A visita domiciliária na transição hospital-domicílio à pessoa com doença mental – uma revisão integrativa da literatura

Abstract

BACKGROUND: Changing the hospital-centered to a community-based care paradigm has been seen as a priority for a long time. However, there still is a limited response from all the organizations needed to help and support patients with Mental Illnesses and their caretakers. The hospital-home transition and how the patients cope with it might lead to maladjusted adaptation mechanisms. As such, home visits are an important tool that promote accessibility and acceptability, positively influencing patients’ and their caretakers’ involvment in the treatment of the underlying disease. AIM: To understand the benefits that home visits can have in promoting the continuity of hospital-home care for the patients with mental illness. METHODS: An integrative literature review was conducted using the EBSCO and B-ON databases and RCAAP, resulting in five articles included in the 2013-2018 time horizon. RESULTS: The home visit allows the person with mental illness to maintain contact with the health care system, ensures continuity of care, demonstrating benefits in terms of symptoms, functionality or quality of life and life of individuals and their families, reducing the waste of resources consumed during readmissions due to relapses, and also promoting their integration into the community. CONCLUSIONS: Home visits should be explored with regard to the care of people with mental illness, as this is a resource that can reduce some of the barriers identified in the continuity of post-hospital care and the benefits it brings.