Planejamento e implantação de alta assistida em uma unidade de internação em saúde mental: relato de experiência

Abstract

The objective to describe the experience of High Assisted of a Mental Health Inpatient Unit.. The Method: it is an experience report from the planning and implementation of the assisted discharge process in an Inpatient Unit in Mental Health of a university hospital in the central region of the state of Rio Grande do Sul. The experiences described occurred in the period from September to December 2020, involving 12 users of the Mental Health Policy, who underwent hospitalization in this unit and / or their respective family members and / or guardians. The data used in this report were extracted from field diaries and electronic medical records of users accessed in the Management Application for University Hospitals (AGHU). For the description of this experience, the ethical recommendations contained in Resolution No. 466/12 and No. 510/16 of the National Health Council were preserved. Results: the experiences went through the following process: 1) Planning for the implementation of Assisted Discharge in Mental Health Inpatient Unit; 2) The development of assisted discharge in a Psychosocial Care Unit in the hospital context; 3) The weaknesses and potentialities for the consolidation of assisted care. Final considerations: assisted discharge is shown to be a powerful strategy for defragmenting care and co-responsibility of professionals, family nucleus and users for self-care and therapy. In this sense, Assisted Discharge must be implemented in inpatient units due to its potential for materializing mental health, aiming at comprehensive care and longitudinal and capillarized monitoring in the territory; it must be promoted with a view to fulfilling the dimensions of promotion, prevention and rehabilitation psychosocial behavior of users.