|Photo: Fernando Frazo / Ag Brazil|
Over the past six years, the number of psychiatric hospital stays has increased Health, where the patient is welcomed during the day and returns home at night In 2018, nearly 100,000 visits were made to psychiatric clinics and hospitals compared to 32,000 in 201
The increase is 211% Part of a general explosion in the search for treatment options for diseases such as depression, anxiety, stress, drug addiction and schizophrenia.
"The day hospital was created to speed up discharge from the hospital while accelerating the patient's social reintegration", says Wagner Gattaz, professor of psychiatry at the USP.
Nulvio Lermen, the outpatient tech From the core of the family: "There has been a growing consensus on the importance of family closeness in settings such as the elderly and those with mental health problems Patients at risk of suicide. "
According to him, these are examples of disorders that have become more common in Germany, the rapid aging of the population and the bustle in large cities in the face of technological change and increased workload.
These trends explain why the onslaught to seek care in day care clinics did not go hand in hand with a reduction in regular psychiatric hospital stays, which have almost doubled in the last six years – from 99.5 thousand to 196.3 thousand.
The demand for psychiatric consultations, as Folha reported in November 2018, has increased by 54% since 2012 2017 – continued to grow. Last year, health plans covered nearly 5 million visits, 10% more than in 2017.
The 17.6 million meetings with psychologists in 2018 meant an increase of 116% over 2012 and 13%. 7% compared to 2017, according to the National Supplementary Health Agency (ANS).
The increase in coverage for psychiatric treatment is offset by the loss of 2.2 million health insurers. Half of 2013 and the same period of this year in the midst of the economic crisis.
As the pursuit of psychological and psychiatric care grew faster than the average demand for treatment of other diseases, its weight in the complementary health care system grew overall. For example, 6.3% of hospital stays were in mental health and now 12.1%.
Given the situation, government, companies and insurers have launched information, services and services to help prevent these disruptions.
With the number of psychiatric consultations and day hospitals increasing by 181% and 138%, respectively, between 2017 and 2019, Sul América has just launched the One Mind program. The release date for the month of the suicide prevention campaign was September.
The program – limited to the state capital for the time being – aims to facilitate access and eliminate the industry's still-common barriers such as the limited number. psychiatric appointments or therapy sessions.
"The beneficiary has free access to everything he needs, everyone has their own design because every mind is unique," says Tereza Villas Boas Veloso, the operator's adult medical director
The company also offers a 24 -Hours guide channel with SMS, Chat and WhatsApp monitoring. According to Tereza, part of the explosion of diagnoses of mental illness is due to the fact that she still has a great stigma that delays the search for specialized help.
This was the case of actor Danilo Simplício Braga, 25. Although he has suffered Since his puberty, he has been suffering from depression and anxiety – a condition that was exacerbated by an accident at the age of 17 and immobilized for four months made – and did not want to psychiatrist. "I was wondering how I would tell my parents if they think I was crazy, today I see that it was prejudice and misinformation, he's an expert like any other," he says.
In 2015, Braga began therapy with certain psychologists, but still had panic attacks and anxiety. Today she has had no seizures with antidepressants and anxiolytic drugs in combination with psychological counseling and says that she feels much better. He is one of the beneficiaries of a mental health program launched by a Sao Paulo operator.
At Amil, the team is made up of professionals who, in addition to the general practitioner, consist of psychiatrists, psychologists and social workers. , which is responsible for patient screening.
According to Ammen's Lermen, prevention may reduce acute seizures, thereby reducing the need for daily and full-time hospitalization. "These teams see patients with more serious illness almost daily and have direct contact with their families," he says.
Experts say that the sooner mental problems are detected, the lower the likelihood of deterioration. Administrative assistant Karla Prudencio Sandes (34) has difficulty recognizing the importance of the first signs of a crisis.
Years of inadequate treatment aggravated the symptoms of her problems to the point where Karla attempted suicide and had two hospitalizations. She now lives with the diagnoses of depression, personality disorders and anxiety. "We do not want to die, but we end the problem, run away," he says.
She was supported in a mental health program through the health insurance offered by the security firm he works in. "I enjoy it." The fact that my children [uma menina de 14 anos e um menino de 7] went through the psychologist also makes me very happy. "
For Karla, who studies psychology, the lack of understanding about the psychological and empathic conditions worsens the situation considerably. patiently. She is convinced that she was once fired because she had to be released from work for a while, which was approved by the INSS. Accident insurance – granted by the INSS in the first half of this year. This figure was 3.6% in 2008.
For USP's Gattaz, increased workplace competitiveness and intensive use of social networks eliminated the inertia of many people and contributed to a higher incidence. of mental disorders: "Idleness is not only creative, but gives us the opportunity to revive our energies." Growing demand for psychiatric treatment had increased mental health expenditures by 60 percent.
Ricardo Salem Ribeiro, the operator's medical director, said management needs to be sensitized and trained to support the staff.
"We find that the problem is fraught with taboos and prejudice – employees are afraid to present it to their supervisor and retaliate – it was important to ensure confidentiality of treatment," he says.
The Care Plus program is similar in format to other providers, including full consultation and online support tools. The operator also offers the possibility of family therapy, a possibility not included in the list of compulsory benefit plans.