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Aug 13, 2019

WCP-2019

02 - THE FIRST COMMUNITY MENTAL HEALTH SERVICE IN PORTUGAL-THE PRESENT OF A SERVICE WITH MORE THAN 40 YEARS OF HISTORY

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community mental health service

deinstitutionalization

community psychiatry

Abstract

Abstract

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Keywords

community mental health service

deinstitutionalization

community psychiatry

Abstract

Objectives: To present a non-systematic review of literature about the Community Mental Health Service (CMHS) and to conduct a descriptive analysis of the patient population followed by the CMHS in the Department of Psychiatry and Mental Health of Centro Hospitalar Tondela-Viseu. Background and aims: In 1977, at the time called Mental Health Center of Viseu, it was pioneered through the creation of their CMHS. Deinstitutionalization of the mentally ill and promoting the integration into their communities was the aim of the work developed. Today it still works every day, with two teams, consisting each of a nurse and a driver, who go out to the street. They travel without a gown and carry only the suitcase containing the necessary medication. Materials and methods: Descriptive analysis. Data collected from the clinical files from January to March 2019, analyzed in the program EXCEL ® 2016. Results: The CHMS currently integrates 525 patients. The patient profile is a man (67.6%), single (50.9%), aged between 50-59 years (25%), with the diagnosis of schizophrenic psychosis (48.4%) and medicated with Haloperidol decanoate (76.8%) plus other drugs (63.4%). Conclusions: The CMHS has progressively assumed a more relevant importance by creating conditions to give dignity and equality to those who suffer from chronic mental illness. Above all, this service has contributed to the reduction of stigma regarding the patient and mental illness and to reduce the number of relapses and hospitalizations. Community psychiatry is no more than treating people with mental illness in their social environment, with their family at home.

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© Copyright 2019 Morressier GmbH.
All rights reserved.