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Critérios utilizados por trabalhadores para a inclusão de adolescentes em serviços públicos de saúde mental

Bibliographic Data

ID5836141
AuthorsNatalia Areias Gomes (corresponding author)
Year2009
Publication date2009-09-22
Open AccessYes
TypeTHESIS
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/d.6.2009.tde-08012010-141442
OpenAlexW2146196737
LanguagePT
References cited2

The aim of this involved study was to understand the nature of the criterions governing the inclusion of adolescents in care services to mental health of the public health system.Thus the concept of mental health was contextualized and its prospects in the field of public health as a model of available care to the population and the main changes in process from the 70's with the psychiatric reform.Afterwards was reported a special screening of mental health of adolescents and the characteristics of politics and models of predict care to attend their needs.The idea that guided the research on the access of adolescents to mental health services is based mainly on the role of the worker responsible for deciding on their fate in the institution and practice of the reception as a singular way to receive, understand and relate to the costumer.It was performed semi-directed interviews with 28 employees that work in the inclusion of the new service users in mental health care for adolescents in São Paulo municipality (specifically in the western region , which comprises the districts of health Butantã, Lapa and Pinheiros), and then subsequently subjected to analysis of speech.It is perceived by the speech of employees that the criterions for inclusion in service are complex and most often cause doubt as to its precise indication.Amid the process of decision there are technical means that the employee has to the effectiveness of their practice and the subjective structuring front of your work, in order to allow bigger or smaller opening to endless possibilities of complaints that may appear as demand to the service that they work.Also observed difficulties in the employment strategy of the reception as a practice for approval by its characteristic unpredictability which proposes to attend the demand at the moment it is perceived as urgent by the user, running the logic of the scheduled screening and the waiting lines.The questions referred to as main criterions for inclusion in the emergency stand out (and their representatives are more cases of suicide attempt), the relationship with institutions that do the routing, the characteristics, and conditions of service, the severity of the case and organization of the network of care.Once highlighted the main aspects of the worker involved in the decision of the inclusion of the adolescents in the service, is discussed, finally, a possible mismatch between the logic of the adolescents and the logic of the functioning of health institutions which often impossibilities the recognition of mental health service by the adolescents as possible resources to which to use in case of need, including creating a shortage of demand

Business · Environmental health · Field research · Institution · Mental health · Population · Psychiatry · Public health · Sociology · Applied Psychology · Engineering · Health, Nursing, Elderly Care · Medicine · Nursing · Psychology · Social Psychology · Youth, Drugs, and Violence · Marketing

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