Moradores crônicos de hospital psiquiátrico: um desafio à desinstitucionalização
The existence of chronic inhabitants in the psychiatric hospitals imposes a challenge to the Psychiatric Reform, that proposes things such as the gradual and progressive way to extinct mental institutions, once the permanence of the hospital in the system is only necessary because there is not a net...
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| Formato: | Dissertação |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/17459 |
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| Resumo: | The existence of chronic inhabitants in the psychiatric hospitals imposes a challenge to
the Psychiatric Reform, that proposes things such as the gradual and progressive way to
extinct mental institutions, once the permanence of the hospital in the system is only
necessary because there is not a net of well structured substitute services capable of
receiving that demand. This work considered relevant to deepen the knowledge about
those people who passes their lives jailed by the walls of psychiatric hospitals and
compose significant part of the world population. It also aimed to investigate the
problem relative to the condition of being an inhabitant of a psychiatric hospital the
Dr. João Machado Hospital (HJM), in the city of Natal/RN. The paper used different
points of view (patients , families and professionals ) to define the profile of the
inhabitants, to identify the possibility of insertion in substituting social equipment, to
know the expectations of the inhabitants and their relatives regarding to the exit of the
life shelter, to investigate the demands related to the net of cares social support for
making feasible the discharge and to identify the difficulties that are involved in the exit
of the chronic inhabitant of the hospital. There were defined three methodological
phases: delineation of the identification, socio-economic and clinical profile of the
inhabitants of the HJM; semi-structured interviews with professionals; and open
interviews with inhabitants and family. It concluded that the psychiatric
institutionalization contributes to the generation of chronic inhabitants in the psychiatric
hospitals. Among the professionals, it was detached the defense of desospitalization,
but an existence of devices of the asylum model. The relatives showed a resistance to
participate in the care and the inhabitants exposed their desire to leave the hospital, as
well like the wish of permanence. It was considered important: the construction of an
extra-hospital net that enables to desinstitutionalization; the qualification of the
technical; orientation to the family, stimulating its participation in the process of caring;
give freedom to the individuals in mental suffering, enabling them to be ahead of their
lives and express their desires and opinions; the implementation of an extended clinic
that is capable of building new possibilities; and a subjectivity guided by the social
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