Family functionality and burden of family caregivers of users with mental disorders.

Jaciquely José Da Costa Andrade,Thassia Thame De Moura Silva,Jaqueline Galdino Albuquerque Perrelli,Andrea Cristina Oliveira Silva,Iracema Da Silva Frazão,Ana Márcia Tenório Souza Cavalcanti

doi:10.1590/0034-7167-2020-1061

Jaciquely José Da Costa Andrade, Thassia Thame De Moura Silva + Show 4 more

Open Access

https://doi.org/10.1590/0034-7167-2020-1061

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Abstract

to verify the difference of mean or median in the scores of family functionality and burden of family caregivers of people with mental disorders. cross-sectional study carried out in a Psychosocial Care Center with 61 family caregivers. Instruments were used for sociodemographic characterization, care process, Family Apgar Index and Family Burden Interview Schedule. Mean/median difference tests were adopted. women with mental disorders and the presence of children in the home decreased the median of the family Apgar score. Difficulty in the relationship between caregiver/user, nervousness/tension, physical aggression and agitation of patients increased the global average of subjective burden. nursing interventions to reduce burden and promote family functionality should prioritize caregivers of women with mental disorders, assist them in managing troublesome behaviors and raising awareness of family nucleus to co-responsibility for caring for sick people, especially in families with children who demand daily care.

Highlights

The Brazilian Psychiatric Reform (BPR) and the deinstitutionalization process implementation proposed a new model of mental health care in substitute services within the territory due to the hospital-centered model, with an emphasis on social reintegration and greater family participation in caring for people with mental disorders
CAPS are services composed of a multidisciplinary team that works in the extended and shared clinical perspective, articulated to others RAPS provisions, serving people with severe and persistent mental disorders and people with needs resulting from the use of crack, alcohol and other drugs, in their territorial area, in a semi-intensive and non-intensive treatment regime
In terms of difference in mean, it was demonstrated that difficulty in the relationship between caregiver and patient, nervousness/tension of patients, physical aggression and agitation increased the global mean of subjective burden

Summary

Introduction

The Brazilian Psychiatric Reform (BPR) and the deinstitutionalization process implementation proposed a new model of mental health care in substitute services within the territory due to the hospital-centered model, with an emphasis on social reintegration and greater family participation in caring for people with mental disorders. Primary care (Basic Health Unit - BHU) and specialized psychosocial care (Psychosocial Care Center - CAPS) are the originators of care, guaranteeing a permanent co-management process and longitudinal monitoring of cases[4]. In this sense, CAPS are services composed of a multidisciplinary team that works in the extended and shared clinical perspective, articulated to others RAPS provisions, serving people with severe and persistent mental disorders and people with needs resulting from the use of crack, alcohol and other drugs, in their territorial area, in a semi-intensive and non-intensive treatment regime. Within the scope of CAPS, is developed through a Unique Therapeutic Project (PTS - Projeto Terapêutico Singular), which must involve users and their family in the construction process[4]

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Conclusion