Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/59511
Type: Artigo de periódico
Title: Philanthropic general hospitals: a new setting for psychiatric admissions
Author: Larrobla, C
Botega, NJ
Abstract: OBJECTIVE: 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.
Subject: mental health services, organization & administration
mental health services, manpower
inpatients
hospitalization
bed occupancy
hospitals, voluntary
hospitals, general
hospital administration
Country: Brasil
Editor: Revista De Saude Publica
Rights: aberto
Identifier DOI: 10.1590/S0034-89102006005000010
Date Issue: 2006
Appears in Collections:Unicamp - Artigos e Outros Documentos

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