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Psychiatric Crisis Management in the Emergency Care Hospital Network1 1 Support: National Council for Scientific and Technological Development - CNPq (Protocol no. 400354/2010-2) and Fundação de Apoio à Pesquisa do Rio Grande do Norte (FAPERN) in the research notice for SUS: Shared management in health - PPSUS III MS/CNPq/FAPERN/SESAP - N 011/2009.

Manejo da Crise Psiquiátrica na Rede Hospitalar de Urgência e Emergência

Manejo de la Crisis Psiquiátrica en la Red Hospitalaria de Urgencia y Emergencia

Since psychiatric crisis treatment is crucial in mental health care, this study aimed to characterize the psychiatric crisis in the hospital emergency services of Natal/RN. Semi-structured interviews were conducted with 33 professionals employed in four local public hospitals. The results revealed the absence of adequate beds for psychiatric conditions, scarcity of psychiatric drugs, lack of clarity regarding diagnostic criteria, treatment based on chemical restraint and inpatient care as a priority strategy. Furthermore, there is fragmentation of the work processes with physician centrality in the management of crisis, disarticulation between hospitals and other services of the psychosocial care network and systematic referrals to psychiatric hospital. We conclude that the configuration of the local hospital network does not present satisfactory responsiveness to psychiatric crisis situations and its clinical and institutional weaknesses reflect the process of psychiatric reform in the region.

mental health; crisis intervention; general hospital


Universidade de São Paulo, Faculdade de Filosofia Ciências e Letras de Ribeirão Preto, Programa de Pós-Graduação em Psicologia Av.Bandeirantes 3900 - Monte Alegre, 14040-901 Ribeirão Preto - São Paulo - Brasil, Tel.: (55 16) 3315-3829 - Ribeirão Preto - SP - Brazil
E-mail: paideia@usp.br