RESUMO
INTRODUCCIÓN: El empleo es uno de los componentes centrales de la recuperación en personas con trastornos mentales severos y un aspecto clave en la validación social. El objetivo del estudio fue conocer la experiencia laboral, el interés por trabajar, las conductas específicas de búsqueda laboral, el estatus ocupacional y las actitudes frente al trabajo en esta población. MÉTODOS: Un total de 103 personas en tratamiento en una institución de salud mental de la ciudad de Buenos Aires completaron un cuestionario censal en 2018 con preguntas abiertas y cerradas. El análisis fue mixto, con cálculo y comparación de frecuencias según grupos y análisis temático. RESULTADOS: La mayoría de los participantes tenía experiencia laboral, aunque solo el 29% estaba trabajando. El 93% de quienes no trabajaban dijo tener interés en hacerlo. Solo un 33% de quienes no tenían trabajo realizaban actividades para conseguirlo. Un 85% consideró que podría tener problemas en caso de trabajar y el 15% señaló que podría hacerle mal. No se observaron diferencias significativas según diagnóstico o género. DISCUSIÓN: El elevado interés por trabajar de las personas con trastornos mentales severos contrasta con un porcentaje considerable que, pese a ello, no busca trabajo y anticipa dificultades laborales. El estigma podría ser uno de los mayores obstáculos para la búsqueda y la inclusión laboral. Los programas de apoyo al empleo deben considerar algunos de los problemas hallados en este estudio.
Assuntos
Desemprego , Emprego , Recuperação da Saúde Mental , Transtornos MentaisRESUMO
OBJECTIVE: This paper addresses the issue of monitoring the features of the psychiatric inpatient population of a Prepaid Medical System in Buenos Aires City, paying special attention to its length of stay, diagnosis and readmission rate. METHOD: Between april 1 2000 and march 31 2002 all the psychiatric admissions have been registered and readmission rates and diagnosis prevalence were studied in a naturalistic setting. RESULTS: There were 244 admissions (0.8 per thousand enrollees per year) and 17% was readmitted during this period (1 out of every 4 readmissions in the month following discharge). Their length of stay was an average of 11,8 days. 66% was admitted due to a suicidal attempt or suicidal thoughts. 42% had a discharge diagnosis of Mood disorder, 34% Personality disorder and 12% Schizophrenia or other psychosis. CONCLUSIONS: Inpatients belonging to this Prepaid Medical System seem to be different from other inpatient populations making the comparison among them hard to analyze. Future research should bring more data in order to perform further matching and benchmarking. This kind of information should be no secret and every System should be requested to show its results to allow users' and buyers auditory as well as State's control.
Assuntos
Internação Compulsória de Doente Mental/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Adulto , Argentina , Feminino , Sistemas Pré-Pagos de Saúde , Humanos , Masculino , Saúde da População UrbanaRESUMO
OBJECTIVE: This paper addresses the issue of monitoring the features of the psychiatric inpatient population of a Prepaid Medical System in Buenos Aires City, paying special attention to its length of stay, diagnosis and readmission rate. METHOD: Between april 1 2000 and march 31 2002 all the psychiatric admissions have been registered and readmission rates and diagnosis prevalence were studied in a naturalistic setting. RESULTS: There were 244 admissions (0.8 per thousand enrollees per year) and 17
was readmitted during this period (1 out of every 4 readmissions in the month following discharge). Their length of stay was an average of 11,8 days. 66
was admitted due to a suicidal attempt or suicidal thoughts. 42
had a discharge diagnosis of Mood disorder, 34
Personality disorder and 12
Schizophrenia or other psychosis. CONCLUSIONS: Inpatients belonging to this Prepaid Medical System seem to be different from other inpatient populations making the comparison among them hard to analyze. Future research should bring more data in order to perform further matching and benchmarking. This kind of information should be no secret and every System should be requested to show its results to allow users and buyers auditory as well as States control.
RESUMO
OBJECTIVE: This paper addresses the issue of monitoring the features of the psychiatric inpatient population of a Prepaid Medical System in Buenos Aires City, paying special attention to its length of stay, diagnosis and readmission rate. METHOD: Between april 1 2000 and march 31 2002 all the psychiatric admissions have been registered and readmission rates and diagnosis prevalence were studied in a naturalistic setting. RESULTS: There were 244 admissions (0.8 per thousand enrollees per year) and 17
was readmitted during this period (1 out of every 4 readmissions in the month following discharge). Their length of stay was an average of 11,8 days. 66
was admitted due to a suicidal attempt or suicidal thoughts. 42
had a discharge diagnosis of Mood disorder, 34
Personality disorder and 12
Schizophrenia or other psychosis. CONCLUSIONS: Inpatients belonging to this Prepaid Medical System seem to be different from other inpatient populations making the comparison among them hard to analyze. Future research should bring more data in order to perform further matching and benchmarking. This kind of information should be no secret and every System should be requested to show its results to allow users and buyers auditory as well as States control.
