New mental health services and the revolving door phenomenon in Rio Grande do Norte

Detalhes bibliográficos
Autor(a) principal: Ramos, Déborah Karollyne Ribeiro
Data de Publicação: 2013
Outros Autores: Guimarães, Jacileide
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Reme (Online)
Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50240
Resumo: OBJECTIVE: To evaluate the impact of the expansion of the mental health care network on the revolving door phenomenon in Rio Grande do Norte (RN). METHODS: This was an exploratory and descriptive research study, performed in a public state reference hospital for psychiatric care. The subjects were 20 professionals from the hospital, that dealt in their daily work with the admissions and discharges of individuals with mental disorders who sought care at the institution that was the locus of the research. The instruments used were: a semistructured interview, direct observation and document analysis. RESULTS: The expansion of the mental health network provided a reduction in the quantity of psychiatric readmissions in RN, as well as a decrease in demand for emergency care in the hospital where the research was conducted. CONCLUSION: It was found that, in addition to gradual reduction of rates of psychiatric readmissions in RN, the researched institution distributed users coming to the emergency department of the institution they used in a more organized manner, within the mental health network of the state, including within all the municipalities. This current research demonstrated that the Brazilian psychiatric reform has moved forward in RN and that it was possible to fight for and achieve favorable levels of reduction of psychiatric hospitalizations in the state.
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spelling New mental health services and the revolving door phenomenon in Rio Grande do NorteNuevos servicios de salud mental y el fenómeno de la puerta giratoria en Río Grande do NorteNovos serviços de saúde mental e o fenômeno da porta giratória no Rio Grande do NorteSaúde MentalPsiquiatriaInternação HospitalarPesquisa sobre Serviços de SaúdeSalud MentalPsiquiatríaHospitalizaciónInvestigación sobre Servicios de la SaludMental HealthPsychiatryHospitalizationHealth Services ResearchOBJECTIVE: To evaluate the impact of the expansion of the mental health care network on the revolving door phenomenon in Rio Grande do Norte (RN). METHODS: This was an exploratory and descriptive research study, performed in a public state reference hospital for psychiatric care. The subjects were 20 professionals from the hospital, that dealt in their daily work with the admissions and discharges of individuals with mental disorders who sought care at the institution that was the locus of the research. The instruments used were: a semistructured interview, direct observation and document analysis. RESULTS: The expansion of the mental health network provided a reduction in the quantity of psychiatric readmissions in RN, as well as a decrease in demand for emergency care in the hospital where the research was conducted. CONCLUSION: It was found that, in addition to gradual reduction of rates of psychiatric readmissions in RN, the researched institution distributed users coming to the emergency department of the institution they used in a more organized manner, within the mental health network of the state, including within all the municipalities. This current research demonstrated that the Brazilian psychiatric reform has moved forward in RN and that it was possible to fight for and achieve favorable levels of reduction of psychiatric hospitalizations in the state.El objetivo del presente estudio fue evaluar el impacto de la ampliación de la red de atención de salud mental en el fenómeno puerta giratoria en el estado de Rio Grande do Norte (RN). Se trata de una investigación exploratoria descriptiva realizada en un hospital de referencia estatal en atención psiquiátrica. Los sujetos fueron 20 profesionales del hospital que tratan de las internaciones y altas de pacientes con trastornos mentales que acuden a la institución investigada. Los instrumentos utilizados fueron entrevistas semi-estructuradas, observación directa y análisis de documentos. Se ha demostrado que la expansión de los servicios de salud mental reduce la cantidad de reinternaciones psiquiátricas en RN y que disminuye la demanda de atención de urgencias. Además de la reducción gradual de las tasas de reinternaciones psiquiátricas en RN, la institución distribuye deforma más organizada a los pacientes que acuden a urgencias enviándolos a otros lugares dentro de la red de salud mental del estado, inclusive a municipios del interior. Esta investigación ha demostrado que la Reforma Psiquiátrica brasileña avanza en RN, que se puede luchar y conquistar niveles favorables en la reducción de reinternaciones psiquiátricas en el estado.OBJETIVO: avaliar o impacto da expansão da rede de atenção à saúde mental no fenômeno porta giratória no Rio Grande do Norte (RN). MÉTODOS: trata-se de pesquisa exploratória e descritiva, realizada em um hospital público referência estadual para o atendimento em Psiquiatria. Os sujeitos da pesquisa foram 20 profissionais do próprio hospital, que lidam em seu cotidiano de trabalho com as internações e altas dos indivíduos com transtorno mental que buscam atendimento na instituição locus da pesquisa. Os instrumentos utilizados foram: entrevista semiestruturada, observação direta e análise documental. RESULTADOS: evidenciou-se que a expansão da rede de saúde mental proporcionou a redução do quantitativo de reinternações psiquiátricas no RN, bem como a diminuição na demanda por atendimento na urgência do hospital onde foi realizada a pesquisa. CONCLUSÃO: constatou-se que, além da redução gradativa dos índices de reinternações psiquiátricas no RN, a instituição pesquisada vem distribuindo de forma mais organizada, dentro da rede de saúde mental do estado, os usuários que chegam à urgência da instituição atuando, inclusive, junto aos municípios do interior. A presente pesquisa demonstrou que a reforma psiquiátrica brasileira vem avançando no RN e que é possível lutar e conquistar patamares favoráveis na redução de reinternações psiquiátricas no estado.Universidade Federal de Minas Gerais2013-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/5024010.5935/1415-2762.20130033REME-Revista Mineira de Enfermagem; Vol. 17 No. 2 (2013)REME-Revista Mineira de Enfermagem; Vol. 17 Núm. 2 (2013)REME-Revista Mineira de Enfermagem; v. 17 n. 2 (2013)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/50240/41634https://periodicos.ufmg.br/index.php/reme/article/view/50240/41635https://periodicos.ufmg.br/index.php/reme/article/view/50240/41636Copyright (c) 2013 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessRamos, Déborah Karollyne RibeiroGuimarães, Jacileide2024-01-24T13:35:28Zoai:periodicos.ufmg.br:article/50240Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T13:35:28Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv New mental health services and the revolving door phenomenon in Rio Grande do Norte
Nuevos servicios de salud mental y el fenómeno de la puerta giratoria en Río Grande do Norte
Novos serviços de saúde mental e o fenômeno da porta giratória no Rio Grande do Norte
title New mental health services and the revolving door phenomenon in Rio Grande do Norte
spellingShingle New mental health services and the revolving door phenomenon in Rio Grande do Norte
Ramos, Déborah Karollyne Ribeiro
Saúde Mental
Psiquiatria
Internação Hospitalar
Pesquisa sobre Serviços de Saúde
Salud Mental
Psiquiatría
Hospitalización
Investigación sobre Servicios de la Salud
Mental Health
Psychiatry
Hospitalization
Health Services Research
title_short New mental health services and the revolving door phenomenon in Rio Grande do Norte
title_full New mental health services and the revolving door phenomenon in Rio Grande do Norte
title_fullStr New mental health services and the revolving door phenomenon in Rio Grande do Norte
title_full_unstemmed New mental health services and the revolving door phenomenon in Rio Grande do Norte
title_sort New mental health services and the revolving door phenomenon in Rio Grande do Norte
author Ramos, Déborah Karollyne Ribeiro
author_facet Ramos, Déborah Karollyne Ribeiro
Guimarães, Jacileide
author_role author
author2 Guimarães, Jacileide
author2_role author
dc.contributor.author.fl_str_mv Ramos, Déborah Karollyne Ribeiro
Guimarães, Jacileide
dc.subject.por.fl_str_mv Saúde Mental
Psiquiatria
Internação Hospitalar
Pesquisa sobre Serviços de Saúde
Salud Mental
Psiquiatría
Hospitalización
Investigación sobre Servicios de la Salud
Mental Health
Psychiatry
Hospitalization
Health Services Research
topic Saúde Mental
Psiquiatria
Internação Hospitalar
Pesquisa sobre Serviços de Saúde
Salud Mental
Psiquiatría
Hospitalización
Investigación sobre Servicios de la Salud
Mental Health
Psychiatry
Hospitalization
Health Services Research
description OBJECTIVE: To evaluate the impact of the expansion of the mental health care network on the revolving door phenomenon in Rio Grande do Norte (RN). METHODS: This was an exploratory and descriptive research study, performed in a public state reference hospital for psychiatric care. The subjects were 20 professionals from the hospital, that dealt in their daily work with the admissions and discharges of individuals with mental disorders who sought care at the institution that was the locus of the research. The instruments used were: a semistructured interview, direct observation and document analysis. RESULTS: The expansion of the mental health network provided a reduction in the quantity of psychiatric readmissions in RN, as well as a decrease in demand for emergency care in the hospital where the research was conducted. CONCLUSION: It was found that, in addition to gradual reduction of rates of psychiatric readmissions in RN, the researched institution distributed users coming to the emergency department of the institution they used in a more organized manner, within the mental health network of the state, including within all the municipalities. This current research demonstrated that the Brazilian psychiatric reform has moved forward in RN and that it was possible to fight for and achieve favorable levels of reduction of psychiatric hospitalizations in the state.
publishDate 2013
dc.date.none.fl_str_mv 2013-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50240
10.5935/1415-2762.20130033
url https://periodicos.ufmg.br/index.php/reme/article/view/50240
identifier_str_mv 10.5935/1415-2762.20130033
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50240/41634
https://periodicos.ufmg.br/index.php/reme/article/view/50240/41635
https://periodicos.ufmg.br/index.php/reme/article/view/50240/41636
dc.rights.driver.fl_str_mv Copyright (c) 2013 Reme: Revista Mineira de Enfermagem
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2013 Reme: Revista Mineira de Enfermagem
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/plain
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv REME-Revista Mineira de Enfermagem; Vol. 17 No. 2 (2013)
REME-Revista Mineira de Enfermagem; Vol. 17 Núm. 2 (2013)
REME-Revista Mineira de Enfermagem; v. 17 n. 2 (2013)
2316-9389
1415-2762
reponame:Reme (Online)
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Reme (Online)
collection Reme (Online)
repository.name.fl_str_mv Reme (Online) - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv remeufmg@gmail.com
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