Deinstitutionalization and network of mental health services: a new scene in health care

Rev Bras Enferm. 2020:73 Suppl 1:e20180964. doi: 10.1590/0034-7167-2018-0964. Epub 2020 Jun 1.
[Article in Portuguese, English]

Abstract

Objective: to analyze the process of deinstitutionalization resulting from a psychiatric hospital shut down, and know the fate of users after dehospitalization.

Method: a descriptive, qualitative study based on the critical-analytical perspective, which had as its setting the Hospital Colônia de Rio Bonito. Institutional documents and narratives of five managers who participated in the deinstitutionalization process were analyzed.

Results: Hospital Colônia deinstitutionalization lasted longer than expected. For this to happen, a tripartite intervention was necessary, and especially the mobilization of networks and implementation of Psychosocial Care Networks by the cities. Regarding destination of users, most were referred to therapeutic or transinstitutionalized residences. Final considerations: Hospital Colônia deinstitutionalization led to the establishment of connections between services and people. This was a powerful device for the implementation of Psychosocial Care Networks at municipal level.

MeSH terms

  • Brazil
  • Deinstitutionalization / methods*
  • Delivery of Health Care / standards
  • Delivery of Health Care / trends
  • Health Facility Closure / trends
  • Health Services Accessibility / standards*
  • Health Services Accessibility / statistics & numerical data
  • Humans
  • Mental Health Services / standards
  • Mental Health Services / statistics & numerical data
  • Mental Health Services / supply & distribution*
  • Qualitative Research