ABSTRACT
The papers published by 17 municipal mental health institutions in Shandong Province from 2008 to 2012 , author cooperation and publication journals were analyzed, which indicated that although the number of papers published by mental health institutions in Shandong Province creased with their academic levels improved, the number of papers published by mental health institutions was significantly different , the number of researches with innova-tion was rather small, and the core author groups have not formed.
ABSTRACT
Este trabalho visa explorar a idéia de que o Acompanhamento Terapêutico serve como paradigma de manejo na clínica das psicoses em instituições de saúde mental. Com base em experiência como psicóloga, psicanalista e acompanhante terapêutica em um desses serviços, o CAPS-Itapeva, faço uma reflexão sobre como essa clínica do acompanhamento é necessária no cotidiano institucional, permeando todos os espaços de tratamento. A partir da idéia de referência, segundo a qual cabe a um profissional qualquer do serviço acompanhar o percurso de determinado paciente ali, servindo de intermediário entre ele e as atividades, tanto quanto entre ele e o fora da instituição, busco problematizar os pontos em que a clínica do AT se aproxima dessa clínica institucional das psicoses.
ABSTRACT This text aims to explore the idea that the Therapeutic Accompaniment can be used as a paradigm to the holding concept at the clinic of psychosis within mental health institutions. Based on my personal experience as psychologist, psychoanalyst and therapeutic accompanier at one of these institutions, named CAPS-Itapeva (Psychossocial Attention Center - Itapeva), I think on how this accompaniment clinic is necessary to the institutional routine, crossing all the treatment spaces. From the idea of reference, which stands that it's up to each professional working within the institution to accompany the route of each single patient, standing as a intermediate between him and his activities, as well as between him and what is out of there, I try to seeks where the Therapeutic Accompaniment's clinic approaches to the psychosis institutional clinic.
Subject(s)
Humans , Continuity of Patient Care , Mental Health , Psychotic DisordersABSTRACT
Objective To find out about the current situation of mental health institutions in Guangdong. Methods An investigation via self-made questionnaires was made on the current situation of 62 mental health institutions in the province and a comparison was made of 22 mental hospitals between now and four years ago. Results Throughout the province, there were 9901 psychiatric beds, 1236 psychiatric doctors and 1909 psychiatric nurses, averaging respectively 1.16 beds, 0.15 doctors and 0.22 nurses per 10 thousand people. The bed utilization ratio was mostly 82.00% and only 12.00% of the mental health institutions adopted open management. A comparison of the 22 mental hospitals between now and 4 years ago showed that the numbers of hospital beds, doctors, doctors with associate senior professional tides and above, ECG machines, computers, hospital total income per year, and monthly charges for hospitalization had increased while the area of workplaces, the bed utilization ratio, the average number of daily outpatient visits, the average number of daily outpatient psychological consultations, and equipment other than ECG machines and computers remained unchanged and government funding had decreased. Couclusion The major problems with the mental health institutions in the province are shortage and lack of balance in the allocation of mental health resources, backwardness in the modes of management, difficulty in internal development, and reduction of government input.