0306/2021 - AVANÇOS E DESAFIOS DO PROGRAMA DE VOLTA PARA CASA COMO ESTRATÉGIA DE DESINSTITUCIONALIZAÇÃO: REVISÃO INTEGRATIVA ADVANCES AND CHALLENGES OF BACK-HOME PROGRAM USING AS DEINSTITUTIONALIZATION STRATEGY: AN INTEGRATIVE REVIEW
O objetivo deste artigo é identificar evidências científicas sobre os avanços, as possibilidades e os desafios do Programa de Volta para Casa para a desinstitucionalização de egressos de internações psiquiátricas. Trata-se de uma revisão integrativa realizada a partir da literatura científica encontrada na Biblioteca Virtual em Saúde, no portal PubMed, e nas bases de dados Cinahl, ScienceDirect, Web of Science, Scopus e PsycINFO. Fundamentou-se a análise das 9 produções selecionadas na interpretação de práticas discursivas em materiais de domínio público. Os resultados evidenciaram que o programa representa inegável conquista social e avanço civilizatório; e contribui para a desinstitucionalização, à medida que proporciona mudanças na vida do beneficiário, com destaque para a ocupação concreta de outro lugar na sociedade e a prescindibilidade do hospital psiquiátrico. No entanto, apresenta desafios a serem superados quanto ao acesso e distribuição equitativa em território nacional, formação profissional e implicação do sujeito na apropriação do benefício. Ressalta-se a necessidade de estratégias de promoção da autonomia, cidadania, acesso a uma rede de saúde mental ampla de recursos assistenciais e de cuidado, retorno ao convívio familiar e inserção no mercado de trabalho.
Palavras-chave:
Saúde mental; Política pública; Desinstitucionalização.
Abstract:
The aim of the current article is to identify scientific evidence about advances, possibilities and challenges of using the Back-Home Program to deinstitutionalize former psychiatric hospitalization patients. The study is an integrative review based on the scientific literature available at the Virtual Health Library, PubMed portal, and in databases such as Cinahl, ScienceDirect, Web of Science, Scopus and PsycINFO. The analysis of all 9 ed studies was based on the interpretation of discursive practices observed in public domain materials. Results have shown that the investigated program is an undeniable social achievement and civilizing advance, as well as that it contributes to deinstitutionalization since it helps changing beneficiaries’ lives, with emphasis on their new consolidated place in society and on psychiatric hospitalization dispensability. However, the program needs to overcome some challenges such as access and equitable distribution in the national territory, professional training and individuals’ involvement in taking ownership of the benefit. It is essential emphasizing the need of developing strategies to promote autonomy, citizenship, access to a broad mental health network of assistance and care resources, patients’ return to family life and ion in the labor market.
Keywords:
Mental health; Public policy; Deinstitutionalization.
ADVANCES AND CHALLENGES OF BACK-HOME PROGRAM USING AS DEINSTITUTIONALIZATION STRATEGY: AN INTEGRATIVE REVIEW
Resumo (abstract):
The aim of the current article is to identify scientific evidence about advances, possibilities and challenges of using the Back-Home Program to deinstitutionalize former psychiatric hospitalization patients. The study is an integrative review based on the scientific literature available at the Virtual Health Library, PubMed portal, and in databases such as Cinahl, ScienceDirect, Web of Science, Scopus and PsycINFO. The analysis of all 9 ed studies was based on the interpretation of discursive practices observed in public domain materials. Results have shown that the investigated program is an undeniable social achievement and civilizing advance, as well as that it contributes to deinstitutionalization since it helps changing beneficiaries’ lives, with emphasis on their new consolidated place in society and on psychiatric hospitalization dispensability. However, the program needs to overcome some challenges such as access and equitable distribution in the national territory, professional training and individuals’ involvement in taking ownership of the benefit. It is essential emphasizing the need of developing strategies to promote autonomy, citizenship, access to a broad mental health network of assistance and care resources, patients’ return to family life and ion in the labor market.
Palavras-chave (keywords):
Mental health; Public policy; Deinstitutionalization.
Lima, H. de P., da Silva, D. B., Aratani, N., Arruda, G. O., Lopes, S.G. R., de Palhano, P. S., Saraiva, K. V. de O., Brasil, E.G.M.. AVANÇOS E DESAFIOS DO PROGRAMA DE VOLTA PARA CASA COMO ESTRATÉGIA DE DESINSTITUCIONALIZAÇÃO: REVISÃO INTEGRATIVA. Cien Saude Colet [periódico na internet] (2021/Out). [Citado em 11/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/avancos-e-desafios-do-programa-de-volta-para-casa-como-estrategia-de-desinstitucionalizacao-revisao-integrativa/18205?id=18205
