• Daniel Fatori - Fatori, Daniel - Faculdade de Medicina da Universidade de São Paulo, Departamento de Psiquiatria - <daniel.fatori@gmail.com>
Coautor(es):
• Alexandra Brentani - Brentani, Alexandra - Faculdade de Medicina da Universidade de São Paulo, Departamento de Pediatria - <brentani.alexandra@gmail.com>
• Sandra Josefina Ferraz Ellero Grisi - Grisi, Sandra Josefina Ferraz Ellero - Faculdade de Medicina da Universidade de São Paulo, Departamento de Pediatria - <sandra.grisi@hc.fm.usp.br>
• Euripedes Constantino Miguel - Miguel, Euripedes Constantino - Faculdade de Medicina da Universidade de São Paulo, Departamento de Psiquiatria - <ecmiguel@usp.br>
• Ana Soledade Graeff-Martins - Graeff-Martins, Ana Soledade - Universidade Federal do Rio Grande do Sul, Departamento de Psiquiatria - <anasoledade10@gmail.com>
Área Temática:
Epidemiologia
Resumo:
OBJETIVO: O presente estudo populacional de corte transversal teve como objetivo verificar a prevalência de problemas de saúde mental (PSM) e descrever o uso de serviços de saúde numa amostra de crianças atendidas em unidades de saúde (UBS) do município de São Paulo. MÉTODO: Responsáveis de 825 crianças de 6-11 anos de idade foram entrevistados. PSM das crianças foram avaliados pelo Strength and Difficulties Questionnaire e uso de serviços por uma versão adaptada do Client Service Receipt Inventory Children’s version. RESULTADOS: A prevalência de PSM internalizantes e externalizantes foi de 30,7% e 18,3%, respectivamente. O pediatra foi o profissional de saúde mais consultado (56,7%), o psicólogo foi o profissional da saúde mental mais consultado (7,9%). Apenas 3 crianças estavam em tratamento medicamentoso para PSM. CONCLUSÕES: A alta prevalência de PSM em crianças atendidas na AP e o baixo número de atendimentos em serviços configuram um importante problema de saúde pública. Programas de capacitação para profissionais são importantes para aprimorar a identificação e encaminhamento de casos de PSM.
Palavras-chave:
epidemiologiaatenção primáriasaúde mentalcrianças e adolescentesserviços de saúde
Abstract:
OBJECTIVE: The present cross-sectional population-based study aim was to identify the prevalence of mental health problems (MHP) and verify the use of health services in a sample of children attending primary care units (PCU) in the city of Sao Paulo. METHODS: Primary caregivers of 825 children 6-11 years old were interviewed. MHP was evaluated with the Strength and Difficulties Questionnaire and use of health services through an adapted version of the Client Service Receipt Inventory Children’s version. RESULTS: The prevalence of internalizing and externalizing MHP was 30.7% and 18.3%, respectively. Pediatricians were the most consulted health professional (56.7%), psychologists the most consulted mental health professional (7.9%). Only 3 children were being treated for MHP with pharmacotherapy. CONCLUSIONS: The high prevalence of MHP in children enrolled in PCUs and the low prevalence of children being treated by specialized professionals are a problem. Training programs for primary care professional are key to improve and identify child MHP cases.
Keywords:
EpidemiologyPrimary Health CareMental HealthChild and AdolescentHealth Services
OBJECTIVE: The present cross-sectional population-based study aim was to identify the prevalence of mental health problems (MHP) and verify the use of health services in a sample of children attending primary care units (PCU) in the city of Sao Paulo. METHODS: Primary caregivers of 825 children 6-11 years old were interviewed. MHP was evaluated with the Strength and Difficulties Questionnaire and use of health services through an adapted version of the Client Service Receipt Inventory Children’s version. RESULTS: The prevalence of internalizing and externalizing MHP was 30.7% and 18.3%, respectively. Pediatricians were the most consulted health professional (56.7%), psychologists the most consulted mental health professional (7.9%). Only 3 children were being treated for MHP with pharmacotherapy. CONCLUSIONS: The high prevalence of MHP in children enrolled in PCUs and the low prevalence of children being treated by specialized professionals are a problem. Training programs for primary care professional are key to improve and identify child MHP cases.
Palavras-chave (keywords):
EpidemiologyPrimary Health CareMental HealthChild and AdolescentHealth Services
