Banca de DEFESA: THAYS DE SA TARGINO LIBERAL

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : THAYS DE SA TARGINO LIBERAL
DATE: 03/05/2022
TIME: 10:00
LOCAL: Google Meet
TITLE:

The itinerary traveled by caregivers of children and adolescents with mental disorders in the search for specialized treatment in the state of Alagoas

KEY WORDS:

Community mental health services; Child; Adolescent; Mental disorders.

PAGES: 35
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

INTRODUCTION: According to estimates, about 13% of children and adolescents in Brazil have some psychopathy and that only 37.5% of them receive some therapeutic intervention over 5 years. The gap between prevalence and access to specialized treatment demonstrates that some factors may interfere with the coverage and efficacy of mental health care for this population. The main barriers of access faced by family members involve both personal factors (financial situation, abdication of social commitments and physical and emotional exhaustion required in care) and factors related to deficiencies in the care network, such as: disarticulation in services, lack of investments, specialized professionals and procrastination in diagnosis. The sequence of the itinerary tends to be adjusted according to the particularities of the users and is usually preceded by care in the Basic Health Units (UBS), Emergency Care Units (UPA) and psychiatric hospitals, involving a diversity of professionals until the arrival at the Psychosocial Care Center for Children and Adolescents. Regarding the specialized network, Alagoas has only one CAPSi unit, a reference in the care of children and adolescents aged 5 to 18 years, with some serious mental disorder. OBJECTIVE: To analyze the path taken by family members or caregivers for mental health treatment of children and adolescents treated in a MACEIÓ CAPSi; identify the motivations for seeking treatment, trying to understand the difficulties and strategies used in this process and describe the factors related to treatment abandonment. MATERIALS AND METHODS: This is an exploratory, descriptive and qualitative study, based on the theoretical and methodological precepts of therapeutic itineraries. The sample consisted of 29 participants, divided with the following organization: 20 responsible for children or adolescents with mental disorders in care at CAPSi and 9 guardians who abandoned treatment between 2019 and 2020. The sampling was performed for convenience, taking into account the scheduling of consultations for psychiatrists performed at CAPSi, during the months of May and June 2021. In the case of dropouts, a search was carried out in the archive of inactive medical records, from which the first 9 that fit the described period were selected, and in which it was possible to contact through the telephone number informed. Data collection was performed through semi-structured interviews, composed of open questions elaborated by the researchers. The data produced by the interviews were worked in the qualitative typology, with the help of atlas ti software version 9, following the theoretical-methodological approach of thematic content analysis proposed by Minayo, in its three phases of analysis: Pre-Analysis, Exploration of the material and Treatment of the results obtained and interpretation. RESULTS: Considering the demographic profile of the participants, 75% showed the maternal figure, in the age group of 41 to 50 years, as the main responsible for the child or adolescent in the treatment in capsi. The predominance of family income of a minimum wage, low schooling and non-exercise of paid activity comprised the characteristic factors of a population in social vulnerability. Among users, higher frequency was observed in males, aged between 11 and 13 years, with length of stay in CAPSi up to two years. The predominant diagnostic groups were F70-79 (Mental retardation), F 84 (Global Child Development Disorders) and F 91 (Conduct Disorders). The results of the interviews were organized into three themes: Motivation to seek help; Paths traveled / difficulties until arrival at CAPSI and Reasons for withdrawal from treatment. Among the interviewees, what motivated the search for help were changes in the child's behavior, such as hyperactivity, heteroaggressiveness and introspection, perceived mainly by the mother, between 2 and 4 years. The therapeutic itinerary was described as a long and exhausting stage, in which family members moved between several establishments in the primary care of the SUS, complementary units of mental health services, as well as professionals from the private network. The average number of professionals accessed was 6 and the average time spent until referral and arrival at CAPSi was 4 years. Lack and/or long wait for vacancy, dissatisfaction with therapies, refusal to accept the diagnosis, stigma and maternal burden were the most cited difficulties in the pilgrimage for specialized treatment. The CAPSi in general was well evaluated by users, mainly by trained professionals, family reception and availability of medications, but insatisfações were recorded in the says res

BANKING MEMBERS:
Presidente - 1137473 - CLAUDIO TORRES DE MIRANDA
Interna - 7530212 - MERCIA LAMENHA MEDEIROS
Interna - 2370894 - MICHELLE JACINTHA CAVALCANTE OLIVEIRA
Externa ao Programa - 2319755 - ALESSANDRA PLACIDO LIMA LEITE
Externo ao Programa - 1120865 - ANTONIO CARLOS SILVA COSTA
Externa ao Programa - 2372248 - DANIELA MARTINS LESSA BARRETO