Transition of Care for Individuals with Mental Disorders in Brazil: A Contextual Analysis

Silva, Larissa Arielly Cunha da; Paiva, Renilly de Melo; Faustino, Sarah Lyandra Furtado; Miranda, Emanuela Juliana Bezerra; Santos, Viviane Euzébia Pereira

doi:10.1590/0034-7167-2023-0063

Acessibilidade / Reportar erro

Brasil

Revista Brasileira de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

REVIEW • Rev. Bras. Enferm. 76 (6) • 2023 • https://doi.org/10.1590/0034-7167-2023-0063 copy

Transition of Care for Individuals with Mental Disorders in Brazil: A Contextual Analysis

Transición del cuidado de personas con trastorno mental en Brasil: un análisis de contexto

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To describe the contexts of care transition for individuals with mental disorders in the Brazilian setting.

Methods:

A contextual analysis was conducted through a scoping review. The search for studies was conducted in databases and thesis and dissertation portals, and the analysis was based on immediate, specific, general, and meta-contexts.

Results:

The sample, consisting of eight studies, indicated that the following factors are present in the contexts where care transition occurs: Peculiarities of care transition for individuals with mental disorders; Perspectives that can strengthen or weaken this transition; Approaches proposed in the past for the development of care transition; and Elements related to Brazilian legislation.

Final Considerations:

It is observed that the transition of care for individuals with mental disorders in Brazil takes place in various contexts of care levels. These variations present significant potentials and barriers in the care scenarios.

Descriptors:
Mental Health; Transitional Care; Mental Disorders; Brazil; Patient Safety

Type of Material	Title	Care Settings	Types of Transition Between Services
Article	The family and the mentally ill user of the day-hospital - a case study(¹²12 Monteiro AR, Barroso MGT. A família e o doente mental usuário do hospital-dia: estudo de um caso. Rev Latino-Am Enfermagem. 2000;8(6):20-26. https://doi.org/10.1590/S0104-11692000000600004 https://doi.org/10.1590/S0104-1169200000... )	Hospital-based	Day hospital to Home
Article	Mental health and continuity of care in health centers in Belo Horizonte, MG(¹³13 Oliveira GL, Caiaffa WT, Cherchiglia ML. Saúde mental e a continuidade do cuidado em centros de saúde de Belo Horizonte, MG. Rev Saúde Pública. 2008;42(4):707-16. https://doi.org/10.1590/S0034-89102008005000038 https://doi.org/10.1590/S0034-8910200800... )	Secondary care	CERSAM to Health Centers
Article	Admission criteria and continuity of care in psychosocial care centers, Rio de Janeiro(¹⁴14 Cavalcanti MT, Dahl CM, Carvalho MCA, Valencia E. Critérios de admissão e continuidade de cuidados em centros de atenção psicossocial, Rio de Janeiro, RJ. Rev Saúde Pública. 2009;43(1):23-8. https://doi.org/10.1590/S0034-89102009000800005 https://doi.org/10.1590/S0034-8910200900... )	Secondary care	CAPS to PHC or outpatient clinic
Article	Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health(¹⁵15 Weber CAT, Juruena MF. Day hospital and psychosocial care center: expanding the discussion of partial hospitalization in mental health. Rev Assoc Med Bras. 2016;62(4):361-7. https://doi.org/10.1590/1806-9282.62.04.361 https://doi.org/10.1590/1806-9282.62.04.... )	Hospital-based	Day hospital to CAPS
Article	Psychiatric admissions and re-admissions in a general hospital in Porto Alegre: sociodemographic, clinical characteristics, and the use of the Psychosocial Care Network(¹⁶16 Zanardo GLP, Silveira LHC, Rocha CMF, Rocha KB. Internações e reinternações psiquiátricas em um hospital geral de Porto Alegre: características sociodemográficas, clínicas e do uso da Rede de Atenção Psicossocial. Rev Bras Epidemiol. 2017;20(3):460-74. https://doi.org/10.1590/1980-5497201700030009 https://doi.org/10.1590/1980-54972017000... )	Hospital-based	Hospital to RAPS services (CAPS, outpatient clinic, PHC)
Article	Performance of Psychosocial Care Centers in four urban centers in Brazil(¹⁷17 Onocko-Campos RT, Amaral CEM, Saraceno B, Oliveira BDC, Treichel CAS, Delgado PGG. Atuação dos Centros de Atenção Psicossocial em quatro centros urbanos no Brasil. Rev Panam Salud Publica. 2018;42(1):1-7. https://doi.org/10.26633/RPSP.2018.113 https://doi.org/10.26633/RPSP.2018.113... )	Secondary care	PHC to CAPS and hospital
Article	Care for individuals with mental distress in primary care: an interdisciplinary and multiprofessional practice(¹⁸18 Almeida DR, Soares JNC, Dias MG, Rocha FC, Andrade Neto GR, Andrade DLB. O cuidado aos portadores de sofrimento mental na atenção primária: uma prática interdisciplinar e multiprofissional. Rev Pesqui Cuid Fundam. 2020;12(1):420-5. https://doi.org/10.9789/2175-5361.rpcfo.v12.83 https://doi.org/10.9789/2175-5361.rpcfo.... )	Primary care	PHC to Home
Article	Transitions of care in mental health(¹⁹19 Bueno D, Detanico LG, Von Diemen T, Santos CL, Francesconi LP, Ceresér K. Transitions of care in mental health. Clin Biomed Res. 2021;41(1):33-8. https://doi.org/10.22491/2357-9730.103865 https://doi.org/10.22491/2357-9730.10386... )	Hospital-based	Hospital to PHC

Reference	Design	Type of Study	Method	Data Collection Instrument	Analysis Method
Monteiro; Barroso(¹²12 Monteiro AR, Barroso MGT. A família e o doente mental usuário do hospital-dia: estudo de um caso. Rev Latino-Am Enfermagem. 2000;8(6):20-26. https://doi.org/10.1590/S0104-11692000000600004 https://doi.org/10.1590/S0104-1169200000... )	Qualitative	Descriptive	Case study	Semi-structured interviews	Content analysis
Oliveira; Caiaffa; Cherchiglia(¹³13 Oliveira GL, Caiaffa WT, Cherchiglia ML. Saúde mental e a continuidade do cuidado em centros de saúde de Belo Horizonte, MG. Rev Saúde Pública. 2008;42(4):707-16. https://doi.org/10.1590/S0034-89102008005000038 https://doi.org/10.1590/S0034-8910200800... )	Quantitative	Descriptive	Retrospective cohort study	Medical records	Content analysis
Cavalcanti et al.(¹⁴14 Cavalcanti MT, Dahl CM, Carvalho MCA, Valencia E. Critérios de admissão e continuidade de cuidados em centros de atenção psicossocial, Rio de Janeiro, RJ. Rev Saúde Pública. 2009;43(1):23-8. https://doi.org/10.1590/S0034-89102009000800005 https://doi.org/10.1590/S0034-8910200900... )	Qualitative	Descriptive	Participatory evaluation	Records, team information, patient and family information	Content analysis
Weber; Juruena(¹⁵15 Weber CAT, Juruena MF. Day hospital and psychosocial care center: expanding the discussion of partial hospitalization in mental health. Rev Assoc Med Bras. 2016;62(4):361-7. https://doi.org/10.1590/1806-9282.62.04.361 https://doi.org/10.1590/1806-9282.62.04.... )	Qualitative	Technical Documentation	Documentary research	Review of Brazilian legislation on mental health	Content analysis
Zanardo et al.(¹⁶16 Zanardo GLP, Silveira LHC, Rocha CMF, Rocha KB. Internações e reinternações psiquiátricas em um hospital geral de Porto Alegre: características sociodemográficas, clínicas e do uso da Rede de Atenção Psicossocial. Rev Bras Epidemiol. 2017;20(3):460-74. https://doi.org/10.1590/1980-5497201700030009 https://doi.org/10.1590/1980-54972017000... )	Quantitative	Descriptive and Analytical	Observational, cross-sectional study	Semi-structured interviews	Content analysis
Onocko-Campos et al.(¹⁷17 Onocko-Campos RT, Amaral CEM, Saraceno B, Oliveira BDC, Treichel CAS, Delgado PGG. Atuação dos Centros de Atenção Psicossocial em quatro centros urbanos no Brasil. Rev Panam Salud Publica. 2018;42(1):1-7. https://doi.org/10.26633/RPSP.2018.113 https://doi.org/10.26633/RPSP.2018.113... )	Quantitative	Descriptive	Cross-sectional	Semi-structured interviews	Content analysis
Almeida et al.(¹⁸18 Almeida DR, Soares JNC, Dias MG, Rocha FC, Andrade Neto GR, Andrade DLB. O cuidado aos portadores de sofrimento mental na atenção primária: uma prática interdisciplinar e multiprofissional. Rev Pesqui Cuid Fundam. 2020;12(1):420-5. https://doi.org/10.9789/2175-5361.rpcfo.v12.83 https://doi.org/10.9789/2175-5361.rpcfo.... )	Qualitative	Descriptive	Prospective cohort study	Semi-structured interviews	Content analysis
Bueno et al.(¹⁹19 Bueno D, Detanico LG, Von Diemen T, Santos CL, Francesconi LP, Ceresér K. Transitions of care in mental health. Clin Biomed Res. 2021;41(1):33-8. https://doi.org/10.22491/2357-9730.103865 https://doi.org/10.22491/2357-9730.10386... )	Quantitative	Descriptive	Retrospective cohort study	Semi-structured interviews	Content analysis

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author: Larissa Arielly Cunha da Silva, E-mail: larissarielly@hotmail.com