Abstract
to analyze the process of deinstitutionalization resulting from a psychiatric hospital shut down, and know the fate of users after dehospitalization. a descriptive, qualitative study based on the critical-analytical perspective, which had as its setting the Hospital Colônia de Rio Bonito. Institutional documents and narratives of five managers who participated in the deinstitutionalization process were analyzed. Hospital Colônia deinstitutionalization lasted longer than expected. For this to happen, a tripartite intervention was necessary, and especially the mobilization of networks and implementation of Psychosocial Care Networks by the cities. Regarding destination of users, most were referred to therapeutic or transinstitutionalized residences. Final considerations: Hospital Colônia deinstitutionalization led to the establishment of connections between services and people. This was a powerful device for the implementation of Psychosocial Care Networks at municipal level.
Highlights
In the late 1970s, under the influence of social movements criticizing psychiatry around the world, the process of psychiatric reform began in Brazil
We evaluate the patient, who can stay in the ECU for up to 72 hours
Deinstitutionalization represents a complex process that guides the actions of services and professionals, implies a work to rescue the subjectivity of people in psychological distress and proposes possibilities for life trajectories outside the hospital
Summary
In the late 1970s, under the influence of social movements criticizing psychiatry around the world, the process of psychiatric reform began in Brazil This reform aims to build an ethic of mental health care and ensure the rights and citizenship of people with mental disorders. Assuming it as a social and cultural process, one goes beyond the idea of operating changes only in the services that serve this population, breaking with the exclusivist biomedical logic of the pathological concept that involves madness[1]. Understanding that breaking with the segregating logic implies more than shutting down asylums and opening therapeutic residences[2,3], it is important to cite Ordinance No 336 of 2002 This Ordinance established CAPS as priority care devices. Law No 10.708 of July 31, 2003 created the Homecoming Program (Programa de Volta para Casa), enhancing deinstitutionalization through financial aid for long-term graduates, making life outside the walls of psychiatric hospitals more viable
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