Psychiatric Crisis Management in the Emergency Care Hospital Network
Since psychiatric crisis treatment is crucial in mental health care, this study aimed to characterize the psychiatric crisis in the hospital emergency services of Natal/RN. Semi-structured interviews were conducted with 33 professionals employed in four local public hospitals. The results revealed the absence of adequate beds for psychiatric conditions, scarcity of psychiatric drugs, lack of clarity regarding diagnostic criteria, treatment based on chemical restraint and inpatient care as a priority strategy. Furthermore, there is fragmentation of the work processes with physician centrality in the management of crisis, disarticulation between hospitals and other services of the psychosocial care network and systematic referrals to psychiatric hospital. We conclude that the configuration of the local hospital network does not present satisfactory responsiveness to psychiatric crisis situations and its clinical and institutional weaknesses reflect the process of psychiatric reform in the region.
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Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia
2015
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Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-863X2015000100095 |
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oai:scielo:S0103-863X20150001000952015-05-05Psychiatric Crisis Management in the Emergency Care Hospital NetworkDimenstein,Magda Diniz BezerraGruska,ViktorLeite,Jader Ferreira mental health crisis intervention general hospital Since psychiatric crisis treatment is crucial in mental health care, this study aimed to characterize the psychiatric crisis in the hospital emergency services of Natal/RN. Semi-structured interviews were conducted with 33 professionals employed in four local public hospitals. The results revealed the absence of adequate beds for psychiatric conditions, scarcity of psychiatric drugs, lack of clarity regarding diagnostic criteria, treatment based on chemical restraint and inpatient care as a priority strategy. Furthermore, there is fragmentation of the work processes with physician centrality in the management of crisis, disarticulation between hospitals and other services of the psychosocial care network and systematic referrals to psychiatric hospital. We conclude that the configuration of the local hospital network does not present satisfactory responsiveness to psychiatric crisis situations and its clinical and institutional weaknesses reflect the process of psychiatric reform in the region.info:eu-repo/semantics/openAccessUniversidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em PsicologiaPaidéia (Ribeirão Preto) v.25 n.60 20152015-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-863X2015000100095en10.1590/1982-43272560201512 |
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Dimenstein,Magda Diniz Bezerra Gruska,Viktor Leite,Jader Ferreira |
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Dimenstein,Magda Diniz Bezerra Gruska,Viktor Leite,Jader Ferreira Psychiatric Crisis Management in the Emergency Care Hospital Network |
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Dimenstein,Magda Diniz Bezerra Gruska,Viktor Leite,Jader Ferreira |
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Dimenstein,Magda Diniz Bezerra |
title |
Psychiatric Crisis Management in the Emergency Care Hospital Network |
title_short |
Psychiatric Crisis Management in the Emergency Care Hospital Network |
title_full |
Psychiatric Crisis Management in the Emergency Care Hospital Network |
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Psychiatric Crisis Management in the Emergency Care Hospital Network |
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Psychiatric Crisis Management in the Emergency Care Hospital Network |
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psychiatric crisis management in the emergency care hospital network |
description |
Since psychiatric crisis treatment is crucial in mental health care, this study aimed to characterize the psychiatric crisis in the hospital emergency services of Natal/RN. Semi-structured interviews were conducted with 33 professionals employed in four local public hospitals. The results revealed the absence of adequate beds for psychiatric conditions, scarcity of psychiatric drugs, lack of clarity regarding diagnostic criteria, treatment based on chemical restraint and inpatient care as a priority strategy. Furthermore, there is fragmentation of the work processes with physician centrality in the management of crisis, disarticulation between hospitals and other services of the psychosocial care network and systematic referrals to psychiatric hospital. We conclude that the configuration of the local hospital network does not present satisfactory responsiveness to psychiatric crisis situations and its clinical and institutional weaknesses reflect the process of psychiatric reform in the region. |
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Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia |
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2015 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-863X2015000100095 |
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AT dimensteinmagdadinizbezerra psychiatriccrisismanagementintheemergencycarehospitalnetwork AT gruskaviktor psychiatriccrisismanagementintheemergencycarehospitalnetwork AT leitejaderferreira psychiatriccrisismanagementintheemergencycarehospitalnetwork |
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