Transitions of Care in Mental Health

Autores

  • Denise Bueno Universidade Federal do Rio Grande do Sul
  • Larissa Gallo Detanico Faculdade de Farmácia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil
  • Tatiana Von Diemen Serviço de Psiquiatria do Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brasil.
  • Carine Líbio dos Santos Faculdade de Farmácia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil
  • Lenise Petter Francesconi Programa de Pós-Graduação em Assistência Farmacêutica (PPGASFAR), Faculdade de Farmácia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.
  • Keila Ceresér Programa de Pós-Graduação Psiquiatria e Ciências do Comportamento, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil. Laboratório de Psiquiatria Molecular do Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brasil. http://orcid.org/0000-0002-9135-0772

Palavras-chave:

Mental Health, psychiatric, drugs, primary health care, pharmaceutical care

Resumo

Introduction: The occurrence of mental disorders and chronic diseases is associated with low treatment compliance and an increased mortality. The main objective of this study was to analyze medication prescriptions at hospital discharge in order to verify the patients’ access to the prescribed treatment. Methods: This is a descriptive and retrospective study performed between September 2013 and September 2018 with patients admitted in the psychiatric ward of a university hospital in the state of Rio Grande do Sul. The studied patients consisted of 274 adults over 18 years of age admitted to this hospital with at least one psychiatric comorbidity included in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) who lived in the city of Porto Alegre used specially controlled drugs, and had been hospitalized for at least 7 days. Results: Out of the 274 patients, 68.5% were readmitted once, 17.5% were readmitted twice, 9.5% were readmitted 3times, and 4.5% went through this process 4 times or more. A significant association (p = 0.014) was observed between the number of drugs not included in the Municipal Essential Medicines List upon first readmission and the number of readmissions. Among patients who were readmitted 3 times or more, 79% were prescribed drugs that were not on this list. Conclusions: The understanding of how therapeutic itineraries are established when searching for drugs contributes to setting effective lines of care where professionals may position themselves more proactively to reduce mental health complications.

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Publicado

2021-06-28

Como Citar

1.
Bueno D, Detanico LG, Von Diemen T, dos Santos CL, Francesconi LP, Ceresér K. Transitions of Care in Mental Health. Clin Biomed Res [Internet]. 28º de junho de 2021 [citado 5º de dezembro de 2022];41(1). Disponível em: https://www.seer.ufrgs.br/index.php/hcpa/article/view/103865

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