Associação entre disponibilidade de serviços ambulatoriais de saúde mental e demanda de atendimentos por transtornos por uso de substâncias em uma emergência psiquiátrica de Santa Catarina

Detalhes bibliográficos
Ano de defesa: 2018
Autor(a) principal: Bertolino, Luiza Bento da Silva
Orientador(a): Não Informado pela instituição
Banca de defesa: Não Informado pela instituição
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Não Informado pela instituição
Programa de Pós-Graduação: Não Informado pela instituição
Departamento: Não Informado pela instituição
País: Não Informado pela instituição
Palavras-chave em Português:
Link de acesso: https://repositorio.animaeducacao.com.br/handle/ANIMA/3067
Resumo: Introduction: Substance Use Disorder (TUS) is a chronic disorder that can bring about cognitive and behavioral sequelae and reflect on a number of public health problems. The presence of outpatient public services can help in the early detection of seizures, avoid worsening severity of the condition and act in the extra-hospital therapeutic maintenance, reducing the demand for psychiatric hospitals. Objective: Evaluate the association between the availability of Public Mental Health Services (PMHS) and the demand for consultations, hospitalizations and readmissions for Substance Use Disorders (SUD) in a psychiatric emergency unit (EU). Methods: Ecological study. Data from 2012 to 2016 were collected by the Medical and Statistical Archive Service (MSAS), from the Institute of Psychiatry of Santa Catarina (IPq/SC), in São José, Brazil. Characteristics of the outpatient network were obtained from the Health Departments of two different municipalities, São José, whose ambulatory structure was expanded from 2015 onwards and Florianópolis, whose network remained stable during the period evaluated (2012 to 2016). Statistical analysis performed on SPSS 20.0®. Student's t test was applied for independent samples with 95% CI. Results: When analyzing the numbers referring to patients coming from São José, there was no significant reduction in the demand for emergency care with the expansion of the outpatient network. However, this demand was significantly lower (p <0.001 for consultations, hospitalizations and readmissions) when compared to individuals from Florianópolis, whose outpatient mental health network did not have a significant increase in the evaluated period. Conclusion: The increased availability of outpatient mental health services can reduce the need for emergency consultations, hospitalizations and readmissions for SUD. However, for such an impact to occur, it may not only be necessary to implement the services, but especially their maintenance over the years.