Ombudsman's experience in Psychosocial Care Centers for alcohol/drugs / La experiencia de la audiencia en un Centro de Atención Psicosocial alcohol/drogas / A experiência da ouvidoria em um Centro de Atenção Psicossocial álcool/drogas

ABSTRACT Objective: The objective of the study was to analyze criticisms, compliments and suggestions of users, family and workers, placed in an Ombudsman of a Centro de Atenção Psicossocial para Álcool e outras Drogas (Psychosocial Care Centers for Alcohol and Other Drugs- CAPS ad). Method: A study carried out in the CAPS ad of Macapá-AP from August to December 2016, through the thematic content analysis of the files deposited in the ombudsman, recently introduced in the service, containing criticisms, compliments and suggestions from users, family members, and CAPS ad. Results: It was observed the dissatisfaction with the infrastructure of the CAPS ad, and with the relationships built between users and professionals, in addition, suggestions were given of workshops, and improvement in the development of the Projeto Terapêutico Singular (freely translated as Unique Therapeutic Project). Final considerations: It is concluded that the multidisciplinary team needs to put in practice the real psychosocial care in the service, and that the management helps in the improvement of the service's place, and in the proposal of qualifications to this team.

RESUMEN Objetivo: El objetivo del estudio fue analizar las críticas, elogios y sugerencias de los usuarios, familiares y trabajadores colocados en la Audiencia de un Centro de Atención Psicosocial para Alcohol y otras drogas (CAPS ad). Método: Estudio realizado en el CAPS ad de la ciudad Macapá, estado de Amapá desde el agosto hasta el diciembre 2016, a través del análisis temático de contenido de los archivos depositados en la audiencia, recién implantada en el servicio, conteniendo críticas, elogios y sugerencias de usuarios, familiares, y trabajadores del CAPS ad. Resultados: Se observó la insatisfacción con la infraestructura del CAPS ad, y con las relaciones construidas entre usuarios y profesionales. Además, se presentaron sugerencias de talleres, y de mejora en la construcción del proyecto terapéutico singular. Consideraciones finales: Se concluye sobre la necesidad de que el equipo multidisciplinario ponga en práctica la real atención psicosocial en el servicio, y que la gestión auxilie en la mejora del local del servicio, y en la proposición de capacitaciones a ese equipo.

RESUMO Objetivo: O objetivo do estudo foi analisar as críticas, elogios e sugestões dos usuários, familiares e trabalhadores, colocadas na Ouvidoria de um Centro de Atenção Psicossocial para Álcool e outras drogas (CAPS ad). Método: Estudo realizado no CAPS ad de Macapá-AP no período de agosto a dezembro de 2016, por meio da análise temática de conteúdo das fichas depositadas na ouvidoria, recém implantada no serviço, contendo críticas, elogios e sugestões de usuários, familiares, e trabalhadores do CAPS ad. Resultados: Observou-se a insatisfação com a infraestrutura do CAPS ad, e com as relações construídas entre usuários e profissionais, além disso, foram apresentadas sugestões de oficinas, e de melhora na construção do Projeto Terapêutico Singular. Considerações finais: Conclui-se sobre a necessidade de a equipe multidisciplinar colocar em prática a real atenção psicossocial no serviço, e que a gestão auxilie na melhora do local do serviço, e na proposição de capacitações à essa equipe.

Clinical response of depressive patients in a Thai psychiatric care setting.

OBJECTIVE: To obtain data on the clinical outcome of patients with depressive disorders after three months psychiatric care in a Thai psychiatric unit. MATERIAL AND METHOD: A prospective descriptive study of 96 patients followed up for 3 months. The severity of depression was measured with the Thai version of the Hamilton rating scale for depression (HAM-D Thai). RESULTS: The response rate following 3-months psychiatric care was 67.7% (95% CI = 58.18-77.23). Fifty percent of the patients had a HAM-D Thai score of < 7 at week 12. CONCLUSION: The treatment outcome in the Thai psychiatric setting described is comparable to that reported in other countries.

The development of the Thai Psychiatric Satisfaction Scale.

BACKGROUND: Satisfaction with mental services is an important quality and outcome variable. The Thai Psychiatric Satisfaction Scale (TPSS) is developed in order to measure service satisfaction. OBJECTIVE: The purpose of the present study was to develop the Thai Psychiatric Satisfaction Scale (TPSS), having adequate and sufficient validity and reliability. MATERIAL AND METHOD: A sample of people with mental illness in the Department of Psychiatry, Siriraj Hospital was assessed. The TPSS was administered. Then factor analysis, internal consistency and test-retest reliability were analized. RESULTS: The Thai Psychiatric Satisfaction Scale (TPSS) contains seven domains: Professionals' Skills and Behavior, Information, Access, Efficacy, Type of Intervention, Relative's Involvement, and Environment and Setting. The infinity coefficient for the TPSS was 0.97 (95% CI 0.94-0.97) and ranged from 0.70 (95% CI 0.68-0.76) to 0.96 (95% CI 0.94-0.97). Test-retest for TPSS was 0.82. (95% CI 0.78-0.85). CONCLUSION: This TPSS is a validated and reliable multi-dimensional scale which measures the satisfaction of patients with mental health services for routine clinical practice in mental health service.

Assessment of hospital services by consumers: a study from a psychiatric setting.

The present study revealed perception of forty-five patients and fifty nine family members selected from the outpatinet deptt. of a Psychiatric hospital. A semi-structured questionnaire was used. The issues like efficiency, punctuality, behaviour of doctors and other staff, waiting time, supply of draugs and diet and cleanliness of the hospital etc were enquired. More than ninety % of the patients and their escorts appreciated the services provided. Most of them (75-80%) was satisfied with supply of drugs, quality of diet, clinical care and cleanliness of the hospital. Measures for improvement were also suggested.

Interconsulta psiquiátrica em Porto Alegre: realidade e perspectivas / Consultation-liaison in Psychiatry in Porto Alegre: reality and perspectives

Os autores revisaram a definiçäo e breve histórico da Interconsulta Psiquiátrica, apresentando a organizaçäo, o funcionamento e os modelos operacionais mais comuns dessa subespecialidade da Psiquiatria em serviços no Brasil e em outros paises. Através de uma pesquisa de campo, realizada na rede hospitalar de Porto Alegre, foi identificado o tipo de atendimento psiquiatríco existente e como é exercida a Interconsulta Psiquiátrica em nosso meio

Las interconsultas psiquiátricas: Análisis y comparaciones / Psiquiatric consult: Analysis and comparison

Presentamos una revisión de 724 interconsultas psiquiátricas enviadas al servicio de psiquiatría de un hospital general durante el período de Abril de 1984 a Abril de 1988. Los resultados son analizados y comparados con otras publicaciones nacionales y extranjeras, invocándose medidas para mejorar los criterios diagnósticos y el análisis de los mismos