Internação de jovens em unidade de saúde mental: uma pesquisa a partir de prontuários

Abstract

Mental health hospitalization in Brazil is one of the resources used for crisis treatment and care and should be applied only after territorial care alternatives have been exhausted, articulated within a service network and in accordance with Law 10.216/2001. Recent studies have pointed to the use of emergency services followed by hospitalization without the user being under the care of a territorial health team, as well as to the phenomenon known as the “revolving door,” which has marked the trajectories of many individuals experiencing severe psychological distress. Psychiatric hospitalization has also been used as a treatment resource for young people. In this context, the aim of this study is to identify the profile of young patients who underwent psychiatric hospitalization at the Mental Health Inpatient Unit of the Clinical Hospital of the Federal University of Uberlândia. Based on a list provided by the hospital’s Statistics Department and on the review of 147 medical records of young patients hospitalized in the mental health unit between January 2016 and December 2018, the results indicate that most hospitalized individuals were cisgender men, white, diagnosed with mood disorders, and users of psychoactive substances. Most patients were from Uberlândia, especially from neighborhoods located in the South, West, and East Health Districts, and had experienced between one and five hospitalizations in the mental health unit during the analyzed period. The majority also had previous links with the Psychosocial Care Network (RAPS) before hospitalization, having previously accessed other services—mainly Psychosocial Care Centers (CAPS)—which highlights the need to strengthen network-based care in order to develop strategies for crisis management that avoid hospitalization and, more specifically, the revolving door phenomenon.