How to improve the mental health care of children and adolescents in Brazil: Actions needed in the public sector

Paula, Cristiane Silvestre de; Lauridsen-Ribeiro, Edith; Wissow, Lawrence S.; Bordin, Isabel Altenfelder Santos; Evans‐Lacko, Sara

doi:10.1016/j.rbp.2012.04.001

Cited by 68 publications

(68 citation statements)

References 28 publications

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“…4 A recent population-based survey found that most ASD cases in Brazil go undiagnosed and do not receive specialized treatment. 5 The Brazilian Unified Health System (SUS) provides free access to health services for all citizens in the country, and is organized at the regional level, encompassing primary through tertiary care. It is intended that first access to the SUS occur through primary health care (PHC) services.…”

Section: Introductionmentioning

confidence: 99%

“…In the SUS organization flowchart, psychosocial care centers for children and adolescents (CAPSI) are the health services responsible for providing assistance to children/adolescents with severe and persistent mental illness and coordinating mental health care in a defined catchment area. 5 In short, within the SUS, patients with ASD should be detected by primary care providers and referred to local CAPSIs. In this sense, implementation of training programs to improve the ability of primary care providers to recognize ASD is one of the most important steps to scale up psychiatric care to this population, as shown in previous experiences.…”

Section: Introductionmentioning

confidence: 99%

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Impact of training in autism for primary care providers: a pilot study

Bordini

Lowenthal

Gadelha

et al. 2014

Rev. Bras. Psiquiatr.

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Objective: To evaluate the impact of a training program on autism spectrum disorder (ASD) identification offered to Brazilian health professionals. Methods: Twenty-two primary care providers participated in five 3-hour weekly training sessions. Results: The trained providers significantly improved their ASD knowledge after training in comparison with pre-training (mean score, 6.73 vs. 9.18, p , 0.01). Clinical practice also changed: 4 months after the training program, the providers had referred six times as many suspected cases of ASD to a specialized mental health service in comparison with the previous 4 months. Conclusion: This pilot training model seems a promising, feasible, and inexpensive way to improve early identification of ASD in the primary care system.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Impact of training in autism for primary care providers: a pilot study

Bordini

Lowenthal

Gadelha

et al. 2014

Rev. Bras. Psiquiatr.

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“…Knowing the severity of impact of mental disorders in childhood and, as well as the high rates of these disorders especially in poorer regions, our findings highlight the need for deployment and implementation of preventive mental health centers (Curto, Paula, do Nascimento, Murray, & Bordin, 2011;Paula, Lauridsen-Ribeiro, Wissow, Bordin, & Evans-Lacko, 2012). According to Fleitlich and Goodman (2002), these centers should be concentrated on the areas of lower socioeconomic level, where prevalence rates of mental health problems are higher, as in the region of this study.…”

Section: Discussionmentioning

confidence: 62%

Emotional and Behavioral Problems in Children Living With Addicted Family Members: Prevention Challenges in an Underprivileged Suburban Community

Vilela

Silva

Grandi

et al. 2016

Paidéia (Ribeirão Preto)

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Children living with substance abusers are more likely to experience negative outcomes. Our goal was to compare caregivers' reports on the Child Behavior Checklist (CBCL) and a socioeconomic and risk form of psychological aspects of children exposed to substance abuse assisted versus not assisted by a preventive intervention program in an underprivileged community. This observational intervention study was conducted with 66 caregivers of children who attended the program and 35 caregivers of children from the same community who did not attend. Ages ranged between six and 11 years old. Chi-square and logistic regression tests indicate that children exposed to substance abusers have more mental health problems than the general population and those who did not participate in the preventive intervention program presented worse outcomes, with higher rates of behavioral/emotional problems and exposure to risk situations. Results suggest that preventive actions might be helpful to promote the mental health of children at risk, validating the need for public policies and services.Keywords: substance-related disorders, child behavior checklist, mental health, risk factors, drug abuse prevention Problemas Emocionais e Comportamentais de Crianças que Convivem com Familiares Dependentes Químicos: Desafios de Prevenção em uma Comunidade Suburbana DesfavorecidaResumo: Crianças que convivem com usuários de substâncias psicoativas são mais propensas a apresentar problemas. O objetivo deste estudo foi comparar, a partir dos relatos dos cuidadores no Child Behavior Checklist (CBCL) e numa ficha de dados sociodemográficos e de fatores de risco, aspectos psicológicos de crianças expostas ao abuso de substâncias assistidas e não assistidas por um programa de intervenção preventiva, em uma comunidade desfavorecida. O estudo observacional de intervenção foi conduzido com 66 cuidadores de crianças que passaram pela intervenção e 35 da mesma comunidade que não foram atendidas. A faixa etária era de seis a 11 anos. Os testes qui-quadrado e regressão logística indicaram que as crianças expostas ao abuso de substâncias apresentaram mais problemas de saúde mental do que a população geral e que aquelas que não participaram do programa preventivo apresentaram desfechos piores, com escores mais elevados de problemas emocionais/comportamentais e maior exposição a situações de risco. Sugere-se que ações preventivas podem contribuir para a promoção de saúde mental em crianças em situação de risco, validando a necessidade de políticas e serviços públicos.Palavras-chave: transtornos relacionados ao uso de substâncias, lista de verificação comportamental para crianças, saúde mental, fatores de risco, prevenção do abuso de drogas Problemas Emocionales y de Comportamiento en Niños que Viven con Familiares Adictos: Desafios de Prevención en una Comunidad Suburbana DesfavorecidaResumen: Los niños que viven con consumidores de drogas son más propensos a tener problemas. Nuestro objetivo fue comparar, a partir de los informes de los cuidadores e...

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“…6 Several features promote access. ESF uses decentralised units deeply connected to the community and close to people's homes.…”

Section: Promoting Cross-sector Psychosocial Care Networkmentioning

confidence: 99%

Lean economies and innovation in mental health systems

et al. 2016

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How to improve the mental health care of children and adolescents in Brazil: Actions needed in the public sector

Abstract: Although a long-term, comprehensive strategy addressing barriers to quality CAMH care is still necessary, implementation of these strategies could make.

Cited by 68 publications

References 28 publications

Impact of training in autism for primary care providers: a pilot study

Impact of training in autism for primary care providers: a pilot study

Emotional and Behavioral Problems in Children Living With Addicted Family Members: Prevention Challenges in an Underprivileged Suburban Community

Lean economies and innovation in mental health systems

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