Resumen

BEZERRA, Cíntia Guedes  y  DIMENSTEIN, Magda. The phenomenon of "revolving door": a challenge to the Psychiatric Reform. Mental [online]. 2011, vol.9, n.16, pp.303-326. ISSN 1679-4427.

The phenomenon of rehospitalization in a psychiatric hospital, known in the literature as "revolving door", has a high incidence in the majority of the institutions. Knowing the causes of that phenomenon and thinking about strategies to enable its rupture are pertinent worries. On this path, the present research was developed, seeking to evaluate the "revolving door" on a psychiatric hospital - the Dr. João Machado Hospital (HJM), in the city of Natal, Rio Grande do Norte, Brazil - and the effects of the proposal of a assisted discharge in this hospital. The handbook of the patients who were submitted to the assisted discharge was read and interviews with professionals were carried out. In addition, it was made a literature review about the psychiatric rehospitalization to elucidate what the literature has found. In the end, it was possible to detect problems that evolve this follow-up and it was verified that the strategy of assisting the patient on the after-discharge, giving him/her appropriate and continuing attention in the social and familiar environment is fundamental to avoid the "revolving door".

Palabras clave : Mental health; Psychiatric Reform; revolving door; assisted-discharge; social reintegration.

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