Desinstitucionalização e reabilitação psicossocial: um estudo baseado no hospital de custódia e tratamento psiquiátrico de Salvador, Bahia

Abstract

There is deinstitutionalization and psychosocial rehabilitation as part of a great process of social transformation. In this sense, and motivated by the desire to know and deepen knowledge in this area of study, the theme was chosen as 'Deinstitutionalization and Psychosocial Rehabilitation: a study based on the Hospital of Custody and Psychiatric Treatment of Salvador, Bahia'. The theme from which the question 'What can be made of the process of deinstitutionalization and psychosocial rehabilitation, taking as reference the HCTP of Salvador, Bahia?' and, as a general objective, the need to 'analyze deinstitutionalization and psychosocial rehabilitation, having as reference the HCTP, from Salvador/Bahia'. With regard to the methodology, a qualitative research was developed – which started from the bibliographic and documentary analysis (survey based on key words and content analysis), with a view to identifying the flawed points of deinstitutionalization and psychosocial rehabilitation capable of astolling the success of the process – and applied – which, as a product from the research, generated a newsletter, which contains a table with the addresses and telephone numbers of the CAPS of Salvador, in addition to guidelines to facilitate contact with the State Public Defender's Office, the Public Prosecutor's Office and the Human Rights Dial. As a result, the study showed that the broader meaning of deinstitutionalization has not yet been achieved; whereas the disruption of social ties remains a problem and vacancies in the extra-hospital health network are insufficient; that some failures of the Italian psychiatric reform are repeating themselves in Brazil; whereas the hiring of outsourced workers discourages the creation of bonds of trust and can impact the non-continuity of treatment; whereas it should be considered that the reports of the difficulties faced by the patients' families can serve to redirect public health policies; chronic patients require even more differentiated treatment and constant vigilance.