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Psychiatric emergency units in Brazil: a cross-sectional study
Cintia de Azevedo-Marques Périco1,2, Roberto Mendes Dos Santos3, Leonardo Rodrigo Baldaçara4
1Centro Universitário de Saúde FMABC, Medical School, Department of Neuroscience - Santo André (SP), Brazil.
Revista Da Associacao Medica Brasileira (1992)
|May 18, 2022
Summary
Brazilian psychiatric emergency services operate 24/7 with staff but face significant infrastructure and demand challenges. These units mirror U.S. trends, indicating a strained mental health care network.
Area of Science:
- Mental Health Services Research
- Psychiatric Emergency Care
- Healthcare Infrastructure Analysis
Background:
- Psychiatric emergency services are critical for acute mental health care.
- Understanding their operational status and challenges is vital for network improvement.
Purpose of the Study:
- To assess the infrastructure, metrics, and problems of psychiatric emergency services in Brazil.
- To identify key areas for service enhancement and policy intervention.
Main Methods:
- Cross-sectional study of 29 psychiatric services in Brazil (2019).
- Data collection on availability, resources, staff, metrics, and reported problems.
Main Results:
- High availability (24/7) and staffing (psychiatrists, nurses, social workers) reported.
- Significant issues include insufficient child/adolescent care structure (83%), high patient demand (72%), and lack of inpatient vacancies (59%).
- Limited availability of separate rooms for contention (38%) and challenges with court orders and referrals noted.
Conclusions:
- Brazilian psychiatric emergency units face similar challenges to those in the U.S., including decreasing numbers.
- These services highlight systemic shortcomings within Brazil's overall mental health care network.
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