Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health

Detalhes bibliográficos
Autor(a) principal: Weber,César Augusto Trinta
Data de Publicação: 2016
Outros Autores: Juruena,Mario Francisco
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000400361
Resumo: Summary Introduction: Since the second half of the twentieth century the discussions about mental patient care reveal ongoing debate between two health care paradigms: the biomedical/biopsychosocial paradigm and the psychosocial paradigm. The struggle for hegemony over the forms of care, on how to deal optimally with the experience of becoming ill is underpinned by an intentionality of reorganizing knowledge about the health/disease dichotomy, which is reflected in the models proposed for the implementation of actions and services for the promotion, prevention, care and rehabilitation of human health. Objective: To discuss the guidelines of care in mental health day hospitals (MHDH) in contrast to type III psychosocial care centers (CAPS III). Method: Review of mental health legislation from 1990 to 2014. Results: A definition of therapeutic project could not be found, as well as which activities and techniques should be employed by these health services. Conclusion: The MHDH and PCC III are services that replace psychiatric hospital admission and are characterized by their complementarity in the care to the mentally ill. Due to their varied and distinctive intervention methods, which operate synergistically, the contributions from both models of care are optimized. Discussions on the best mental health care model reveal polarization between the biomedical/biopsychosocial and psychosocial paradigms. This reflects the supremacy of the latter over the former in the political-ideological discourse that circumscribes the reform of psychiatric care, which may hinder a better clinical outcome for patients and their families.
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spelling Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental healthpsychiatrycommunity psychiatrymental health servicesmental healthhealth policySummary Introduction: Since the second half of the twentieth century the discussions about mental patient care reveal ongoing debate between two health care paradigms: the biomedical/biopsychosocial paradigm and the psychosocial paradigm. The struggle for hegemony over the forms of care, on how to deal optimally with the experience of becoming ill is underpinned by an intentionality of reorganizing knowledge about the health/disease dichotomy, which is reflected in the models proposed for the implementation of actions and services for the promotion, prevention, care and rehabilitation of human health. Objective: To discuss the guidelines of care in mental health day hospitals (MHDH) in contrast to type III psychosocial care centers (CAPS III). Method: Review of mental health legislation from 1990 to 2014. Results: A definition of therapeutic project could not be found, as well as which activities and techniques should be employed by these health services. Conclusion: The MHDH and PCC III are services that replace psychiatric hospital admission and are characterized by their complementarity in the care to the mentally ill. Due to their varied and distinctive intervention methods, which operate synergistically, the contributions from both models of care are optimized. Discussions on the best mental health care model reveal polarization between the biomedical/biopsychosocial and psychosocial paradigms. This reflects the supremacy of the latter over the former in the political-ideological discourse that circumscribes the reform of psychiatric care, which may hinder a better clinical outcome for patients and their families.Associação Médica Brasileira2016-07-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302016000400361Revista da Associação Médica Brasileira v.62 n.4 2016reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.62.04.361info:eu-repo/semantics/openAccessWeber,César Augusto TrintaJuruena,Mario Franciscoeng2016-07-19T00:00:00Zoai:scielo:S0104-42302016000400361Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2016-07-19T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health
title Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health
spellingShingle Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health
Weber,César Augusto Trinta
psychiatry
community psychiatry
mental health services
mental health
health policy
title_short Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health
title_full Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health
title_fullStr Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health
title_full_unstemmed Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health
title_sort Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health
author Weber,César Augusto Trinta
author_facet Weber,César Augusto Trinta
Juruena,Mario Francisco
author_role author
author2 Juruena,Mario Francisco
author2_role author
dc.contributor.author.fl_str_mv Weber,César Augusto Trinta
Juruena,Mario Francisco
dc.subject.por.fl_str_mv psychiatry
community psychiatry
mental health services
mental health
health policy
topic psychiatry
community psychiatry
mental health services
mental health
health policy
description Summary Introduction: Since the second half of the twentieth century the discussions about mental patient care reveal ongoing debate between two health care paradigms: the biomedical/biopsychosocial paradigm and the psychosocial paradigm. The struggle for hegemony over the forms of care, on how to deal optimally with the experience of becoming ill is underpinned by an intentionality of reorganizing knowledge about the health/disease dichotomy, which is reflected in the models proposed for the implementation of actions and services for the promotion, prevention, care and rehabilitation of human health. Objective: To discuss the guidelines of care in mental health day hospitals (MHDH) in contrast to type III psychosocial care centers (CAPS III). Method: Review of mental health legislation from 1990 to 2014. Results: A definition of therapeutic project could not be found, as well as which activities and techniques should be employed by these health services. Conclusion: The MHDH and PCC III are services that replace psychiatric hospital admission and are characterized by their complementarity in the care to the mentally ill. Due to their varied and distinctive intervention methods, which operate synergistically, the contributions from both models of care are optimized. Discussions on the best mental health care model reveal polarization between the biomedical/biopsychosocial and psychosocial paradigms. This reflects the supremacy of the latter over the former in the political-ideological discourse that circumscribes the reform of psychiatric care, which may hinder a better clinical outcome for patients and their families.
publishDate 2016
dc.date.none.fl_str_mv 2016-07-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/1806-9282.62.04.361
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.62 n.4 2016
reponame:Revista da Associação Médica Brasileira (Online)
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