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The purpose of this study was to describe the perspective of health professionals regarding the discontinuous and erratic clinical trajectories of individuals with problematic substance use at a hospital specialized in mental health and addiction in the City of Buenos Aires. From October 2017 to October 2018, a qualitative exploratory study was carried out based on six case studies recovered from previous research. Medical records were analyzed and semi-structured interviews were conducted with the professionals involved. Among the principal results, we found that the definition of erratic clinical trajectories formulated was not very descriptive of the course of some cases, leading us to propose a new concept, that of the segment (el tramo). This concept accounts for the moment in which the clinical trajectory is sustained, even if that entails switching to a different health service. With respect to objectives and therapeutic strategies, we found a clear difficulty on the part of professionals to name and describe them. Lastly, we found alarmingly little systematization of in-hospital referrals among mental health treatment teams, compared to clinical medical consultations and referrals to other health care providers.

salud colectiva

Modos discontinuos y erráticos de transitar un hospital especializado en salud mental y adicciones de la Ciudad de Buenos Aires: la mirada de profesionales de la salud