Características das internações em saúde mental encaminhadas ao sistema de regulação da 4ªCRS

Abstract

The management of mental health hospital beds is a challenge for the implementation of the Mental Health Policy within the scope of health regions. Management aims to improve the functioning of organizations and work processes in order to obtain the greatest efficiency and effectiveness possible. One of the resources for managing hospitalization requests is the use of regulatory systems. This study aimed to analyze the characteristics of hospitalizations in mental health that were regulated by the Mental Health Policy of the 4th Regional Health Coordination - CRS, of the State Health Secretariat of Rio Grande do Sul. This is a quantitative and documentary that was carried out in the city of Santa Maria, Rio Grande do Sul The population of this research consisted of secondary data collected from the total requests for hospitalizations of mental health registered in the Regulation System at the 4th Regional Health Coordination, in the period between months from August 2018 to August 2019. For the collection of research data, an instrument adapted from the items of filling in the online regulation system was used, containing pre-defined variables. Data analysis was performed with the aid of the Statiscal Package the Social Sciencies (SPSS) program. The present research complied with the ethical determinations of Resolution No. 466/2012 of the National Health Council. The results reveal a profile of hospitalizations, mostly of young adults, male / female, color / race mostly white, with predominance in the age group of 18 to 39 years old. The diagnosis of mental and behavioral disorders due to the use of multiple drugs was shown in 23.94% of the total, and in 49.63% of hospitalizations were voluntary. It was identified that the Municipal Health Secretariat (SMS) was the service that most requested hospitalizations, most of which were classified as Urgency and Emergency 63.94%, the Hospital Nossa Senhora da Piedade (Nova Palma) was the one that most received hospitalization in this period, with 28.75%. It was found that this characterization enabled the knowledge of important indicators for the mental health care network and may contribute to the planning and implementation of the regional Mental Health Policy and the effectiveness of Psychiatric Reform in the territories.