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COMPREHENSIVE AND COMMUNAL USER EMBRACEMENT IN MENTAL HEALTH: PROGRESSES AND CHALLENGES OF THE PSYCHIATRIC REFORM

Abstract

The goal of the article was to characterize and analyze the organization of the work processes in mental health services in the municipality of Campina Grande, in the state of Paraíba, Brazil. It is a quantitative, retrospective and documentary study that was performed between July and August 2014. The data was collected from a form based on an instrument validated for the study, considering a sample composed of 402 medical records. In order to process the statistical analyses, we used the SPSS software, version 17.0. We observed that the users were predominantly adult women with a clinical diagnosis of schizophrenia associated with other clinical diagnoses. Regar-ding the admissions to psychiatric hospitals before and after enrolling in the service, we noticed a statistically significant reduction. The high number in the records of workshops held was an important progress. The main limitations of the study were the mistakes in the medical records, which do not make them less important or irrelevant, though. We stress that the comprehensive and communal embracement of the users with mental disorders and their families, which is in line with the psychiatric reform norms, requires, among other things, higher investments in the infrastructure of the services, equipment and technologies, institutional support, qualification and commitment of the management in the ongoing education processes.

mental health services; human resources; mental health

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