Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFS |
Texto Completo: | http://ri.ufs.br/jspui/handle/riufs/16063 |
Resumo: | The hospital-centered model, based on the social exclusion of people in psychological distress, was historically and widely used in different countries, including Brazil. However, based on experiences, especially with the Second World War, in which the suffering of prisoners in concentration camps and soldiers at war was compared to the suffering of people who lived locked up in asylums, the need for more effective treatment was perceived. towards these people, hence the movement for Psychiatric Reform, which began to think about the treatment of madness from the perspective of rights. This movement began in Brazil in the 1970s and acquired consistency in the following decade with the redemocratization movement that the country was going through. In 2001, Law 10,216, known as the Psychiatric Reform Law, was passed, which redirected the mental health care model and regulated mental health care services and provided for the protection and rights of people in psychological distress. In this scenario, psychiatric hospitals would be used only in crisis situations, as a last resort, after the devices of the psychosocial care network have been exhausted, however, this is not what we see in practical reality, especially in a scenario of setbacks in the field of health policy. mental health in Brazil. In view of this problem, the research had as its object of study the psychiatric hospitalizations in the Brazilian Northeast from 2010 to 2020 and as a general objective: to analyze the psychiatric hospitalizations in the Northeast region of Brazil in this period. Data collection was carried out using data available in the Hospital Information System of the SUS (SIH/SUS) of the Ministry of Health. The research was exploratory, qualitative in nature and had as its method of analysis the historicaldialectical materialism, which made it possible to the analysis of data from its appearance to its essence. Among the results, we highlight the reduction in the total percentage of psychiatric hospitalizations in Brazil by 34.9% in the period from 2010 to 2020. Among the regions of the country, the one that showed the greatest reduction was the Northeast (42.2%), and also presented the greatest CAPS coverage rate per inhabitant (1.84). In 2020, there was a reduction in the number of psychiatric hospitalizations compared to the previous year, a fact that may be related to the beginning of the covid-19 pandemic that we faced during that year and that continues today. With regard to the types of disorders from which hospitalizations derive, 43.7% of them are from schizophrenia and 27.2% from the use of alcohol and other psychoactive substances. Regarding the age group, 46.9% of hospitalizations occurred with people aged between 20 and 39 years; 55.4% are male and in terms of race/color 55.2% are black and brown, 9.6% are white and 31% are unregistered. We found that the anti-asylum struggle must be permanent, even in a scenario of achievements and advances towards the ideal of mental health care that we aim for, as we live and still can live with numerous setbacks and loss of rights, according to each situation and relationships. of power established in society. Furthermore, the many flags of struggle that we know are also highlighted here, as the struggles are transversal and, therefore, issues such as racism, machismo and class prejudice end up reverberating in mental health indicators, showing that the struggle for a society free of asylums also permeates the struggle against the various oppressions that we find in capitalist sociability. |
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Mendonça, Erica da SilvaSantos, Vânia Carvalho2022-08-01T22:35:47Z2022-08-01T22:35:47Z2021-10-27MENDONÇA, Erica da Silva. Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020. 2021. 138 f. Dissertação (Mestrado em Serviço Social) – Universidade Federal de Sergipe, São Cristóvão, 2021.http://ri.ufs.br/jspui/handle/riufs/16063The hospital-centered model, based on the social exclusion of people in psychological distress, was historically and widely used in different countries, including Brazil. However, based on experiences, especially with the Second World War, in which the suffering of prisoners in concentration camps and soldiers at war was compared to the suffering of people who lived locked up in asylums, the need for more effective treatment was perceived. towards these people, hence the movement for Psychiatric Reform, which began to think about the treatment of madness from the perspective of rights. This movement began in Brazil in the 1970s and acquired consistency in the following decade with the redemocratization movement that the country was going through. In 2001, Law 10,216, known as the Psychiatric Reform Law, was passed, which redirected the mental health care model and regulated mental health care services and provided for the protection and rights of people in psychological distress. In this scenario, psychiatric hospitals would be used only in crisis situations, as a last resort, after the devices of the psychosocial care network have been exhausted, however, this is not what we see in practical reality, especially in a scenario of setbacks in the field of health policy. mental health in Brazil. In view of this problem, the research had as its object of study the psychiatric hospitalizations in the Brazilian Northeast from 2010 to 2020 and as a general objective: to analyze the psychiatric hospitalizations in the Northeast region of Brazil in this period. Data collection was carried out using data available in the Hospital Information System of the SUS (SIH/SUS) of the Ministry of Health. The research was exploratory, qualitative in nature and had as its method of analysis the historicaldialectical materialism, which made it possible to the analysis of data from its appearance to its essence. Among the results, we highlight the reduction in the total percentage of psychiatric hospitalizations in Brazil by 34.9% in the period from 2010 to 2020. Among the regions of the country, the one that showed the greatest reduction was the Northeast (42.2%), and also presented the greatest CAPS coverage rate per inhabitant (1.84). In 2020, there was a reduction in the number of psychiatric hospitalizations compared to the previous year, a fact that may be related to the beginning of the covid-19 pandemic that we faced during that year and that continues today. With regard to the types of disorders from which hospitalizations derive, 43.7% of them are from schizophrenia and 27.2% from the use of alcohol and other psychoactive substances. Regarding the age group, 46.9% of hospitalizations occurred with people aged between 20 and 39 years; 55.4% are male and in terms of race/color 55.2% are black and brown, 9.6% are white and 31% are unregistered. We found that the anti-asylum struggle must be permanent, even in a scenario of achievements and advances towards the ideal of mental health care that we aim for, as we live and still can live with numerous setbacks and loss of rights, according to each situation and relationships. of power established in society. Furthermore, the many flags of struggle that we know are also highlighted here, as the struggles are transversal and, therefore, issues such as racism, machismo and class prejudice end up reverberating in mental health indicators, showing that the struggle for a society free of asylums also permeates the struggle against the various oppressions that we find in capitalist sociability.O modelo hospitalocêntrico, baseado na exclusão social da pessoa em sofrimento psíquico, foi histórica e amplamente utilizado em diferentes países, inclusive no Brasil. Contudo, a partir das experiências, principalmente com a Segunda Guerra Mundial, em que o sofrimento dos prisioneiros em campos de concentração e dos soldados em guerra foi comparado ao sofrimento das pessoas que viviam trancadas nos manicômios, percebeu-se a necessidade de um tratamento mais humano para com essas pessoas, daí surge o movimento pela Reforma Psiquiátrica, que começou a pensar o tratamento da loucura a partir da ótica dos direitos. Esse movimento teve início no Brasil na década de 1970 e adquiriu consistência na década seguinte junto ao movimento de redemocratização pelo qual passava o país. Em 2001 foi aprovada a Lei 10.216, conhecida como Lei da Reforma Psiquiátrica, a qual redirecionou o modelo assistencial em saúde mental e regulamentou os serviços de atenção à saúde mental e dispõe sobre a proteção e os direitos das pessoas em sofrimento psíquico. Nesse cenário os hospitais psiquiátricos seriam utilizados apenas em situações de crise, como último recurso, depois de esgotados os dispositivos da rede de atenção psicossocial, entretanto, não é o que visualizamos na realidade prática, sobretudo em um cenário de retrocessos no campo da política de saúde mental no Brasil. Tendo em vista esta problemática, a pesquisa teve como objeto de estudo as internações psiquiátricas no Nordeste brasileiro no período de 2010 a 2020 e como objetivo geral: analisar as internações psiquiátricas na região Nordeste do Brasil nesse período. A coleta de dados foi realizada por meio de dados disponíveis no Sistema de Informações Hospitalares do SUS (SIH/SUS) do Ministério da Saúde. A pesquisa foi exploratória de caráter qualitativo e teve como método de análise o materialismo histórico-dialético, o qual possibilitou a análise dos dados a partir de sua aparência à sua essência. Dentre os resultados destacamos a redução do percentual total de internações psiquiátricas no Brasil em 34,9% no período de 2010 a 2020. Entre as regiões do país a que apresentou maior redução foi o Nordeste (42,2%), e também apresentou maior taxa de cobertura de CAPS por habitantes (1,84). No ano de 2020 houve redução do número de internações psiquiátricas em relação ao ano anterior, fato que pode estar relacionado ao início da pandemia de covid-19 que enfrentamos durante esse ano e que perdura ainda hoje. No que diz respeito aos tipos de transtornos dos quais derivam as internações 43,7% deles são de esquizofrenia e 27,2% do uso de álcool e outras substâncias psicoativas. Com relação a faixa etária 46,9% das internações aconteceram com pessoas com idade entre 20 e 39 anos; 55,4% correspondem ao sexo masculino e no quesito raça/cor 55,2% são pretos/as e pardos/as, 9,6% brancos/as e 31% sem registro. Constatamos que a luta antimanicomial deve ser permanente, mesmo em um cenário de conquistas e avanços em direção ao ideal de cuidado em saúde mental que almejamos, pois convivemos e ainda poderemos conviver com inúmeros retrocessos e perdas de direitos, de acordo com cada conjuntura e relações de poder que se estabeleçam na sociedade. Para mais, as tantas bandeiras de luta que conhecemos são aqui também evidenciadas, pois as lutas são transversais e, por isso, questões como o racismo, o machismo e o preconceito de classe acabam reverberando nos indicadores de saúde mental, evidenciando que a luta por uma sociedade livre de manicômios perpassa também pela luta contra as diversas opressões que encontramos na sociabilidade capitalista.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESSão CristóvãoporServiço socialCiências sociaisServiços de saúde mentalNordeste (Brasil)Política de saúde mentalBrasilReforma psiquiátricaSaúde mentalInternações psiquiátricasServiços substitutivosPsychiatric reformMental healthPsychiatric admissionsSubstitute servicesCIENCIAS SOCIAIS APLICADAS::SERVICO SOCIALInternações psiquiátricas no nordeste brasileiro no período de 2010 a 2020info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisPós-Graduação em Serviço SocialUniversidade Federal de Sergipereponame:Repositório Institucional da UFSinstname:Universidade Federal de Sergipe (UFS)instacron:UFSinfo:eu-repo/semantics/openAccessTEXTERICA_SILVA_MENDONCA.pdf.txtERICA_SILVA_MENDONCA.pdf.txtExtracted texttext/plain312841https://ri.ufs.br/jspui/bitstream/riufs/16063/3/ERICA_SILVA_MENDONCA.pdf.txt444257d0ccab99aed2aaa99d3a16a07bMD53THUMBNAILERICA_SILVA_MENDONCA.pdf.jpgERICA_SILVA_MENDONCA.pdf.jpgGenerated Thumbnailimage/jpeg1203https://ri.ufs.br/jspui/bitstream/riufs/16063/4/ERICA_SILVA_MENDONCA.pdf.jpg504d3474cf24b126cb9ed33909beca39MD54ORIGINALERICA_SILVA_MENDONCA.pdfERICA_SILVA_MENDONCA.pdfapplication/pdf2804542https://ri.ufs.br/jspui/bitstream/riufs/16063/2/ERICA_SILVA_MENDONCA.pdfbde8b5edb5f29ae119a25417c7644442MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81475https://ri.ufs.br/jspui/bitstream/riufs/16063/1/license.txt098cbbf65c2c15e1fb2e49c5d306a44cMD51riufs/160632022-08-01 19:35:49.146oai:ufs.br:riufs/16063TElDRU7Dh0EgREUgRElTVFJJQlVJw4fDg08gTsODTy1FWENMVVNJVkEKCkNvbSBhIGFwcmVzZW50YcOnw6NvIGRlc3RhIGxpY2Vuw6dhLCB2b2PDqiAobyBhdXRvcihlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSDDoCBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkZSBTZXJnaXBlIG8gZGlyZWl0byBuw6NvLWV4Y2x1c2l2byBkZSByZXByb2R1emlyIHNldSB0cmFiYWxobyBubyBmb3JtYXRvIGVsZXRyw7RuaWNvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mgw6F1ZGlvIG91IHbDrWRlby4KClZvY8OqIGNvbmNvcmRhIHF1ZSBhIFVuaXZlcnNpZGFkZSBGZWRlcmFsIGRlIFNlcmdpcGUgcG9kZSwgc2VtIGFsdGVyYXIgbyBjb250ZcO6ZG8sIHRyYW5zcG9yIHNldSB0cmFiYWxobyBwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIHRhbWLDqW0gY29uY29yZGEgcXVlIGEgVW5pdmVyc2lkYWRlIEZlZGVyYWwgZGUgU2VyZ2lwZSBwb2RlIG1hbnRlciBtYWlzIGRlIHVtYSBjw7NwaWEgZGUgc2V1IHRyYWJhbGhvIHBhcmEgZmlucyBkZSBzZWd1cmFuw6dhLCBiYWNrLXVwIGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIGRlY2xhcmEgcXVlIHNldSB0cmFiYWxobyDDqSBvcmlnaW5hbCBlIHF1ZSB2b2PDqiB0ZW0gbyBwb2RlciBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcyBuZXN0YSBsaWNlbsOnYS4gVm9jw6ogdGFtYsOpbSBkZWNsYXJhIHF1ZSBvIGRlcMOzc2l0bywgcXVlIHNlamEgZGUgc2V1IGNvbmhlY2ltZW50bywgbsOjbyBpbmZyaW5nZSBkaXJlaXRvcyBhdXRvcmFpcyBkZSBuaW5ndcOpbS4KCkNhc28gbyB0cmFiYWxobyBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jw6ogbsOjbyBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2PDqiBkZWNsYXJhIHF1ZSBvYnRldmUgYSBwZXJtaXNzw6NvIGlycmVzdHJpdGEgZG8gZGV0ZW50b3IgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIHBhcmEgY29uY2VkZXIgw6AgVW5pdmVyc2lkYWRlIEZlZGVyYWwgZGUgU2VyZ2lwZSBvcyBkaXJlaXRvcyBhcHJlc2VudGFkb3MgbmVzdGEgbGljZW7Dp2EsIGUgcXVlIGVzc2UgbWF0ZXJpYWwgZGUgcHJvcHJpZWRhZGUgZGUgdGVyY2Vpcm9zIGVzdMOhIGNsYXJhbWVudGUgaWRlbnRpZmljYWRvIGUgcmVjb25oZWNpZG8gbm8gdGV4dG8gb3Ugbm8gY29udGXDumRvLgoKQSBVbml2ZXJzaWRhZGUgRmVkZXJhbCBkZSBTZXJnaXBlIHNlIGNvbXByb21ldGUgYSBpZGVudGlmaWNhciBjbGFyYW1lbnRlIG8gc2V1IG5vbWUocykgb3UgbyhzKSBub21lKHMpIGRvKHMpIApkZXRlbnRvcihlcykgZG9zIGRpcmVpdG9zIGF1dG9yYWlzIGRvIHRyYWJhbGhvLCBlIG7Do28gZmFyw6EgcXVhbHF1ZXIgYWx0ZXJhw6fDo28sIGFsw6ltIGRhcXVlbGFzIGNvbmNlZGlkYXMgcG9yIGVzdGEgbGljZW7Dp2EuIAo=Repositório InstitucionalPUBhttps://ri.ufs.br/oai/requestrepositorio@academico.ufs.bropendoar:2022-08-01T22:35:49Repositório Institucional da UFS - Universidade Federal de Sergipe (UFS)false |
dc.title.pt_BR.fl_str_mv |
Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020 |
title |
Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020 |
spellingShingle |
Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020 Mendonça, Erica da Silva Serviço social Ciências sociais Serviços de saúde mental Nordeste (Brasil) Política de saúde mental Brasil Reforma psiquiátrica Saúde mental Internações psiquiátricas Serviços substitutivos Psychiatric reform Mental health Psychiatric admissions Substitute services CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL |
title_short |
Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020 |
title_full |
Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020 |
title_fullStr |
Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020 |
title_full_unstemmed |
Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020 |
title_sort |
Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020 |
author |
Mendonça, Erica da Silva |
author_facet |
Mendonça, Erica da Silva |
author_role |
author |
dc.contributor.author.fl_str_mv |
Mendonça, Erica da Silva |
dc.contributor.advisor1.fl_str_mv |
Santos, Vânia Carvalho |
contributor_str_mv |
Santos, Vânia Carvalho |
dc.subject.por.fl_str_mv |
Serviço social Ciências sociais Serviços de saúde mental Nordeste (Brasil) Política de saúde mental Brasil Reforma psiquiátrica Saúde mental Internações psiquiátricas Serviços substitutivos |
topic |
Serviço social Ciências sociais Serviços de saúde mental Nordeste (Brasil) Política de saúde mental Brasil Reforma psiquiátrica Saúde mental Internações psiquiátricas Serviços substitutivos Psychiatric reform Mental health Psychiatric admissions Substitute services CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL |
dc.subject.eng.fl_str_mv |
Psychiatric reform Mental health Psychiatric admissions Substitute services |
dc.subject.cnpq.fl_str_mv |
CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL |
description |
The hospital-centered model, based on the social exclusion of people in psychological distress, was historically and widely used in different countries, including Brazil. However, based on experiences, especially with the Second World War, in which the suffering of prisoners in concentration camps and soldiers at war was compared to the suffering of people who lived locked up in asylums, the need for more effective treatment was perceived. towards these people, hence the movement for Psychiatric Reform, which began to think about the treatment of madness from the perspective of rights. This movement began in Brazil in the 1970s and acquired consistency in the following decade with the redemocratization movement that the country was going through. In 2001, Law 10,216, known as the Psychiatric Reform Law, was passed, which redirected the mental health care model and regulated mental health care services and provided for the protection and rights of people in psychological distress. In this scenario, psychiatric hospitals would be used only in crisis situations, as a last resort, after the devices of the psychosocial care network have been exhausted, however, this is not what we see in practical reality, especially in a scenario of setbacks in the field of health policy. mental health in Brazil. In view of this problem, the research had as its object of study the psychiatric hospitalizations in the Brazilian Northeast from 2010 to 2020 and as a general objective: to analyze the psychiatric hospitalizations in the Northeast region of Brazil in this period. Data collection was carried out using data available in the Hospital Information System of the SUS (SIH/SUS) of the Ministry of Health. The research was exploratory, qualitative in nature and had as its method of analysis the historicaldialectical materialism, which made it possible to the analysis of data from its appearance to its essence. Among the results, we highlight the reduction in the total percentage of psychiatric hospitalizations in Brazil by 34.9% in the period from 2010 to 2020. Among the regions of the country, the one that showed the greatest reduction was the Northeast (42.2%), and also presented the greatest CAPS coverage rate per inhabitant (1.84). In 2020, there was a reduction in the number of psychiatric hospitalizations compared to the previous year, a fact that may be related to the beginning of the covid-19 pandemic that we faced during that year and that continues today. With regard to the types of disorders from which hospitalizations derive, 43.7% of them are from schizophrenia and 27.2% from the use of alcohol and other psychoactive substances. Regarding the age group, 46.9% of hospitalizations occurred with people aged between 20 and 39 years; 55.4% are male and in terms of race/color 55.2% are black and brown, 9.6% are white and 31% are unregistered. We found that the anti-asylum struggle must be permanent, even in a scenario of achievements and advances towards the ideal of mental health care that we aim for, as we live and still can live with numerous setbacks and loss of rights, according to each situation and relationships. of power established in society. Furthermore, the many flags of struggle that we know are also highlighted here, as the struggles are transversal and, therefore, issues such as racism, machismo and class prejudice end up reverberating in mental health indicators, showing that the struggle for a society free of asylums also permeates the struggle against the various oppressions that we find in capitalist sociability. |
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2021 |
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2021-10-27 |
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2022-08-01T22:35:47Z |
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2022-08-01T22:35:47Z |
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MENDONÇA, Erica da Silva. Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020. 2021. 138 f. Dissertação (Mestrado em Serviço Social) – Universidade Federal de Sergipe, São Cristóvão, 2021. |
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http://ri.ufs.br/jspui/handle/riufs/16063 |
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MENDONÇA, Erica da Silva. Internações psiquiátricas no nordeste brasileiro no período de 2010 a 2020. 2021. 138 f. Dissertação (Mestrado em Serviço Social) – Universidade Federal de Sergipe, São Cristóvão, 2021. |
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