WHAT A PSYCHOLOGY SERVICE DOES AT HEART INSTITUTE, SO PAULO, BRAZIL?
 
Romano, B.W., University of Sao Paulo Medical School Brazil
 
This paper has the objective to report the field of applied clinical psychology at the most important brazilian hospital specialized in Cardiology. Our service develops activities since 1977, when the hospital began its activities. Nowadays, its structured as follows: 17 hired psychologists, 15 psychologists under annual specialization program, 3 junior researchers and an administrative support held by 3 secretaries. All of them are under responsability of a Psychologist Director, who is directly subordinated to the Executive Director of the hospital. The psychologists are distributed all over the hospital (a 400 bed hospital), that means: clinical wards, intensive care units, emergency room, ambulatory and heart transplant (adult and child) programs. The Service assists (annual) about 12.900 in-hospital patients, 4250 ambulatory patients, 880 emergency room patients. There are about 11000 individual assistance, 4400 patients who attend groups, and 2800 support to families. There are no restriction at the assistance, nor to participation on medical/clinical discussions, not even to the decision on how and when the psychologist approaches the patient/family. The Service also emphasize assistance through multiprofissional programs participation. The Service held research as one of the its main purpose. As a result, there were about 30 publications in scientific magazines, 84 oral and poster presentations at brazilian and international congress, about 3 books organized by one of the psychologist and about 20 chapters published in medical and psychological books (national and international). All through the years, almost 130 psychologists were under the annual specialization program on Clinical psychology applied to Cardiology. Nowadays they were working at hospitals all over the country. As it can be stated, the Psychology Service at Heart Institute (So Paulo, Brazil) is keeping its social obligation with patients/family and also with the scientific community. Keywords: hospitals, health team, cardiology