Who are the residents of therapeutic residential services? Profile of de-institutionalized patients with mental disorders

França, Vanessa Vieira; Alves, Marília Pereira; Silva, Ana Luzia Medeiros Araújo da; Guedes, Tatiane Gomes; Frazão, Iracema da Silva

doi:10.1590/0103-1104201711416

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ORIGINAL ARTICLE • Saúde debate 41 (114) • Jul-Sep 2017 • https://doi.org/10.1590/0103-1104201711416 copy

Who are the residents of therapeutic residential services? Profile of de-institutionalized patients with mental disorders

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

This article aimed to characterize the sociodemographic and clinical profile of residents of Therapeutic Residential Services (TRS). A cross-sectional, census-based study was carried out with 190 TRS residents from Recife (PE), Brazil. Data collection occurred on an individual basis in TRS. Most of the residents are men, unmarried, elderly, illiterate and with history of various and long-term psychiatric hospitalizations. The iatrogenic conducts practiced in the hospital have left important sequels in several aspects of the life of users and have become a social debt that is yet to be paid by society.

KEYWORDS:
Assisted living facilities; Home care services; Mental health services; Mental disorders; Deinstitutionalization

Characteristic	N= 190	%	p-value¹ 1 p-valor do teste Qui-quadrado para comparação de proporção.
Sex
Male	123	64,7	<0,001
Female	67	35,3	<0,001
*Age^ * 6 residents did not have documents and did not know how to report their life stories. (in full years)**
25 - 44	43	23,4	0,084
45 - 53	40	21,7
54 - 59	40	21,7
≥ 60	61	33,2
Minimum	25
Maximum	89
Mean ± Standard deviation	54,05 ± 13,33
Marital status
Single	157	82,6	<0,001
Separated/divorced	23	12,1
Widowed	6	3,2
Married	4	2,1
Education
Not educated	83	43,7	<0,001
Literate	18	9,5
Elementary School complete/incomplete	67	35,3
High school complete/incomplete	13	6,8
Higher education	9	4,7
Income (Minimum Wages)
No income	47	24,7	<0,001
<1 MW	8	4,2
1├ 2	134	70,6
2├ 3	1	0,5

Characteristic	N= 190	%	p-value
Number of hospitalizations
1	48	25,3	<0,001
2	27	14,2
3-10	79	41,6
> 10	36	18,9
*Time of last hospitalization (years)**
≤ 2	39	21,1	0,002
2 ├ 9	72	38,9
≥ 10 years	74	40,0
Minimum	5 months
Maximum	40 years
Mean ± Standard deviation	9,48 years ± 8,4
Time of TRS (in full years)
≤ 1	29	15,3	<0,001
1 ├ 5	106	55,8
> 5	55	28,9
Minimum	2 months
Maximum	12 years
Mean ± Standard deviation	5 years ± 2

Description of diagnostics	N	%
Schizophrenia, schizotypal disorders and delusional disorders	109	57,4
Schizophrenia + Psychiatric comorbidity	22	11,6
Intellectual disability	12	6,2
Intellectual disability + Psychiatric comorbidity	14	7,2
Other Mental Disorders	6	3,1
Other double, triple or quadruple diagnoses	27	14,5
Total	190	100

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E-mail: revista@saudeemdebate.org.br

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[1] Contributors

It is hereby declared for the proper purpose that all authors of this article have participated in the steps listed below:

a substantial contribution to the conception and planning or to the analysis and interpretation of the data;

significant contribution to the drafting or critical revision of the content;

participation in the approval of the final version of the manuscript.

[2] a substantial contribution to the conception and planning or to the analysis and interpretation of the data;

[3] significant contribution to the drafting or critical revision of the content;

[4] participation in the approval of the final version of the manuscript.