Deinstitutionalization of long stay patients in a psychiatric hospital in Rio de Janeiro
Cien Saude Colet. 2017 Jul;22(7):2341-2352.
doi: 10.1590/1413-81232017227.19152015.
[Article in
Portuguese,
English]
Affiliations
- 1 Departamento de Ciência Sociais, Escola Nacional de Saúde Pública, Fiocruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil. paulofagundes@ensp.fiocruz.br.
- 2 Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ Brasil.
- 3 Secretaria Municipal de Saúde, Rio de Janeiro. Rio de Janeiro RJ Brasil.
Abstract
Critical Time Intervention (CTI) is a time-limited mental health intervention offered to people with mental disorders during critical/transition periods. This study assesses the impact of CTI-BR on social performance and quality of life within a population in the process of deinstitutionalization, after long-term hospitalization in a psychiatric institution. The study population was split into two groups, one of which received CTI plus the regular care. Results showed no advantage of the intervention compared to the regular programs provided by the institution. When study participants are analyzed as a group, we found positive improvement regarding their social functioning and self-perception of their mental-health. Results show that it is possible for elderly patients discharged from long-term psychiatric care to live in residential facilities in the community, supervised by clinical teams.
Publication types
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Comparative Study
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Randomized Controlled Trial
MeSH terms
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Aged
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Aged, 80 and over
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Brazil
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Community Mental Health Services / organization & administration*
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Deinstitutionalization / methods*
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Female
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Hospitalization
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Hospitals, Psychiatric*
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Humans
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Longitudinal Studies
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Male
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Mental Disorders / psychology
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Mental Disorders / therapy*
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Middle Aged
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Patient Care Team / organization & administration
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Quality of Life
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Self Concept
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Time Factors