The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil

A sample (n=124) of schizophrenic patients from a defined catchment area of the city os S.Paulo, Brazil, who had been consecutively admitted to hospital, was assessed for psychopathological status and social adjustment levels. Sociodemographic, socio-economic and occupational characteristics were re...

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Main Authors: Menezes Paulo R., Mann Anthony H.
Format: Article
Language:English
Published: Universidade de São Paulo 1993-01-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89101993000500004
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spelling doaj-009af5453fe44cd0a2c59dddb866b0cf2020-11-24T21:42:15ZengUniversidade de São PauloRevista de Saúde Pública0034-89101518-87871993-01-01275340349The social adjustment of patients with schizophrenia: implications to the mental health policy in BrazilMenezes Paulo R.Mann Anthony H.A sample (n=124) of schizophrenic patients from a defined catchment area of the city os S.Paulo, Brazil, who had been consecutively admitted to hospital, was assessed for psychopathological status and social adjustment levels. Sociodemographic, socio-economic and occupational characteristics were recorded: almost 30% of the subjects had no occupation and received no social benefit, more than two-thirds had a monthly per capita income of US$ 100.00 or less. Sixty-five percent presented with Schneiderian firstrank symptoms. Nearly half the sample showed poor or very poor social adjustment in the month prior to admission. The most affected areas of social functioning were participation in the household activities, work and social withdrawal. The current mental health policy of promoting extra-mural care as an alternative to the previous hospital-based model will then mean the investment in a network of new community-based services, that give effective treatment and support to patients and their families. The need of further research into the current picture of mental disorders in the country is stressed.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89101993000500004Schizophrenia/epidemiologySocial adjustmentHealth policyCommunity mental health services
collection DOAJ
language English
format Article
sources DOAJ
author Menezes Paulo R.
Mann Anthony H.
spellingShingle Menezes Paulo R.
Mann Anthony H.
The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil
Revista de Saúde Pública
Schizophrenia/epidemiology
Social adjustment
Health policy
Community mental health services
author_facet Menezes Paulo R.
Mann Anthony H.
author_sort Menezes Paulo R.
title The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil
title_short The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil
title_full The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil
title_fullStr The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil
title_full_unstemmed The social adjustment of patients with schizophrenia: implications to the mental health policy in Brazil
title_sort social adjustment of patients with schizophrenia: implications to the mental health policy in brazil
publisher Universidade de São Paulo
series Revista de Saúde Pública
issn 0034-8910
1518-8787
publishDate 1993-01-01
description A sample (n=124) of schizophrenic patients from a defined catchment area of the city os S.Paulo, Brazil, who had been consecutively admitted to hospital, was assessed for psychopathological status and social adjustment levels. Sociodemographic, socio-economic and occupational characteristics were recorded: almost 30% of the subjects had no occupation and received no social benefit, more than two-thirds had a monthly per capita income of US$ 100.00 or less. Sixty-five percent presented with Schneiderian firstrank symptoms. Nearly half the sample showed poor or very poor social adjustment in the month prior to admission. The most affected areas of social functioning were participation in the household activities, work and social withdrawal. The current mental health policy of promoting extra-mural care as an alternative to the previous hospital-based model will then mean the investment in a network of new community-based services, that give effective treatment and support to patients and their families. The need of further research into the current picture of mental disorders in the country is stressed.
topic Schizophrenia/epidemiology
Social adjustment
Health policy
Community mental health services
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0034-89101993000500004
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