A articulação entre a atenção terciária e os serviços de atenção secundária da rede de saúde mental: a reinternação hospitalar e o fluxo do usuário neste sistema

Abstract

The aim of this study was to understand the flow of users with psychological distress by secondary care services in mental health. This is a cross-sectional study, based on quantitative and qualitative approach, on the flow of the mental health network of macro-and micro-regional municipality of Santa Maria in the state of Rio Grande do Sul Data collection took place initially in the document searching service file of the Psychiatric Unit of the University Hospital of Santa Maria and after interviews were conducted through semi-structured home visits. The data collection instrument consisted of open and closed questions, in order to contemplate the research objectives. We interviewed 17 users of the devices in the municipal mental health, and these graduates for readmission to the aforementioned Unit from January to December 2011, residents of the city and search with preserved cognitive capacity to respond to interview. The results revealed that most users are sent to hospital after a single mental health service in secondary care which makes the inclusion of such other services in the network and facilitates treatment noncompliance and subsequent rehospitalization in service tertiary health. Furthermore, the survey reveals that the information passed to the users during discharge are few and inefficient to carry a line of mental health care.