FAMILY PERCEPTIONS OF THE ROLE OF PSYCHIATRIC HOSPITALS IN THE READMISSIONS OF PATIENTS WITH SEVERE MENTAL DISORDERS

Abstract

This qualitative study investigates the perceptions of family members regarding the role of psychiatric hospitals in the readmissions of patients with severe mental disorders, analyzing the reasons why families continue to rely on hospitalization despite deinstitutionalization policies. The research was conducted at a psychiatric hospital in Campina Grande, PB, involving 30 family members of patients with a history of multiple readmissions. Semi-structured interviews and ethnographic observations were conducted during family visits to the hospital. Data analysis was performed using content analysis techniques, identifying patterns and thematic categories. The results indicate that family members perceive psychiatric hospitals as a safe haven during patient crises, alleviating the burden of home care. The difficulty in managing patient care outside the hospital, combined with the inadequacy of the Psychosocial Care Network (RAPS), makes readmission an inevitable solution. Additionally, the lack of preparation to handle crises, insufficient continuous support, and economic constraints further complicate family care. The study reveals that despite deinstitutionalization policies, psychiatric hospitals remain a frequent choice due to the fragility of home and community support, perpetuating the cycle of readmissions. The study’s contributions highlight the need to strengthen the psychosocial care network, provide training for family caregivers, and establish continuous support to reduce hospital dependency.