By Andrea Hargraves 
May 22, 2023 – 1:22 PM
#outpatient care #schizophrenia #HSM #mental health
Melina Fernandez – Ascom HSM – Text and image
The music delivery ensemble, made up of patients accompanied by the service, emerged from the activities of music therapy, and is part of the therapy conducted on site.
Glauco Viana, aged 47, has been diagnosed with schizophrenia and has been monitored since 2013 by the Center for Schizophrenia Studies (Nuesq) of the Professor Frutta Pinto Hospital for Mental Health (HSM), associated with the Department of Health of Ceará (Sesa). “Here, I can socialize, feel more stable and take medication to better control the disease. Without this monitoring, it will be difficult to maintain stability. In the hospital, I learned that the main thing is to recognize myself as a patient and not give up treatment,” he teaches. .
This disorder is among the most frequently observed among patients admitted to the unit. The HSM, a government reference for helping people with mental disorders, provides outpatient care to manage and treat symptoms. National Schizophrenia Day is commemorated on Wednesday (24).
Glauco Viana, 47, has been in care at Núcleo de Estudos em Schizophrenia at HSM since 2013
More than 300 patients diagnosed with the disease are welcomed by the medical residency in the psychiatric outpatient clinic. To access the service, it is necessary to refer primary and secondary health units through the state regulation center.
Also read: Understand the role of the Ciara Health Organization Center in access to care
According to the psychologist Joao Henrique Cordero, who is active in this sector, only the pharmacological part is not enough to improve patients. “We conduct individual and group psychotherapy, using playful and interactive resources, where people are invited to share experiences and talk about their needs and desires, always mediated by psychologists,” he says.
Music therapy is one of the activities implemented in NOSC that has been well evaluated by the patients. The band’s musical link was created from the meetings. Some people showed many negative symptoms, in addition to difficulty communicating and anxiety. Music therapy was key to alleviating these signs,” Cordero notes.
With the musical participation and commitment to rehearsals, the treatment of those who accompany them has evolved. “It is necessary for the patient to have a welcoming activity that makes him interact, since laziness can open the door to suffering and depression,” stresses the psychiatrist.
For Vitor Moisés, during therapy, his favorite moments of music therapy are
Of Vitor Moisés’ 31 years, five have been surpassed by care provided on an outpatient basis. For him, the music group is one of his favorite moments. “If I didn’t have this accompaniment and opportunity to play my guitar here with the other guys, I’d be sad. Now I’m already learning the drums. I’ve been trying to compose some songs too. I come every week and really want to stay involved in the band,” he says.
Multidisciplinary treatment
According to psychiatrist Nianna Holland, the peak incidence of the disease usually occurs between the late teens and early adulthood. Men are usually more affected, and monitoring patients with schizophrenia is essential for them to enjoy a quality of life. The Nuesq difference is the multidisciplinary treatment, supported by psychologists, psychiatrists, social workers, and nutritionists. He stresses that the patient’s family also receives psycho-educational support.
A chronic mental illness, schizophrenia is characterized by distortions of thought and perception, with persecution mania, delusions, apathy, and social isolation.
“Outpatient care is necessary to prevent crises, hospitalization and progression of the disease. When the first signs are noticed, it is very important to seek medical attention to confirm the diagnosis and start treatment as soon as possible. Thus, the person will have fewer limitations and functional and cognitive impairments, ”advises Holland.
service
Nucleus Studies in Schizophrenia (Nuesq) of the HSM
Address: Rua Vicente Nobre de Macedo, s / n – Messejana
To access the outpatient clinic, it is necessary to refer primary and secondary health units through the state regulation centre.