Analysis on mental-insanity and cessation-of-dangerousness examinations in three Brazilian custodial institutions: a retrospective cross-sectional study
São Paulo med. j
;
139(6): 624-634, Nov.-Dec. 2021. tab, graf
Article
in English
| LILACS
| ID: biblio-1352295
ABSTRACT
ABSTRACT BACKGROUND:
In Brazil, the right to healthcare and the incorporation of best scientific evidence in public health are universally guaranteed by law. However, the treatment offered to patients with mental disorders in custodial hospitals in this country has not been rigorously evaluated.OBJECTIVES:
To analyze the psychiatric diagnoses and treatments implemented in three Brazilian custodial institutions. DESIGN ANDSETTING:
This was a retrospective, cross-sectional and descriptive study on patients held in custody in three Brazilian institutions, as judicially-determined safety measures due to their mental disorders, and the tools used in diagnoses and treatments. These institutions are in Rio de Janeiro and the Federal District.METHODS:
The data from medical and judicial records that were made available were assessed regarding the diagnoses that were made and the instruments that were used.RESULTS:
None of these inpatients were evaluated using validated tools, and only a few medical records presented clear descriptions of the cases. No patient with substance involvement had undergone laboratory toxicological assays. It was not possible to verify the adequacy of treatments because the procedures were inadequately described in the records.CONCLUSIONS:
No standardized protocols or instruments for diagnosing mental health disorders or assessing use of psychoactive substances had been applied among the inpatients at these custodial institutions in Rio de Janeiro and the Federal District. The treatments that were prescribed to these inpatients consisted mainly of drugs.
Full text:
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Index:
LILACS (Americas)
Main subject:
Psychotic Disorders
/
Dangerous Behavior
Type of study:
Practice guideline
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
São Paulo med. j
Journal subject:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicine
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Year:
2021
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Pontifícia Universidade Católica do Rio de Janeiro/BR
/
Universidade Federal de Sao Paulo/BR
/
Universidade Federal de São Paulo/BR
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