The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community

Care for people diagnosed with schizophrenia and delusional disorders involves many challenges, especially in territorial contexts of pronounced social vulnerability. In Rio de Janeiro, the two decades after the passing of Federal Law 10,216 on Psychiatric Reform in 2001 have been characterized by t...

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Autores principales:	Joana Thiesen, Sandra Fortes, Maria Tavares Cavalcanti
Formato:	article
Lenguaje:	EN ES
Publicado:	Instituto de Salud Colectiva, Universidad Nacional de Lanús 2021
Materias:	mental health family health strategy schizophrenia mental health services brazil Medicine R Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/2c9912a35e1c4bb29cfb71bca4e8265f
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spelling	oai:doaj.org-article:2c9912a35e1c4bb29cfb71bca4e8265f2021-11-09T16:40:43ZThe impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community1669-23811851-826510.18294/sc.2021.3020https://doaj.org/article/2c9912a35e1c4bb29cfb71bca4e8265f2021-03-01T00:00:00Zhttp://revistas.unla.edu.ar/saludcolectiva/article/view/3020https://doaj.org/toc/1669-2381https://doaj.org/toc/1851-8265Care for people diagnosed with schizophrenia and delusional disorders involves many challenges, especially in territorial contexts of pronounced social vulnerability. In Rio de Janeiro, the two decades after the passing of Federal Law 10,216 on Psychiatric Reform in 2001 have been characterized by the transition from a hospital-centered model to one based on community services. Taking the case of a community in Rio de Janeiro, data was extracted from the medical records of 94 patients diagnosed with schizophrenia, schizotypal disorders, and delusional disorders (ICD-10 codes F20 to F29) in five public health services. Covering the period from 2003 to 2016, indicators of the quality of treatment provided were analyzed. As a result of this transition, psychiatric hospitals have all but emptied and a low number of currently untreated patients can be observed. In addition, crisis care and long-term hospitalizations have been replaced by territorial care, and clinical comorbidities are monitored and treated at Family Health Units.Joana ThiesenSandra FortesMaria Tavares CavalcantiInstituto de Salud Colectiva, Universidad Nacional de Lanúsarticlemental healthfamily health strategyschizophreniamental health servicesbrazilMedicineRPublic aspects of medicineRA1-1270ENESSalud Colectiva, Vol 17, Pp e3020-e3020 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES
topic	mental health family health strategy schizophrenia mental health services brazil Medicine R Public aspects of medicine RA1-1270
spellingShingle	mental health family health strategy schizophrenia mental health services brazil Medicine R Public aspects of medicine RA1-1270 Joana Thiesen Sandra Fortes Maria Tavares Cavalcanti The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community
description	Care for people diagnosed with schizophrenia and delusional disorders involves many challenges, especially in territorial contexts of pronounced social vulnerability. In Rio de Janeiro, the two decades after the passing of Federal Law 10,216 on Psychiatric Reform in 2001 have been characterized by the transition from a hospital-centered model to one based on community services. Taking the case of a community in Rio de Janeiro, data was extracted from the medical records of 94 patients diagnosed with schizophrenia, schizotypal disorders, and delusional disorders (ICD-10 codes F20 to F29) in five public health services. Covering the period from 2003 to 2016, indicators of the quality of treatment provided were analyzed. As a result of this transition, psychiatric hospitals have all but emptied and a low number of currently untreated patients can be observed. In addition, crisis care and long-term hospitalizations have been replaced by territorial care, and clinical comorbidities are monitored and treated at Family Health Units.
format	article
author	Joana Thiesen Sandra Fortes Maria Tavares Cavalcanti
author_facet	Joana Thiesen Sandra Fortes Maria Tavares Cavalcanti
author_sort	Joana Thiesen
title	The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community
title_short	The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community
title_full	The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community
title_fullStr	The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community
title_full_unstemmed	The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community
title_sort	impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a rio de janeiro community
publisher	Instituto de Salud Colectiva, Universidad Nacional de Lanús
publishDate	2021
url	https://doaj.org/article/2c9912a35e1c4bb29cfb71bca4e8265f
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The impact of territorial care in the treatment of people diagnosed with schizophrenia and delusional disorders in a Rio de Janeiro community

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