Transition of Care for Individuals with Mental Disorders in Brazil: A Contextual Analysis.
Larissa Arielly Cunha da Silva, Renilly de Melo Paiva, Sarah Lyandra Furtado Faustino and 2 others
PMID 38055491WHAT IT FOUND
Mental health care transition in Brazil moves between hospital, primary care, psychosocial centres and home.
Weak communication, missing records and fragmented services are common obstacles.
Key findings
01In the selected Brazilian studies, transitions started from hospital level to home or psychosocial care network in four studies, and from primary care, mental health reference centres or psychosocial care centres in the other four.
02Facilitators named were interaction, family coexistence, substitute services, therapeutic planning, standardized information transfer, welcoming procedures and systematic care; obstacles named were hospital readmissions, lack of communication between team and patient, and scattered, isolated services.
03Direct characteristics of transition included coordination and assistance by health professionals, patients’ connection to the service, logistical arrangements, regularity and continuity of treatment, and education for patient and family.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only eight studies met the review’s criteria, so the picture is thin and could not be explored in depth. The analysis was limited to Brazil, so the services, laws and health-system problems described may not match other countries. The included studies were heterogeneous in design and focus, so the review describes settings rather than a single consistent finding. It is a contextual review, not a trial or cohort of patients, so it does not show whether any transition strategy improves outcomes.
The easy way to misread this
Do not read this as proof that discharge planning, family education or matrix support improves mental health outcomes. It reviews eight studies and describes care settings and barriers, not tested interventions.