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Nursing professionals working in Emergency Care suffer from the physical symptoms of stress in their everyday activity. The objective of this study was to characterize these symptoms using the Occupational Stress Indicator, a semi-structured instrument. To do this, the authors created open questions that were applied in interviews that were recorded and analyzed. The researchers listed the following physical symptoms: headache, a sensation of fatigue, leg pain, and tachycardia. According to reports form the workers, pain always resulted from emotional stress or appeared after providing emergency care, which suggests the workers find it very difficult to differentiate physical from mental stress. The investigation found that there is a need for measures to follow workers in their working activity. A manual was created, containing basic suggestions to improve the quality of life of the health team.

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RESUMENLa necesidad de construir una nueva perspectiva para el cuidado, basado en el diálogo y en la creatividad, torna posible la transformación social del rol de los profesionales en el ejercicio de su práctica. En el presente artículo, se entiende el cuidar como más que un acto: una actitud. Además, el marco conceptual de la rehabilitación psicosocial se muestra como un instrumento que posibilita la construcción de esa nueva perspectiva. En ese aspecto, cuidar es considerar la importancia de construir proyectos de vida, significativos para cada usuario, como principal foco de la acción terapéutica. Los cambios necesarios en la práctica de salud mental y enfermería psiquiátrica están avanzando, ya que el conocimiento producido en esta área incorpora estrategias para acoger y adherir que considera, en todo momento, el ejercicio de la ciudadanía activa de los enfermos mentales. DESCRIPTORESAcogimiento. Salud mental. Enfermería psiquiátrica. Atención de enfermería. RESUMOA necessidade de se construir um novo olhar para o cuidado baseado no diálogo e na criatividade possibilita a transformação social do papel dos profissionais no exercício da sua prática. Entende-se, neste artigo, que cuidar é mais que um ato: é uma atitude. Além disso, o arcabouço conceitual da reabilitação psicossocial é um instrumental que pode possibilitar a construção desse novo olhar. Nesta perspectiva, cuidar é considerar a importância da construção de projetos de vida, significativos para cada usuário, como eixo central da ação terapêutica. As transformações necessárias na prática em saúde mental e na enfermagem psiquiátrica estão avançando, pois os conhecimentos produzidos nesta área incorporam estratégias de acolhida e continência que consideram, em todos os momentos, o exercício da cidadania ativa dos portadores de transtornos mentais.

Silva ATMC, Barros S, Oliveira MAF. Políticas de saúde e de saúde mental no Brasil: a exclusão/inclusão social como intenção e gesto. Rev Esc Enferm USP 2002; 36(1): 4-9. secuestra vidas, mutila cuerpos y mentes y mercantiliza la salud; la del modelo contra-hegemónico que busca la ruptura por la crítica a aquella lógica para produzir la tolerancia para con la diferencia, en la sociedad brasileña. RESUMO

The study aimed to present the guidelines, strengths, weaknesses, inviable factors, strategies adopted and to be adopted, of the National Policy on Alcohol and Other Drugs, Ministry of Health of Brazil, in the words of the State Administrative and Municipal of the two Centers of psychosocial care to users of alcohol and other drugs-Level II, municipal and state of S. Paulo; and to contribute to the production of new coping strategies, in an attempt to subsidize new programs which address the strengthening of the network of assistance to users of alcohol and other drugs. This is a descriptive, exploratory qualitative approach. The study was conducted with two managers of mental health, one state and one municipal, and two coordinators of the CAPS ad, also at the state and municipal levels. The ethical determinations determined by the Resolution CONEP / MS n º 196/06 were observed. The study was conducted in two phases: literature review and data collection. Data collection was performed between May 2008 and August 2009. The authors developed unstructured instruments for the socio-demographic characterization of the services and collaborators, and the data obtained in the recorded interview. The data were transcribed, reproduced, categorized and analyzed according to the hermeneutic dialectic method. Data analysis was based on the theoretical framework of sociologist Santos (2006), taking into perspective the five categories of the sociology of absences. The guidelines identified in the National Policy are: host, intersectorial, paradigm shift, risk reduction, psychosocial rehabilitation, family care and individualized treatment. All guidelines have been reproduced in the statements of the collaborators. Some of the issues addressed by them were: the need for coordination between the health network SUS; insufficient CAPS ad in almost all the national territory, dimensions / responsibilities of the technical team determined by the Ministry of Health-that MS should respond to the specificity of the services, lack of hospital beds in the general hospital support system, emergency beds and emergency rooms, insufficient CAPS III;

Children and adolescents living in residential childcare have a higher prevalence of mental health problems as a result of a history of adverse childhood experiences. Therefore, this population should be a priority target for mental health preventive interventions. The current study analyses the effectiveness of the Wave by Wave surf therapy program, that combines surfing with a psychological group intervention, through a randomized controlled trial. Seventy-three youth (7-17 years) living in residential care participated in the study. Main mental health outcomes (adjustment problems, depression, anxiety, and wellbeing) and secondary outcomes (self-efficacy, self-regulation, sleep quality, physical activity, pro-social behavior, and social connectivity) were assessed at pre- and post-intervention. The results indicated a significant impact of the intervention on mental health outcomes reported by the key residential worker, with medium to large effect sizes. Specifically, after the intervention, there was a significant reduction in the total emotional and behavioural problems, and a significant increase of youth pro-social behaviour and quality of life that was not observed for the waiting list group. There were no significant effects on other measures reported by the children (e.g., depression and anxiety, self-esteem, emotion regulation, social connectedness, sleep quality, physical activity) and on executive functions measures. The Wave by Wave program seems to be an effective intervention to reduce behavior problems and to promote pro-social behavior in a high-risk sample. The absence of significant effects on other dimensions may indicate the need of some complementary support to address specific difficulties of this population.

Background: Estimates of the prevalence of developmental coordination disorder range from 1.7% to 19%, raising concerns about the discriminative ability of the Movement Assessment Battery for Children (MABC). Aims: We compared MABC performance of children aged 4–12 years from the USA and Brazil. We aimed to examine: a) the prevalence of motor impairment across countries; b) age band and sex differences across countries; c) the test's ability to discriminate and predict motor impairment; and d) to identify the discriminating capacity of each MABC subtest. Methods: Children (n=1055) from Brazil and the USA were included in the present study. MABC cut-off points (typical development: above 15%, at risk: 6–15%; developmental coordination disorder: 0–5%) and discriminant analyses were used. Findings: Prevalence of probable developmental coordination disorder (24.1%) and at risk (16.2%) was higher in the Brazilian sample. Higher prevalence of probable developmental coordination disorder was observed among girls and among children aged 11–12 years old for the Brazilian sample and among boys and among children aged 9–12 years old for the American sample. Differences in scores across countries were only observed for children with typical development in manual dexterity and balance skills. The MABC discriminant functions were able to predict the classification of children into typical development, at risk, and probable developmental coordination disorder. The manual dexterity subtest was the strongest predictor for both samples, whereas the ball skills subtest was the weakest predictor. Conclusions: Differences for prevalence were found across countries. American results were similar with current estimates relative to incidence and gender; for Brazilian children, prevalence was near three times higher and more persistent among girls. Overall, in both countries the motor difficulties demonstrated by children with probable and at risk of developmental coordination disorder were similar for all tasks. The MABC showed predictably and discriminant capacity in the identification of children with probable and at risk developmental coordination disorder in both countries.