Feasibility of general hospitals psychiatric units in Brazil

Detalhes bibliográficos
Autor(a) principal: Lucchesi, Maurício
Data de Publicação: 2009
Outros Autores: Malik, Ana Maria
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32581
Resumo: OBJECTIVE: To comprehend the stigma against people with mental disorders still persists in the culture of general hospitals and acts as a limiting factor in the implementation of psychiatric units in general hospitals in Brazil. METHODOLOGICAL PROCEDURES: A qualitative social survey was outlined based on action research strategy as of the agreement to adopt a psychiatric unit in a general hospital in Taubaté, Southeastern Brazil. Data was obtained through interviews, participant observation and talks on the psychiatric unit project given to the hospital's clinical staff. RESULTS: The investment made by the healthcare authority enabled the stigmatizing conceptions (violence, moral weakness and untreatability) present in the hospital culture in question to be resignified by means of clinical and sanitary discussions, which enabled the implementation of the psychiatric unit. The analysis showed that these concepts persist in this context because of a healthcare system that limits the access of people with mental disorders. CONCLUSIONS: The attitude of the healthcare authority, who decided to adequately fund the general hospital's psychiatric unit and exerted his influence over the hospital, was decisive for the outcome of the case. The main difficulty in implementing psychiatric units at general hospitals is not the overcoming the existing stigma in the culture of general hospitals, but rather a difficulty which is strategic in nature: the lack of an affirmative policy for these units.
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spelling Feasibility of general hospitals psychiatric units in Brazil Viabilidad de unidades psiquiátricas en hospitales generales en Brasil Viabilidade de unidades psiquiátricas em hospitais gerais no Brasil Recursos Humanos em HospitalConhecimentosAtitudes e Prática em Saúde^i1^sServiços de Saúde MenUnidade Hospitalar de Psiquiatria^i1^sorganização & administraHospitais GeraisAdministração HospitalarPesquisa QualitativaPolítica de saúde mentalPersonal de HospitalConocimientosActitudes y Práctica en Salud^i3^sServicios de Salud MenServicio de Psiquiatría en Hospital^i3^sorganización & administracHospitales GeneralesAdministración HospitalariaInvestigación CualitativaPolítica de saúde mentalPersonnelHospitalHealthKnowledgeAttitudesPractice^i2^sMental Health ServiPsychiatric DepartmentHospital^i2^sorganization & administratHospitalsGeneralHospital AdministrationQualitative ResearchMental Health Policy OBJECTIVE: To comprehend the stigma against people with mental disorders still persists in the culture of general hospitals and acts as a limiting factor in the implementation of psychiatric units in general hospitals in Brazil. METHODOLOGICAL PROCEDURES: A qualitative social survey was outlined based on action research strategy as of the agreement to adopt a psychiatric unit in a general hospital in Taubaté, Southeastern Brazil. Data was obtained through interviews, participant observation and talks on the psychiatric unit project given to the hospital's clinical staff. RESULTS: The investment made by the healthcare authority enabled the stigmatizing conceptions (violence, moral weakness and untreatability) present in the hospital culture in question to be resignified by means of clinical and sanitary discussions, which enabled the implementation of the psychiatric unit. The analysis showed that these concepts persist in this context because of a healthcare system that limits the access of people with mental disorders. CONCLUSIONS: The attitude of the healthcare authority, who decided to adequately fund the general hospital's psychiatric unit and exerted his influence over the hospital, was decisive for the outcome of the case. The main difficulty in implementing psychiatric units at general hospitals is not the overcoming the existing stigma in the culture of general hospitals, but rather a difficulty which is strategic in nature: the lack of an affirmative policy for these units. OBJETIVO: Comprender el estigma dirigido a los portadores de trastornos mentales en la cultura de hospitales generales con relación al factor limitante para la implantación de unidades psiquiátricas en hospitales generales en Brasil. PROCEDIMIENTOS METODOLÓGICOS: Fue delineada una pesquisa social, de naturaleza cualitativa. Se adoptó como estrategia la pesquisa-acción para la implantación de una unidad psiquiátrica en un hospital general en Taubate (Sureste de Brasil), 2005-2006. Las evidencias fueron obtenidas por medio de entrevistas, observación participante y palestras sobre el proyecto de la unidad psiquiátrica para el cuerpo clínico del hospital. RESULTADOS: La inversión del órgano gestor posibilitó que las concepciones estigmatizantes presentes en la cultura del hospital estudiado (violencia, debilidad moral e intratabilidad) fueran resignificadas por medio de discusiones clínicas y sanitarias, viabilizando la implantación de la unidad psiquiátrica. El análisis mostró que esas concepciones eran reactualizadas por el contexto asistencial, en el cual el acceso de los portadores de trastornos mentales era restringido. CONCLUSIONES: La postura asumida por el órgano gestor, que decidió por el financiamiento adecuado de la unidad psiquiátrica y ejerció su ascendencia sobre el hospital prestador, fue decisiva para el desenlace del caso. La principal dificultad para la implantación de las unidades psiquiátricas no es el estigma presente en la cultura de los hospitales generales, pero una limitación de orden estratégica: la falta de una política afirmativa para esas unidades. OBJETIVO: Compreender o estigma voltado aos portadores de transtornos mentais na cultura de hospitais gerais enquanto fator limitante para a implantação de unidades psiquiátricas em hospitais gerais no Brasil. PROCEDIMENTOS METODOLÓGICOS: Foi delineada uma pesquisa social, de natureza qualitativa. Adotou-se como estratégia a pesquisa-ação para a implantação de uma unidade psiquiátrica em um hospital geral em Taubaté, SP, 2005-2006. As evidências foram obtidas por meio de entrevistas, observação participante e palestras sobre o projeto da unidade psiquiátrica para o corpo clínico do hospital. RESULTADOS: O investimento do órgão gestor possibilitou que as concepções estigmatizantes presentes na cultura do hospital estudado (violência, fraqueza moral e intratabilidade) fossem ressignificadas por meio de discussões clínicas e sanitárias, viabilizando a implantação da unidade psiquiátrica. A análise mostrou que essas concepções eram reatualizadas pelo contexto assistencial, no qual o acesso dos portadores de transtornos mentais era restrito. CONCLUSÕES: A postura assumida pelo órgão gestor, que decidiu pelo financiamento adequado da unidade psiquiátrica e exerceu sua ascendência sobre o hospital prestador, foi decisiva para o desfecho do caso. A principal dificuldade para a implantação das unidades psiquiátricas não é o estigma presente na cultura dos hospitais gerais, mas uma limitação de ordem estratégica: a falta de uma política afirmativa para essas unidades. Universidade de São Paulo. Faculdade de Saúde Pública2009-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3258110.1590/S0034-89102009000100021Revista de Saúde Pública; Vol. 43 No. 1 (2009); 161-168 Revista de Saúde Pública; Vol. 43 Núm. 1 (2009); 161-168 Revista de Saúde Pública; v. 43 n. 1 (2009); 161-168 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32581/34920https://www.revistas.usp.br/rsp/article/view/32581/34921Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLucchesi, MaurícioMalik, Ana Maria2012-07-09T01:53:29Zoai:revistas.usp.br:article/32581Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T01:53:29Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Feasibility of general hospitals psychiatric units in Brazil
Viabilidad de unidades psiquiátricas en hospitales generales en Brasil
Viabilidade de unidades psiquiátricas em hospitais gerais no Brasil
title Feasibility of general hospitals psychiatric units in Brazil
spellingShingle Feasibility of general hospitals psychiatric units in Brazil
Lucchesi, Maurício
Recursos Humanos em Hospital
Conhecimentos
Atitudes e Prática em Saúde^i1^sServiços de Saúde Men
Unidade Hospitalar de Psiquiatria^i1^sorganização & administra
Hospitais Gerais
Administração Hospitalar
Pesquisa Qualitativa
Política de saúde mental
Personal de Hospital
Conocimientos
Actitudes y Práctica en Salud^i3^sServicios de Salud Men
Servicio de Psiquiatría en Hospital^i3^sorganización & administrac
Hospitales Generales
Administración Hospitalaria
Investigación Cualitativa
Política de saúde mental
Personnel
Hospital
Health
Knowledge
Attitudes
Practice^i2^sMental Health Servi
Psychiatric Department
Hospital^i2^sorganization & administrat
Hospitals
General
Hospital Administration
Qualitative Research
Mental Health Policy
title_short Feasibility of general hospitals psychiatric units in Brazil
title_full Feasibility of general hospitals psychiatric units in Brazil
title_fullStr Feasibility of general hospitals psychiatric units in Brazil
title_full_unstemmed Feasibility of general hospitals psychiatric units in Brazil
title_sort Feasibility of general hospitals psychiatric units in Brazil
author Lucchesi, Maurício
author_facet Lucchesi, Maurício
Malik, Ana Maria
author_role author
author2 Malik, Ana Maria
author2_role author
dc.contributor.author.fl_str_mv Lucchesi, Maurício
Malik, Ana Maria
dc.subject.por.fl_str_mv Recursos Humanos em Hospital
Conhecimentos
Atitudes e Prática em Saúde^i1^sServiços de Saúde Men
Unidade Hospitalar de Psiquiatria^i1^sorganização & administra
Hospitais Gerais
Administração Hospitalar
Pesquisa Qualitativa
Política de saúde mental
Personal de Hospital
Conocimientos
Actitudes y Práctica en Salud^i3^sServicios de Salud Men
Servicio de Psiquiatría en Hospital^i3^sorganización & administrac
Hospitales Generales
Administración Hospitalaria
Investigación Cualitativa
Política de saúde mental
Personnel
Hospital
Health
Knowledge
Attitudes
Practice^i2^sMental Health Servi
Psychiatric Department
Hospital^i2^sorganization & administrat
Hospitals
General
Hospital Administration
Qualitative Research
Mental Health Policy
topic Recursos Humanos em Hospital
Conhecimentos
Atitudes e Prática em Saúde^i1^sServiços de Saúde Men
Unidade Hospitalar de Psiquiatria^i1^sorganização & administra
Hospitais Gerais
Administração Hospitalar
Pesquisa Qualitativa
Política de saúde mental
Personal de Hospital
Conocimientos
Actitudes y Práctica en Salud^i3^sServicios de Salud Men
Servicio de Psiquiatría en Hospital^i3^sorganización & administrac
Hospitales Generales
Administración Hospitalaria
Investigación Cualitativa
Política de saúde mental
Personnel
Hospital
Health
Knowledge
Attitudes
Practice^i2^sMental Health Servi
Psychiatric Department
Hospital^i2^sorganization & administrat
Hospitals
General
Hospital Administration
Qualitative Research
Mental Health Policy
description OBJECTIVE: To comprehend the stigma against people with mental disorders still persists in the culture of general hospitals and acts as a limiting factor in the implementation of psychiatric units in general hospitals in Brazil. METHODOLOGICAL PROCEDURES: A qualitative social survey was outlined based on action research strategy as of the agreement to adopt a psychiatric unit in a general hospital in Taubaté, Southeastern Brazil. Data was obtained through interviews, participant observation and talks on the psychiatric unit project given to the hospital's clinical staff. RESULTS: The investment made by the healthcare authority enabled the stigmatizing conceptions (violence, moral weakness and untreatability) present in the hospital culture in question to be resignified by means of clinical and sanitary discussions, which enabled the implementation of the psychiatric unit. The analysis showed that these concepts persist in this context because of a healthcare system that limits the access of people with mental disorders. CONCLUSIONS: The attitude of the healthcare authority, who decided to adequately fund the general hospital's psychiatric unit and exerted his influence over the hospital, was decisive for the outcome of the case. The main difficulty in implementing psychiatric units at general hospitals is not the overcoming the existing stigma in the culture of general hospitals, but rather a difficulty which is strategic in nature: the lack of an affirmative policy for these units.
publishDate 2009
dc.date.none.fl_str_mv 2009-02-01
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://www.revistas.usp.br/rsp/article/view/32581
10.1590/S0034-89102009000100021
url https://www.revistas.usp.br/rsp/article/view/32581
identifier_str_mv 10.1590/S0034-89102009000100021
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32581/34920
https://www.revistas.usp.br/rsp/article/view/32581/34921
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 43 No. 1 (2009); 161-168
Revista de Saúde Pública; Vol. 43 Núm. 1 (2009); 161-168
Revista de Saúde Pública; v. 43 n. 1 (2009); 161-168
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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