What was lost in hospitalizations: : reflections on rehabilitation strategies in a Protected Mental Health Residence

This paper aims to reflect on rehabilitation strategies for deinstitutionalization within the framework of the discharge group of a protected mental health residence in the Autonomous City of Buenos Aires, focusing on the limiting factors and facilitators that emerge in this process. Based on a situ...

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Autor principal: Trebucq, María Agustina
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional de Rosario. Facultad de Ciencia Política y Relaciones Internacionales. Escuela de Trabajo Social 2026
Materias:
Salud mental comunitaria
Desinstitucionalización
Rehabilitación
Community mental health
Deinstitutionalization
Rehabilitation
Acceso en línea:https://catedraparalela.unr.edu.ar/index.php/revista/article/view/475
Aporte de:
Cátedra Paralela de Universidad Nacional de Rosario
id I15-R222-article-475
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spelling I15-R222-article-4752026-02-25T20:48:04Z What was lost in hospitalizations: : reflections on rehabilitation strategies in a Protected Mental Health Residence Lo perdido en las internaciones:: reflexiones en torno a las estrategias de rehabilitación en una Residencia Protegida de Salud Mental Trebucq, María Agustina Salud mental comunitaria Desinstitucionalización Rehabilitación Community mental health Deinstitutionalization Rehabilitation This paper aims to reflect on rehabilitation strategies for deinstitutionalization within the framework of the discharge group of a protected mental health residence in the Autonomous City of Buenos Aires, focusing on the limiting factors and facilitators that emerge in this process. Based on a situated experience in a transitional, open-door residential device intended for people with severe mental health conditions, the analysis examines interventions oriented toward the recovery of autonomy, the reconstruction of social bonds, and social and labor inclusion. The analysis focuses on the discharge group as a key space for problematizing the subjective and social effects of prolonged hospitalizations, articulating the losses and the marks left by institutionalization in users’ lives with the strategies implemented in the process of psychosocial rehabilitation. Within this framework, three central axes of the rehabilitation process are developed: housing, social networks, and work, identifying in each of them the main obstacles and facilitating factors for discharge and community reintegration. The findings show that deinstitutionalization goes beyond the physical closure of psychiatric hospitals and requires intersectoral public policies and sustained institutional commitments over time. El presente trabajo tiene como objetivo reflexionar en torno a las estrategias de rehabilitación para la desinstitucionalización en el marco del grupo de egreso de una residencia protegida de salud mental de la Ciudad Autónoma de Buenos Aires, focalizando en los limitantes y posibilitadores que emergen en dicho proceso. A partir de una experiencia situada en un dispositivo habitacional transitorio y de puertas abiertas, destinado a personas con padecimientos mentales severos, se analizan intervenciones orientadas a la recuperación de la autonomía, la reconstrucción de vínculos y la inclusión social y laboral. El análisis se centra en el grupo de egreso como espacio privilegiado para problematizar los efectos subjetivos y sociales de las internaciones prolongadas, articulando las pérdidas y las marcas que imprime la institucionalización en la vida de les usuaries con las estrategias desplegadas en el proceso de rehabilitación psicosocial. En este marco, se desarrollan tres ejes centrales del proceso de rehabilitación: hábitat, red social y trabajo, identificando en cada uno de ellos los principales obstáculos y facilitadores del egreso y la reinserción comunitaria. Se evidencia que la desinstitucionalización excede el cierre físico de los hospitales psiquiátricos y requiere políticas públicas intersectoriales y compromisos institucionales sostenidos en el tiempo. Universidad Nacional de Rosario. Facultad de Ciencia Política y Relaciones Internacionales. Escuela de Trabajo Social 2026-02-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo revisado por pares application/pdf https://catedraparalela.unr.edu.ar/index.php/revista/article/view/475 10.35305/cp.vi27.475 Cátedra Paralela; Núm. 27 (2025); 70-86 2683-9393 1669-8843 spa https://catedraparalela.unr.edu.ar/index.php/revista/article/view/475/373
institution Universidad Nacional de Rosario
institution_str I-15
repository_str R-222
container_title_str Cátedra Paralela
language Español
format Artículo revista
topic Salud mental comunitaria
Desinstitucionalización
Rehabilitación
Community mental health
Deinstitutionalization
Rehabilitation
spellingShingle Salud mental comunitaria
Desinstitucionalización
Rehabilitación
Community mental health
Deinstitutionalization
Rehabilitation
Trebucq, María Agustina
What was lost in hospitalizations: : reflections on rehabilitation strategies in a Protected Mental Health Residence
topic_facet Salud mental comunitaria
Desinstitucionalización
Rehabilitación
Community mental health
Deinstitutionalization
Rehabilitation
author Trebucq, María Agustina
author_facet Trebucq, María Agustina
author_sort Trebucq, María Agustina
title What was lost in hospitalizations: : reflections on rehabilitation strategies in a Protected Mental Health Residence
title_short What was lost in hospitalizations: : reflections on rehabilitation strategies in a Protected Mental Health Residence
title_full What was lost in hospitalizations: : reflections on rehabilitation strategies in a Protected Mental Health Residence
title_fullStr What was lost in hospitalizations: : reflections on rehabilitation strategies in a Protected Mental Health Residence
title_full_unstemmed What was lost in hospitalizations: : reflections on rehabilitation strategies in a Protected Mental Health Residence
title_sort what was lost in hospitalizations: : reflections on rehabilitation strategies in a protected mental health residence
description This paper aims to reflect on rehabilitation strategies for deinstitutionalization within the framework of the discharge group of a protected mental health residence in the Autonomous City of Buenos Aires, focusing on the limiting factors and facilitators that emerge in this process. Based on a situated experience in a transitional, open-door residential device intended for people with severe mental health conditions, the analysis examines interventions oriented toward the recovery of autonomy, the reconstruction of social bonds, and social and labor inclusion. The analysis focuses on the discharge group as a key space for problematizing the subjective and social effects of prolonged hospitalizations, articulating the losses and the marks left by institutionalization in users’ lives with the strategies implemented in the process of psychosocial rehabilitation. Within this framework, three central axes of the rehabilitation process are developed: housing, social networks, and work, identifying in each of them the main obstacles and facilitating factors for discharge and community reintegration. The findings show that deinstitutionalization goes beyond the physical closure of psychiatric hospitals and requires intersectoral public policies and sustained institutional commitments over time.
publisher Universidad Nacional de Rosario. Facultad de Ciencia Política y Relaciones Internacionales. Escuela de Trabajo Social
publishDate 2026
url https://catedraparalela.unr.edu.ar/index.php/revista/article/view/475
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