 inhabitants, the rate of CAPS from 1.52 (North) to 2.72 (Northeast), and the rate of PHC from 26.12 (Southeast) to 52.25 (Northeast). Individuals living in regions with higher rates of psychiatrists and PHCs were more likely to report anxiety and depression, while those living in regions with higher rates of CAPS were more likely report severe MHD.Conclusion The distribution of services mirrors the emphasis on PHC and CAPS to enhance equity within the Brazilian Universal Health System. However, diagnostic and treatment rates remain elevated in regions with larger psychiatrist presence. Addressing information gaps is imperative to optimize MH policies and resources allocation.
“…Destaca-se, neste caso, a frágil rede para continuidade de cuidado efetivo e seguro, tendo em vista que a ausência de algum dispositivo da rede extrahospitalar impossibilita uma atenção de qualidade e eficaz (Silva e Lima, 2020). Contrário ao achado deste estudo que aborda a atenção psicossocial, a literatura relata a alta frequência de internações psiquiátricas, conhecido como fenômeno da porta giratória, revolving door, no qual o paciente reincide várias internações com intervalos curtos de alta entre elas (Zanardo et al, 2018;Rocha et al, 2014).…”
Introdução: As características dos usuários oferecem subsídios para o desenvolvimento de atenção condizente com a realidade da Redes de Atenção Psicossocial, em prol da promoção e recuperação da saúde. Objetivo: Caracterizar o perfil sociodemográfico de pessoas atendidas em acolhimento noturno em um Centro de Atenção Psicossocial. Métodos: Pesquisa descritiva e retrospectiva, dados coletados em 210 prontuários. Resultados: os usuários assistidos no AN, em sua maioria era do sexo feminino, mediana de idade de 40 anos, analfabetos ou tinham ensino fundamental incompleto. A mediana de permanência foi de cinco dias, a maior parte teve apenas um AN. Não houve associação entre dias de AN e número de reincidência com as características sociodemográficas da amostra. A maior ocorrência foi usuários com diagnósticos médicos de Transtorno Afetivo Bipolar e Esquizofrenia, com alta a partir da melhora. Conclusão: Recomenda-se ampliar leitos de atenção noturna na perspectiva psicossocial, visto que este preconiza a reinserção social, direitos de cidadania, a partir de uma atenção especializada e singular.
“…No Brasil, no período de 2000 a 2014 foram registradas 1.549.298 internações por transtornos mentais e/ou comportamentais em serviços hospitalares SUS, com predomínio do sexo masculino (64,5%), média de internação de 29 dias, e incidência de 39,4% relacionadas ao CID-10 -F10-F19 Transtornos mentais e comportamentais devidos ao uso de substância psicoativa diagnósticos. (11) O estado do Paraná apresentou taxa de internação por abuso de álcool e outras drogas inferior à taxa nacional (217,76 por 100 mil habitantes). (12) Embora a taxa de internação por álcool e outras drogas tenha apresentado queda, ela ainda se mantém alta, sinalizando a necessidade de ações preventivas e assistência direcionada a esses casos.…”
Internações por álcool e outras drogas: tendências em uma década no estado do ParanáHospitalizations due to alcohol and other drugs: trends in a decade in the state of Paraná Internaciones por alcohol y otras drogas: tendencias de una década en el estado de Paraná Cleiton José Santana https://orcid.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.