Abstract
ABSTRACT We aimed to understand the expectations of families about a Psychiatric Inpatient Unit in the perspective of Alfred Schutz's phenomenological sociology. This is a qualitative and phenomenological research, with families of patients at a psychiatric inpatient unit of a university hospital in the state of Rio Grande do Sul, Brazil. Data were collected through phenomenological interviews, and the analysis was constructed in the light of phenomenological sociology. The results show that the expectations of the family in the Psychiatric Inpatient Unit are related to the interpretation and experiences they have in the world of everyday life; that these expectations should be valued in patient and family care; and that they may integrate the family in care for the patient. We hope to contribute so that professionals and managers reflect about the importance of understanding the expectations of families on a Unit, aiming to implement more effective health actions, based on the social relations among the subjects.
Highlights
In Brazil, care delivery to people in mental suffering and their families used to be based on the hospital-centered model, centered on care in asylums, characterized by isolation and punitive treatment, practiced by the nursing team.[1]
The psychiatric reform implemented new proposals to relate with madness and the subject in mental suffering, promoting the replacement of the asylum system by a network of diversified services, such as psychiatric beds in general hospitals, Psychosocial Care Centers (PSCC), therapeutic workshops and residences, among others, aiming for the individual’s reinsertion in society.[2]
Psychiatric inpatient units in general hospitals (UIPHG) are characterized as a care point in the mental health care network, standardized by decree 224/1992,3 which establishes the guidelines and standards for the functioning of all mental health services, and by decree 3.088/2011,4 which establishes the Psychosocial Care Network (PSCN) for people in mental suffering and with needs deriving from the use of psychoactive substances in the context of the Unified Health System
Summary
In Brazil, care delivery to people in mental suffering and their families used to be based on the hospital-centered model, centered on care in asylums, characterized by isolation and punitive treatment, practiced by the nursing team.[1]. Psychiatric inpatient units in general hospitals (UIPHG) are characterized as a care point in the mental health care network, standardized by decree 224/1992,3 which establishes the guidelines and standards for the functioning of all mental health services, and by decree 3.088/2011,4 which establishes the Psychosocial Care Network (PSCN) for people in mental suffering and with needs deriving from the use of psychoactive substances in the context of the Unified Health System. The psychiatric beds/units in general hospitals aim to offer a backbone in the hospital context for cases in which hospitalization is needed, after exhausting all possibilities of care in outpatient and emergency units.[3] It should be highlighted that this hospitalization should be short, until the patient is clinically stable, and should be articulated with the other points in the care network. A multidisciplinary team should be involved, which works in an interdisciplinary manner.[4]
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