Efeitos da alta assistida da internação em saúde mental: uma análise a partir do monitoramento telefônico

Abstract

Assisted discharge is considered to be a set of multiprofissional practices that aims to effect the continuity of the line of care to the user after a mental health hospitalization. The objective of the study was delimited: to characterize the users selected for assisted discharge according to sociodemographic and clinical variables; and to analyze post-discharge telephone monitoring as strategic for assisted discharge and continuity of care in the mental health network. This is a descriptive research with a qualitative approach carried out with mental health users who have been admitted to a Psychosocial Care Unit of a university hospital in the interior of the state. Data were collected from September to December 2021, from electronic medical records of the Management Application for University Hospitals and semi-structured interviews. As for the analysis of these records, this occurred in a descriptive manner. Twelve users participated in the study, seven women and five men with an average of 39.5 years of age. As for marital status and family support, most are single and live with a first or second degree relative, or both. It is observed that the majority of the participants present mood disorder. With regard to the continuity of mental health care, the results show that all research participants were using the prescribed medications and that they had also accessed the services to which they were referred at hospital discharge. Among the assisted discharge actions, the referral obtained satisfactory results regarding the effectiveness of continuity of care and adherence to treatment. The Assisted Discharge proved to be a device that mainly allows the user to return to their life assured by a line of care in the Psychosocial Care Network.