Habitar Institucional: Considerações sobre processos de institucionalização de vidas no Hospital Psiquiátrico / Institutional Inhabitation: Considerations on the processes of institutionalization of lives in the psychiatric hospital

AUTOR(ES)
DATA DE PUBLICAÇÃO

2010

RESUMO

This qualitative research took as its object of study the universe of Araras residents of the Antonio Luis Sayão psychiatric hospital, under state management, located in the city of Araras in the State of São Paulo. The purpose is to specify mechanisms for the initiation of processes of deinstitutionalization of these people. The objectives were: a) to identify, through the Psychosocial Census Questionnaire of Psychiatric Hospital Residents in the State of São Paulo, the residents born in the city and who live within the hospital; b) to investigate, through objective data and the researchers printing, who they are, their resources and capabilities; c) to propose from the data analysis some strategies of deinstitutionalization, which can be implemented by the local manager, if appropriate. Study subjects are six women and five men, whose time spent in the hospital has ranged from ten to thirty years and meet the following criteria: a) are a native of Araras; b) have a family residence in Araras; c) posses a trustee/proxy and d) is under involuntary admission. The question that guided the study was: Why do people with income and family, under involuntary admission, remain institutionalized? The theoretical bases of reference are maintained in the perspective of Deinstitutionalization and Psychiatric Reform. Empirical data were obtained through questionnaires filled out by Psychosocial Census researchers after authorization by the Secretary of the Ministry of Healths Technical Actions Group in the Thematic Area of Mental Health. The results show that the residents live vast institutionalization processes, desperation and social apartment. The lives are suitable for everyday living and logical placement, the fundamental rights of citizenship are constantly violated: between those who have special needs such as physical or mental disabilities and those who have and those who do not have psychiatric diagnoses. All are under the guidance of a trustee and receive income managed by third parties without access to the money. In response to the needs, possibilities and resources of these people, this study recommends the immediate implementation of the Ministry of Healths Public Policy Guidelines for Mental Health, the recommendations of the Psychosocial Census of the State of São Paulo and the São Paulos Health Secretary State Health Plan 2008-2011 and lays out a Deinstitutionalization Project (two therapeutic residences) for these people, given their characteristics and features of the city of Araras.

ASSUNTO(S)

saúde mental public policies disinstitutionalization hospitais psiquiátricos psychiatric hospital psychiatric reform políticas públicas mental health desinstitucionalização

ACESSO AO ARTIGO

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