Philanthropic general hospitals: a new setting for psychiatric admissions

dc.creatorLarrobla, C
dc.creatorBotega, NJ
dc.date2006
dc.dateDEC
dc.date2014-11-17T17:07:01Z
dc.date2015-11-26T16:45:04Z
dc.date2014-11-17T17:07:01Z
dc.date2015-11-26T16:45:04Z
dc.date.accessioned2018-03-28T23:30:37Z
dc.date.available2018-03-28T23:30:37Z
dc.identifierRevista De Saude Publica. Revista De Saude Publica, v. 40, n. 6, n. 1042, n. 1048, 2006.
dc.identifier0034-8910
dc.identifierWOS:000243334700012
dc.identifier10.1590/S0034-89102006005000010
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/59511
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/59511
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/59511
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1274116
dc.descriptionOBJECTIVE: To understand the process that led Brazilian philanthropic general hospitals to implement psychiatric units and to describe the main characteristics and therapeutic approaches of these services. METHODS: Ten institutions in three Brazilian states (Minas Gerais, Sao Paulo e Santa Catarina) were assessed in 2002. Forty-three semi-structured interviews were carried out with health professionals who worked at the hospitals to collect data on service implementation process, therapeutic approaches and current situation. The interviews were audio-recorded and their content was analyzed. RESULTS: There was no mental hospital in the cities where the institutions were located. In five hospitals, psychiatric patients were admitted to general medical wards because there was no psychiatric unit. The therapeutic approach in six hospitals was based on psychopharmacological treatment. Due to lack of resources and more appropriate therapeutic planning, the admission of patients presenting psychomotor agitation increases resistance against psychiatric patients in general hospitals. Financial constraints regarding laboratory testing is still a challenge. There is no exchange between local authorities and hospital administrators of these institutions that are compelled to exceed the allowed number of admissions to meet the demand of neighboring cities. CONCLUSIONS: The need for mental health care to local populations combined with individual requests of local authorities and psychiatrists made possible the implementation of psychiatric units in these localities. In spite of the efforts and flexibility of health professional working in these institutions, there are some obstacles to be overcome: resistance of hospital community against psychiatric admissions, financial constraints, limited professional training in mental health and the lack of a therapeutic approach that goes beyond psychopharmacological treatment alone.
dc.description40
dc.description6
dc.description1042
dc.description1048
dc.languagept
dc.publisherRevista De Saude Publica
dc.publisherSao Paulo
dc.publisherBrasil
dc.relationRevista De Saude Publica
dc.relationRev. Saude Publica
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectmental health services, organization & administration
dc.subjectmental health services, manpower
dc.subjectinpatients
dc.subjecthospitalization
dc.subjectbed occupancy
dc.subjecthospitals, voluntary
dc.subjecthospitals, general
dc.subjecthospital administration
dc.titlePhilanthropic general hospitals: a new setting for psychiatric admissions
dc.typeArtículos de revistas


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