Bireme Access Mentalhealth Brazil

11/04/2015 Pesquisa|PortaldePesquisadaBVS

http://pesquisa.bvsalud.org/portal/?output=site&lang=pt&from=0&sort=&format=abstract&count=100&fb=&page=1&q=++%28tw%3A%28%22mental+hea 4/69

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Patterns,determinantsandbarriersofhealthandsocialserviceutilizationamongyoungurbancrackusersinBrazil.

SantosCruzMAndradeTBastosFILealEBertoniNLipmanLBurnettCFischerB.BMCHealthServRes13:536,2013.ArtigoemIngls|MEDLINE|ID:mdl24373346

Resumo

BACKGROUND:CrackuseisprevalentacrosstheAmericas,andspecificallyamongmarginalizedurbanstreetdrugusersinBrazil.Crackuserscommonlyfeaturemultiplephysicalandmentalhealthproblems,whilelowratesofanddistinctbarrierstohelpserviceusehavebeenobservedinthesepopulations.Thisstudyexaminedprofilesanddeterminantsofsocialandhealthserviceutilization,andunmetserviceneeds,inatwocitysampleofyoung(1824years),marginalizedcrackusersinBrazil.METHODS:N=160studyparticipantswererecruitedbycommunitybasedmethodsfromimpoverishedneighborhoodsinthecitiesofRiodeJaneiro(n=81)andSalvador(n=79).Amixedmethodsprotocolwasused.Participants'druguse,health,andsocialandhealthserviceutilizationcharacteristicswereassessedbyananonymousintervieweradministeredquestionnairecompletedinacommunitysettingdescriptivestatisticsonvariablesofinterestwerecomputed.Serviceneedsandbarrierswerefurtherassessedbywayofseveralfocusgroupswiththestudypopulationnarrativedatawerequalitativelyanalyzed.ThestudyprotocolwasapprovedbyinstitutionalethicsreviewboardsdatawerecollectedbetweenNovember2010andJune2011.RESULTS:Themajorityofthesamplewasmale,withoutstablehousing,andusedotherdrugs(e.g.,alcohol,marijuana).Abouthalfthesamplereportedphysicalandmentalhealthproblems,yetmosthadnotreceivedmedicalattentionfortheseproblems.Onlysmallminoritieshadutilizedlocallyavailablesocialorhealthservicesutilizationappearedtobeinfluencedbysex,raceandhousingcharacteristicsinbothsites.Participantscitedlimitedserviceresources,lackofneedsspecificprofessionalskills,bureaucraticbarriersandstigmaasobstaclestobetterserviceaccess.However,mostrespondentsstatedstronginterestandneedforgeneralsocial,healthandtreatmentservicesdesignedforthestudypopulation,forwhichvariouskeyfeatureswereemphasizedasimportant.CONCLUSIONS:Thestudycontributes



substantiveevidencetocurrentdiscussionsaboutthedevelopmentandutilizationofhealthandtreatmentinterventionsforcrackuseinBrazil.Basedonourdata,crackusers'social,serviceneedsarelargelyunmetthesegapsappeartopartlyrootinsystemicbarriersofaccesstoexistingservices,whileimprovedtargetedserviceoffersforthetargetpopulationseemtobeneededalso.

Assuntos

TranstornosRelacionadosaoUsodeCocana/psicologiaCocanaCrackAcessoaosServiosdeSade/estatstica&dadosnumricosServiosdeSade/utilizaoServioSocial/estatstica&dadosnumricosAdolescenteBrasil/epidemiologiaTranstornosRelacionadosaoUsodeCocana/terapiaFemininoHumanosMasculinoreasdePobrezaQuestionriosPopulaoUrbana/estatstica&dadosnumricosAdultoJovem

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Economicevaluationinthefieldofmentalhealth:conceptualbasis

RevistaBrasileiradePsiquiatriaLima,AnaFlaviaBarrosdaSilvaCruz,LucianeNascimentoPolanczyk,CarisiAnneMaia,CarlosRenatoMoreira.RevBrasPsiquiatr35(2):186192,AprilJune/2013.tab,graf.ArtigoemIngls|LILACS|ID:lil680900

Resumo

Objective:Technologicaladvancesinmedicinehavegivenrisetoadilemmaconcerningtheuseofnewhealthtechnologiesinacontextoflimitedfinancialresources.Inthefieldofpsychiatry,healtheconomicevaluationisarecentmethodthatcanassistinchoosinginterventionswithdifferentcostand/oreffectivenessforspecificpopulationsorconditions.Thisarticleintroducesclinicianstothefundamentalconceptsrequiredforcriticalassessmentofhealtheconomicevaluations.Methods:TheauthorsconductedareviewwithsystematicmethodstoassesstheessentialtheoreticalframeworkofhealtheconomicevaluationandmentalhealthinBrazilthroughtextbooksandstudiesindexedinthePubMed,CochraneCentral,LILACS,NHSCRD,andREBRATSdatabases.Atotalof334studieswerefoundusingthespecifiedterms(MeSHMentalHealthANDEconomic,Medical)andfilters(BrazilANDHumans)however,onlyfiveBrazilianeconomicevaluationswerefound.Resultsandconclusions:Economicevaluationstudiesaregrowingexponentiallyinthemedicalliterature.Publicationsfocusingonhealtheconomicsasappliedtopsychiatryareincreasinglycommon,butBraziliandataarestillveryincipient.Inacountrywherefinancialresourcesaresoscarce,economicanalysesarenecessarytoensurebetteruseofpublicresourcesandwiderpopulationaccesstoeffectivehealthtechnologies..(AU)

Assuntos

HumanosTecnologiaBiomdica/economiaTranstornosMentais/economiaSadeMental/economiaBrasilAnliseCustoBenefcioTranstornosMentais/terapiaQualidadedeVidaBibliotecaresponsvel:BR1.1



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Acessibilidadeeresolubilidadedaassistnciaemsademental:aexperinciadoapoiomatricial/Accessibilityandresolutionofmentalhealthcare:thematrixsupportexperience

Quinder,PauloHenriqueDiasJorge,MariaSaleteBessaNogueira,MariaSniaLimaCosta,LiduinaFariasAlmeidadaVasconcelos,MardeniaGomesFerreira.Cinc.sadecoletiva18(7):21572166,Jul.2013..ArtigoemPortugus|LILACS|ID:lil679615

Resumo

OsCentrosdeAtenoPsicossocial(CAPS)tmtambmcomofinalidadearticularaesdesadementalnoterritrio,principalmentenaAtenoPrimriaSade(APS).Oapoiomatricialumadasformasparaestaarticulao,poisobjetivaassegurarretaguardaespecializadasequipesdesade.Diantedisto,apesquisapretendecompreendercomoasaesdematriciamentoemsadementalcontribuemparaaacessibilidadeearesolubilidadedoscasos.TratasedeumapesquisaqualitativarealizadanascidadesdeFortalezaeSobral,noEstadodoCear,cujossujeitosentrevistadosforam37(trintaesete)trabalhadoresdesadementaledaatenoprimria,14(quatorze)usuriose13(treze)familiaresqueparticiparamdasaesdoapoiomatricial.ConformeosresultadosdemonstraramostrabalhadoresdaAPSnosesenteminstrumentalizadosparaintervirnoscasosdesademental.ExisteumaprecipitaonosencaminhamentosdosusuriosparaosCAPS,dificultandoaacessibilidadedaassistnciaemsademental.Porm,identificousequeasdiscussesemsadementalnaatenoprimriapossibilitamaapropriaodoscasospelostrabalhadoresdaAPSepromovemaaproximaoentreasequipes.Destemodoinfluenciamnaresolubilidadedoscasosdesademental.(AU)

PsychosocialCareCenters(PCC)arealsodesignedtocoordinateactionsinmentalhealthcareinBrazil,mainlyatPrimaryHealthCare(PHC)level.Matrixsupportisoneofthepillarsoftheprogram,asitaimstoensureassistanceofspecializedbackupstafftothehealthteams.Inthisrespect,thisresearchseekstounderstandhowmatrixactionsinmentalhealthcontributetotheaccessibilityandresolutionofmentalhealthcases.ThisstudyinvolvedqualitativeresearchconductedinthecitiesofFortalezaandSobralintheStateofCear,where37(thirtyseven)mentalhealthworkers,14(fourteen)primaryhealthcareusersand13(thirteen)relativeswhotookpartinmatrixsupportactionswereinterviewed.Astheresultsrevealed,thePHCworkersdonotfeelqualifiedtointerveneinmentalhealthcases.ThereisalsoexcesshasteinreferringuserstoPCCsmakingaccesstomentalhealthcaremoredifficult.However,itwasidentifiedthatdiscussionsonmentalhealthinprimarycareallowtheappropriationofcasesbyPHCworkersandpromoterapprochementbetweentheteams.Inthisway,theyinfluencetheresolutionofmentalhealthcases.(AU)

Assuntos

HumanosAcessoaosServiosdeSadeServiosdeSadeMental/normasAtenoPrimriaSadeBibliotecaresponsvel:BR1.1



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PsicofrmacosnaEstratgiaSadedaFamlia:perfildeutilizao,acessoeestratgiasparaapromoodousoracional/PsychotropicdrugsintheFamilyHealthStrategy:profileofuse,accessandstrategiestopromoterationaluse

Rocha,BrunoSimasdaWerlang,MariaCristina.Cinc.sadecoletiva18(11):32913300,Nov.2013.tab.ArtigoemPortugus|LILACSExpress|ID:lil690787

Resumo

OusodepsicofrmacosestaumentandoenoBrasilhpoucosestudosinvestigandoseuempregopelapopulaoenaAtenoPrimriaSade(APS).EsteestudobuscouverificaraprevalnciaeopadrodeconsumoporusuriosdeumaUnidadedeSadedaFamliadePortoAlegreatravsdeumdelinemeantoobservacional,descritivo,retrospectivoedecortetransversal.Aamostrafoicompostaporusuriosqueretiraramreceitasdemedicamentoscontroladoseosdadoscoletadosapartirdopronturio.Foramincludos329usurios,comprevalnciadeutilizaodepsicofrmacosde7,30%,mdiadeidadede53,14(DP=18,58)anose72%deindivduosdosexofeminino.Amdiademedicamentosepsicofrmacosprescritosporusuriofoide3,56(DP=2,36)e1,66(DP=0,90),respectivamente.Aclassemaisutilizadafoiadeantidepressivos,seguidadeantiepilticos,ansiolticoseantipsicticos.Fazsenecessrioelaborarestratgiasparamelhoraroacesso,tratamentodosusurioseusoracionaldepsicofrmacos,incluindoarevisodaslistasdemedicamentosessenciaiseacapacitaodosprofissionaisdaAPS.(AU)

Theuseofpsychotropicdrugsisontheincrease,andtherearefewstudiesinBrazilinvestigatingtheiruseinthepopulationandinPrimaryHealthCare(PHC).ThisstudyaimedtodeterminetheprevalenceandpatternsofpsychotropicdrugusebypatientsofaFamilyHealthUnitinPortoAlegre,throughanobservational,descriptive,retrospectiveandcrosssectionalstudy.Thesampleconsistedofpatientswhoreceivedprescriptionsforcontrolledpsychotropicdrugsandthedatacollectedfrommedicalrecords.Thestudyincluded329patients,withprevalenceoftheuseofpsychotropicdrugsof7.30%,meanageof53.14(SD=18.58)yearsand72%female.Theaveragenumberofprescribeddrugsandpsychotropicdrugsperuserwas3.56(SD=2.36)and1.66(SD=0.90),respectively.Themostwidelyusedclasswasantidepressants,followedbyantiepileptics,anxiolyticsandantipsychotics.Itisnecessarytodevelopstrategiestoimproveaccess,treatmentofpatientsandrationaluseofpsychotropicdrugs,includingtherevisionoflistsofessentialdrugsandtrainingofprofessionalsinPHC.(AU)Bibliotecaresponsvel:BR1.1

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HowtoimprovethementalhealthcareofchildrenandadolescentsinBrazil:actionsneededinthepublicsector/Comoaprimoraraassistnciasadementaldecrianaseadolescentesbrasileiros:aesrecomendadasparaosistemapblico

Paula,CristianeS.LauridsenRibeiro,EdithWissow,LawrenceBordin,IsabelA.S.EvansLacko,Sara.RevBrasPsiquiatr34(3):334351,Oct.2012.tab.ArtigoemIngls|LILACS|ID:lil656152

Resumo

INTRODUCTION:Child/adolescentmentalhealth(CAMH)problemsareassociatedwithhighburdenandhighcostsacrossthepatient'slifetime.Addressingmentalhealthneedsearlyoncanbecosteffectiveandimprovethefuturequalityoflife.OBJECTIVE/METHODS:Analyzingmostrelevantpapersdatabasesandpolicies,thispaperdiscusseshowtobestaddresscurrentgapsinCAMHservicesandpresentsstrategiesforimprovingaccesstoqualitycareusingexistingresources.RESULTS:ThedatasuggestanotablescarcityofhealthservicesandproviderstotreatCAMHproblems.SpecializedservicessuchasCAPSi(fromPortuguese:PsychosocialCommunityCareCenterforChildrenandAdolescents)aredesignedtoassistseverecaseshowever,suchservicesareinsufficientinnumberandareunequallydistributed.ThemajorityofthepopulationalreadyhasgoodaccesstoprimarycareandfurtherplanningwouldallowthemtobecomebetterequippedtoaddressCAMHproblems.Psychiatristsarescarceinthepublichealthsystem,whilepsychologistsandpediatriciansaremoreavailablebut,additionalspecializedtraininginCAMHisrecommendedtooptimizecapabilities.Financialandcareerdevelopmentincentivescouldbeimportantdriverstomotivateemploymentseekinginthepublichealthsystem.CONCLUSIONS:Althoughalongterm,comprehensivestrategyaddressingbarrierstoqualityCAMHcareisstillnecessary,implementationofthesestrategiescouldmake.(AU)

INTRODUO:Problemasdesadementalnainfncia/adolescncia(SMIA)trazemdiversosprejuzosegeramaltoscustos.Aassistnciaprecocepodesercustoefetiva,levandoamelhorqualidadedevidaalongoprazo.OBJETIVOS/MTODO:Analisandoosartigosmaisrelevantes,documentosdogoverno,basededadoseapolticanacional,esteartigodiscutecomomelhoradministraraatualfaltadeserviosnareadaSMIAepropeestratgiasparamaximizarosserviosjexistentes.RESULTADOS:DadosapontamevidentefaltadeserviosedeprofissionaisparatratardosproblemasdeSMIA.Serviosespecializados,comooCAPSi(CentrodeAtenoPsicossocialInfantoJuvenil)estoestruturadosparaassistircasosseveros,massoinsuficientesedesigualmentedistribudos.AmaioriadapopulaojtembomacessosunidadesbsicasdesadeeummelhorplanejamentoajudariaapreparlasparamelhorassistirindivduoscomproblemasdeSMIA.Psiquiatrassoescassosnosistemapblico,enquantopsiclogosepediatrasestomaisdisponveisparaestesrecomendasecapacitaomaisespecializadaemSMIA.Incentivosfinanceirosedecarreiramotivariamprofissionaisaprocuraremempregonosistemapblicodesade.CONCLUSES:ApesardeestratgiascomplexasedelongoprazoseremnecessriasparalidarcomasatuaisbarreirasnocampodaSMIA,aimplantaodecertaspropostassimplesjpoderiamtrazerimpactoimediatoepositivonestecenrio.(AU)

Assuntos

AdolescenteCrianaHumanosServiosdeSadeMentalAtenoPrimriaSadeSetorPblicoMelhoriadeQualidadeBrasilProgramasNacionaisdeSadeMdicosdeAtenoPrimriaPsiquiatriaBibliotecaresponsvel:BR1.1

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Acessoeintegralidade:acompreensodosusuriosdeumarededesademental/Accessandcomprehensiveness:theviewpointofusersofamentalhealthnetwork

Oliveira,RaimundaFlixdeAndrade,LuizOdoricoMonteirodeGoya,Neusa.Cinc.sadecoletiva17(11):30693078,nov.2012.ilus.ArtigoemPortugus|LILACS|ID:lil656450

Resumo

ObjetivodopresentetrabalhofoianalisarascompreensesdosusuriosdosCentrosdeAtenoPsicossocialsobreaatenoemsademental,comfoconaintegralidadeenoacesso.EstudodeabordagemqualitativacomreferencialtericometodolgicodaAvaliaodeQuartaGeraoeaplicaodatcnicadoCrculoHermenuticoDialtico.Foramentrevistados12usuriosdedezserviosdesadementaldeFortaleza,demaroamaiode2011.Ostemasdoestudoforamagrupadosapartirdasnarrativas,tendocomoreferencialdeanliseahermenuticadePaulRicoeur.Ascategoriastemticastrabalhadasforam:compreensessobreatenoemsadementaltemposquebrados:conflitosentreasofertaseasnecessidadessubjetivasdereceberaproximaesedistanciamentos:entreatutelaeautonomiaausnciaepertena:CAPSabertoenocomunitrioeentreoestigmaeahumanizaodocuidado.Osprincipaisachados:osCAPSsovistoscomoespaodeconvivnciacapazdeestabelecerredesafetivasesociaisestigmas,preconceitosetutelaestopresentesnosservios,nasfamliasenacomunidadeasprticasmanicomiaispersistemnosserviossubstitutivosahumanizaodocuidadoampliaoacessoeovnculocomosserviosatrajetriadosusuriosnoSUSocorredevidossuasnecessidadessociaisedesade.(AU)

Thisarticleanalyzesuserviewpointsregardingmentalhealthcare,withafocusoncomprehensivenessandaccessatPsychosocialCareCenters(PCCs).ItisaqualitativestudywiththeoreticalandmethodologicalreferencesoftheFourthGenerationEvaluationandapplicationoftheHermeneuticDialecticCircletechnique.TwelveusersoftenmentalhealthservicesinFortalezawereinterviewedfromMarchtoMay2011.Themesofthestudyweregroupedfromthenarratives,withthehermeneuticsofPaulRicoeurasthebenchmarkforanalysis.Thethematiccategorieswere:viewpointsonmentalhealthcareconflictsbetweensupplyandthesubjectiveneedtoreceivesimilaritiesanddifferences:fromtutelagetoautonomyabsenceandbelonging:openPCCsandnoncommunitycentersbetweenstigmaandhumanization.Themainfindingsare:thePCCsareseenasspacesforconvivialityabletoestablishaffectiveandsocialnetworksstigma,prejudiceandtutelagearepresentintheservices,intheirfamiliesandinthecommunityasylumpracticespersistinalternativeservicesthehumanizationofcareextendsaccessandbondingintheservicesthetrajectoryofusersoftheUnifiedHealthSystemoccursduetotheirsocialandhealthneeds.(AU)

Assuntos

HumanosAcessoaosServiosdeSade/normasServiosdeSadeMental/normasAtitudeFrenteaSadeBrasilBibliotecaresponsvel:BR1.1

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http://pesquisa.bvsalud.org/portal/?output=site&lang=pt&from=0&sort=&format=abstract&count=100&fb=&page=1&q=++%28tw%3A%28%22mental+he 10/69

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SadementalnoProgramaSadedaFamlia:caminhoseimpassesdeumatrajetrianecessria/MentalhealthandtheFamilyHealthProgram:pathwaysandobstaclesinanecessaryapproach

Lucchese,RoselmaOliveira,AliceGuimaresBottarodeConciani,MartaEsterMarcon,SamiraReschetti.CadSaudePublica25(9):20332042,set.2009..ArtigoemPortugus|LILACS|ID:lil524807

Resumo

EsseestudotemcomoobjetoaatenosadementalnoProgramaSadedaFamlia(PSF)ecomopressupostoacomplexidadedesseatendimento.OsobjetivosforamanalisarascondiesconcretasdaassistnciasadementalemunidadesdePSFdeCuiab,MatoGrosso,Brasil,descrevendoadinmicaassistencialeidentificandosituaeseinstrumentosutilizadospelosdiferentestrabalhadoresparaatenderproblemasdesofrimentomentalnacomunidade.Pormeiodemetodologiaexploratriodescritiva,foramestudadososdiscursosdeoitoequipescomosrecursosdaanlisedecontedo.Concluiusequeademandadeatendimentospessoascomsofrimentomentalnoeraregistradanospronturiosnemintegravaprojetodeintervenoindividualoufamiliaralgumasaeseramrealizadasnumaconcepoleigade"doenamental"etratamento,eorecursodoencaminhamentoparaaredeespecializadaerafreqentementeacionado,apesardaprecariedadedesta,refletindoanecessidadedecontinuidadenoprocessodecapacitaoemsademental.(AU)

ThefocusofthisstudyismentalhealthcareintheBrazilianFamilyHealthProgram(FHP),withthecomplexityofsuchcareasthemainpremise.TheobjectivesweretoanalyzetheactualconditionsofmentalhealthcareinFHPservicesinCuiab,MatoGrossoState,describingthedynamicsofsuchcareandidentifyingsituationsandinstrumentsusedbydifferenthealthprofessionalsindealingwithproblemsofmentaldistressinthecommunity.Bymeansofadescriptiveexploratorymethodology,thediscoursesofeighthealthteamswerestudied,usingcontentanalysis.Thestudyconcludedthatthedemandforcareforindividualswithmentaldistresswasnotrecordedonthepatientcharts,norwasitpartofaproposalforindividualorfamilyinterventionssomemeasuresweretakenaccordingtoalayconceptof"mentalillness"andtreatment,whilereferraltothespecializedmentalhealthcarenetworkwasfrequentlyused,despiteitsprecariousness,thusreflectingtheneedforcontinuingtraininginmentalhealth.(AU)

Assuntos

HumanosServiosComunitriosdeSadeMentalSadedaFamliaTranstornosMentais/terapiaSadeMentalQualidadedaAssistnciaSadeBrasilCentrosComunitriosdeSadeMental/normasEducaoMdicaContinuadaPessoaldeSade/educaoPessoaldeSade/normasAcessoaosServiosdeSadeNecessidadeseDemandasdeServiosdeSadeBibliotecaresponsvel:BR1.1

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AcessodepessoasdeficientesauditivasaserviosdesadeemcidadedoSuldoBrasil/AccessbyhearingdisabledindividualstohealthservicesinasouthernBraziliancity

Freire,DanielaBuchrieserGigante,LucianaPetrucciBria,JorgeUmbertoPalazzo,LliandosSantosFigueiredo,AndriaCristinaLealRaymann,BeatrizCarmenWarth.CadSaudePublica25(4):889897,abr.2009.graf,tabArtigoemPortugus|LILACS|ID:lil509772

Resumo

Esteestudotransversal,debasepopulacional,temcomoobjetivocompararoacessodosportadoresdedeficinciaauditivaincapacitanteaserviosassistenciaisedeprevenocomosouvintesdeCanoas,RioGrandedoSul,Brasil.Aamostraincluiu1.842pessoascom15anosoumais,sendoamaioriamulheres(52,9porcento).Arendaindividualdedoissalriosmnimosoumaisfoiamaisfreqente(42,7porcento).Aspessoascomdeficinciaauditivaincapacitantetiveram30porcentomaiorprobabilidadedeterconsultadonosdoismesesanterioresentrevista(RP=1,3,IC95porcento:1,101,51)etersidointernadonos12mesesanterioresentrevista(RP=2,1,IC95porcento:1,423,14).Nasvariveisrelativassademental,osdeficientesauditivostiveram1,5maisprobabilidadedeteremconsultadoparaproblemasdenervos(IC95porcento:1,181,95)e4,2maisprobabilidadesdeteremsidointernadosemhospitalpsiquitricoqueosouvintes(IC95porcento:2,178,16).Assimcomoencontradonaliteratura,asmulheresdeficientesauditivasrealizarammenosautoexamedasmamaseexamecitopatolgicodecolouterino.Osdadosencontradosindicamanecessidadedeinvestiremeducaoemsadeecampanhasespecficasparaogrupodepessoasinvestigado.(AU)

ThiscrosssectionalstudyaimedtocompareaccesstohealthservicesandpreventivemeasuresbypersonswithhearingdisabilityandthosewithnormalhearinginCanoas,RioGrandedoSulState,Brazil.Thesampleincluded1,842individuals15yearsorolder(52.9percentofwhomwerefemales).Themostfrequentincomebracketwastwicetheminimumwageormore,orapproximatelyU$360/month(42.7percent).Individualswithhearingdisabilityweremorelikelytohavevisitedaphysicianintheprevioustwomonths(PR=1.3,95percentCI:1.101.51)andtohavebeenhospitalizedintheprevious12months(PR=2.1,95percentCI:1.423.14).Regardingmentalhealth,individualswithhearingdisabilityshowed1.5timesgreaterprobabilityofhealthcareduetomentaldisordersand4.2timesgreaterprobabilityofpsychiatrichospitalizationascomparedtothosewithnormalhearing.Consistentwithotherstudies,womenwithhearingdisabilityperformedlessbreastselfexaminationandhadfewerPapsmears.Thedataindicatetheneedtoinvestinspecificcampaignsforthisgroupofindividualswithspecialneeds.(AU)

Assuntos

AdolescenteAdultoFemininoHumanosMasculinoMeiaIdadeAdultoJovemAcessoaosServiosdeSade/estatstica&dadosnumricosPessoascomDeficinciaAuditiva/estatstica&dadosnumricosBrasilEstudosTransversaisQuestionriosFatoresSocioeconmicosAdultoJovemBibliotecaresponsvel:BR1.1

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ViabilidadedeunidadespsiquitricasemhospitaisgeraisnoBrasil/ViabilidaddeunidadespsiquitricasenhospitalesgeneralesenBrasil/FeasibilityofgeneralhospitalspsychiatricunitsinBrazil

Lucchesi,MaurcioMalik,AnaMaria.RevSaudePublica43(1):161168,fev.2009.tab.ArtigoemIngls,Portugus|LILACS|ID:lil503186

Resumo

OBJETIVO:CompreenderoestigmavoltadoaosportadoresdetranstornosmentaisnaculturadehospitaisgeraisenquantofatorlimitanteparaaimplantaodeunidadespsiquitricasemhospitaisgeraisnoBrasil.PROCEDIMENTOSMETODOLGICOS:Foidelineadaumapesquisasocial,denaturezaqualitativa.AdotousecomoestratgiaapesquisaaoparaaimplantaodeumaunidadepsiquitricaemumhospitalgeralemTaubat,SP,20052006.Asevidnciasforamobtidaspormeiodeentrevistas,observaoparticipanteepalestrassobreoprojetodaunidadepsiquitricaparaocorpoclnicodohospital.RESULTADOS:Oinvestimentodorgogestorpossibilitouqueasconcepesestigmatizantespresentesnaculturadohospitalestudado(violncia,fraquezamoraleintratabilidade)fossemressignificadaspormeiodediscussesclnicasesanitrias,viabilizandoaimplantaodaunidadepsiquitrica.Aanlisemostrouqueessasconcepeseramreatualizadaspelocontextoassistencial,noqualoacessodosportadoresdetranstornosmentaiserarestrito.CONCLUSES:Aposturaassumidapelorgogestor,quedecidiupelofinanciamentoadequadodaunidadepsiquitricaeexerceusuaascendnciasobreohospitalprestador,foidecisivaparaodesfechodocaso.Aprincipaldificuldadeparaaimplantaodasunidadespsiquitricasnooestigmapresentenaculturadoshospitaisgerais,masumalimitaodeordemestratgica:afaltadeumapolticaafirmativaparaessasunidades.(AU)

OBJECTIVE:TocomprehendthestigmaagainstpeoplewithmentaldisordersstillpersistsinthecultureofgeneralhospitalsandactsasalimitingfactorintheimplementationofpsychiatricunitsingeneralhospitalsinBrazil.METHODOLOGICALPROCEDURES:AqualitativesocialsurveywasoutlinedbasedonactionresearchstrategyasoftheagreementtoadoptapsychiatricunitinageneralhospitalinTaubat,SoutheasternBrazil.Datawasobtainedthroughinterviews,participantobservationandtalksonthepsychiatricunitprojectgiventothehospital'sclinicalstaff.RESULTS:Theinvestmentmadebythehealthcareauthorityenabledthestigmatizingconceptions(violence,moralweaknessanduntreatability)presentinthehospitalcultureinquestiontoberesignifiedbymeansofclinicalandsanitarydiscussions,whichenabledtheimplementationofthepsychiatricunit.Theanalysisshowedthattheseconceptspersistinthiscontextbecauseofahealthcaresystemthatlimitstheaccessofpeoplewithmentaldisorders.CONCLUSIONS:Theattitudeofthehealthcareauthority,whodecidedtoadequatelyfundthegeneralhospital'spsychiatricunitandexertedhisinfluenceoverthehospital,wasdecisivefortheoutcomeofthecase.Themaindifficultyinimplementingpsychiatricunitsatgeneralhospitalsisnottheovercomingtheexistingstigmainthecultureofgeneralhospitals,butratheradifficultywhichisstrategicinnature:thelackofanaffirmativepolicyfortheseunits.(AU)

OBJETIVO:ComprenderelestigmadirigidoalosportadoresdetrastornosmentalesenlaculturadehospitalesgeneralesconrelacinalfactorlimitanteparalaimplantacindeunidadespsiquitricasenhospitalesgeneralesenBrasil.PROCEDIMIENTOSMETODOLGICOS:Fuedelineadaunapesquisasocial,denaturalezacualitativa.Seadoptcomoestrategialapesquisaaccinparala



implantacindeunaunidadpsiquitricaenunhospitalgeneralenTaubate(SurestedeBrasil),20052006.Lasevidenciasfueronobtenidaspormediodeentrevistas,observacinparticipanteypalestrassobreelproyectodelaunidadpsiquitricaparaelcuerpoclnicodelhospital.RESULTADOS:Lainversindelrganogestorposibilitquelasconcepcionesestigmatizantespresentesenlaculturadelhospitalestudiado(violencia,debilidadmoraleintratabilidad)fueranresignificadaspormediodediscusionesclnicasysanitarias,viabilizandolaimplantacindelaunidadpsiquitrica.Elanlisismostrqueesasconcepcioneseranreactualizadasporelcontextoasistencial,enelcualelaccesodelosportadoresdetrastornosmentaleserarestringido.CONCLUSIONES:Laposturaasumidaporelrganogestor,quedecidiporelfinanciamientoadecuadodelaunidadpsiquitricayejercisuascendenciasobreelhospitalprestador,fuedecisivaparaeldesenlacedelcaso.Laprincipaldificultadparalaimplantacindelasunidadespsiquitricasnoeselestigmapresenteenlaculturadeloshospitalesgenerales,perounalimitacindeordenestratgica:lafaltadeunapolticaafirmativaparaesasunidades.(AU)

Assuntos

HumanosImplementaodePlanodeSadeHospitaisGerais/organizao&administraoCorpoClnicoHospitalar/psicologiaTranstornosMentaisUnidadeHospitalardePsiquiatria/organizao&administraoEstereotipagemAtitudedoPessoaldeSadeBrasilCulturaEstudosdeViabilidadeFinanciamentoGovernamentalUnidadesHospitalaresTranstornosMentais/terapiaEstudosdeCasosOrganizacionaisPolticaOrganizacionalPreconceitoPolticaSocialPesquisaQualitativaBibliotecaresponsvel:BR1.1

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AcessoamedicamentosdeusocontnuoemadultoseidososnasregiesSuleNordestedoBrasil/AccesstocontinuoususemedicationamongadultsandtheelderlyinSouthandNortheastBrazil

Paniz,VeraMariaVieiraFassa,AnaclaudiaGastalFacchini,LuizAugustoBertoldi,AndraDmasoPiccini,RobertoXavierTomasi,ElaineThum,ElaineSilveira,DeniseSilvadaSiqueira,FernandoVinholesRodrigues,MariaAparecida.CadSaudePublica24(2):267280,fev.2008.tabArtigoemPortugus|LILACS|ID:lil474266

Resumo

Oobjetivodesteestudofoiavaliaraprevalnciadeacessoamedicamentosdeusocontnuoparatratarhipertensoarterialsistmica,diabetesmellituse/ouproblemasdesadementalefatoresassociados.FoidesenvolvidoestudotransversalnombitodoProjetodeExpansoeConsolidaoSadedaFamlia(PROESF)em41municpiosdoSuleNordestedoBrasil.Aamostraincluiu4.060adultose4.003idososresidentesnareadasunidadesbsicasdesade(UBS).Aprevalnciadeacessoamedicamentosdeusocontnuoemadultosfoide81porcentoeemidosos,87porcento.OmaioracessoentreosadultosdaRegioSulesteveassociadocommaioridade,melhornveleconmico,tipodemorbidadecrnicaeparticipaoemgruposnaUBSentreosadultosdoNordeste,comhipertensoarterialsistmicaexclusivaoucombinadacomdiabetesmellitusentreosidososdoSul,commaiorescolaridadeentreosidososdoNordeste,commaioridade,maiorescolaridade,no



fumantes,vnculocomaUBSemodelodeatenoProgramaSadedaFamlia(PSF).Osresultadosrevelamimportanteiniqidadeemsade,reforandoanecessidadedepolticasparaampliaroacessoprincipalmenteparapopulaesdemenorpoderaquisitivo.(AU)

Thisstudyaimedtoevaluatetheprevalenceofaccesstocontinuoususemedicinesfortreatmentofsystemicarterialhypertension,diabetesmellitus,and/ormentalhealthproblems,andtheassociatedfactors.AcrosssectionalstudywasdevelopedundertheProjectfortheExpansionandConsolidationoftheFamilyHealthProgramin41citiesinSouthandNortheastBrazil.Thesampleincluded4,060adultsand4,003elderlylivinginthecoverageareasforprimaryhealthcareclinics.Prevalenceofaccesstocontinuoususemedicineswas81percentinnonelderlyadultsand87percentintheelderly.Greateraccesswasassociatedwiththefollowingfactors:adultsinSouthBrazilolderage,highersocioeconomicstatus,typeofchronicdisease,andparticipationinsupportgroupsintheprimaryhealthclinicareaadultsintheNortheastsystemicarterialhypertensionwithorwithoutdiabetesmellituselderlyintheSouthmoreschoolingandelderlyintheNortheastolderage,moreschooling,nonsmoking,enrolmentintheprimaryhealthcarecliniccoveragearea,andthefamilyhealthcaremodel.Theresultsshowimportantinequityinhealth,reinforcingtheneedforpoliciestoexpandaccess,mainlyforlowerincomepopulationgroups.(AU)

Assuntos

HumanosAdultoIdosoAcessoaosServiosdeSadeCentrosdeSadeMedicamentosdeUsoContnuoHipertenso/terapiaDiabetesMellitus/terapiaTranstornosMentais/terapiaFatoresSocioeconmicosDoenaCrnica/terapiaEstudosTransversaisDemografiaBrasilBibliotecaresponsvel:BR526.1

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[AccesstocontinuoususemedicationamongadultsandtheelderlyinSouthandNortheastBrazil].

PanizVMFassaAGFacchiniLABertoldiADPicciniRXTomasiEThumESilvadaSilveiraDSiqueiraFVRodriguesMA.CadSaudePublica24(2):26780,2008Feb.ArtigoemPortugus|MEDLINE|ID:mdl18278273

Resumo

Thisstudyaimedtoevaluatetheprevalenceofaccesstocontinuoususemedicinesfortreatmentofsystemicarterialhypertension,diabetesmellitus,and/ormentalhealthproblems,andtheassociatedfactors.AcrosssectionalstudywasdevelopedundertheProjectfortheExpansionandConsolidationoftheFamilyHealthProgramin41citiesinSouthandNortheastBrazil.Thesampleincluded4,060adultsand4,003elderlylivinginthecoverageareasforprimaryhealthcareclinics.Prevalenceofaccesstocontinuoususemedicineswas81%innonelderlyadultsand87%intheelderly.Greateraccesswasassociatedwiththefollowingfactors:adultsinSouthBrazilolderage,highersocioeconomicstatus,typeofchronicdisease,andparticipationinsupportgroupsintheprimaryhealthclinicareaadultsintheNortheastsystemicarterialhypertensionwithorwithoutdiabetesmellituselderlyintheSouthmoreschoolingandelderlyintheNortheastolderage,more



schooling,nonsmoking,enrollmentintheprimaryhealthcarecliniccoveragearea,andthefamilyhealthcaremodel.Theresultsshowimportantinequityinhealth,reinforcingtheneedforpoliciestoexpandaccess,mainlyforlowerincomepopulationgroups.

Assuntos

DiabetesMellitus/quimioterapiaHipertenso/quimioterapiaSistemasdeMedicaoTranstornosMentais/quimioterapiaAdultoIdosoIdosode80AnosoumaisBrasilDoenaCrnicaEstudosTransversaisEscolaridadeFemininoHumanosMasculinoMeiaIdadeFatoresSocioeconmicos

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Manicmioemcircuito:ospercursosdosjovenseainternaopsiquitrica/Thepsychiatrichospitalcircuit:thetrajectoriesofyongpeoplepriortopsychiatrichospitalization

Scisleski,AndreaCristinaCoelhoMaraschin,CleciSilva,RosaneNevesda.CadSaudePublica24(2):342352,fev.2008.gra,tabArtigoemPortugus|LILACS|ID:lil474274

Resumo

Esteartigoanalisaainternaopsiquitricadejovens,tomandoanoapartirdeumaperspectivapsicopatolgicaindividual,masdeumadimensosubjetivosocialcombasenospercursosdessesjovensatainternao.OestudofoirealizadonoCentroIntegradodeAtenoPsicossocialparacrianaseadolescentesdoHospitalPsiquitricoSoPedro,nacidadedePortoAlegre,RioGrandedoSul,Brasil,pormeiodeoficinascomosjovensqueestavamematendimentonainternaodesteservio.Percebeuseumarecorrnciaquemarcaopercursodessesjovenseexpressaumdeterminadomododefuncionamentodarededeatenoatainternao,acarretandonaproduodeumcertoperfildessesjovens:pobrezascioeconmica,baixaescolaridadeeusodedrogas.Outroaspectoimportanteopapeldaordemjudicialnosencaminhamentosinternao,queobedecetantoaumalgicadepunioaosjovenseaosservios,comotambm,paradoxalmente,constituisenumaestratgiadeacessoaosserviosdesade.(AU)

Thisarticleanalyzespsychiatrichospitalizationofyoungpatientsfromacontemporarysocialsubjective(ratherthanapsychopathological)perspective,followingthetrajectoryoftheseyouthpriortotheiradmission.ThestudywasconductedattheCenterforComprehensivePsychosocialCareforChildrenandAdolescents,SoPedroPsychiatricHospital,inthecityofPortoAlegre,RioGrandedoSulState,Brazil.Recurrenttraitsinthetrajectoryoftheseyouthexpressedhowthehealthcarenetworkfunctionedwiththempriortotheirhospitalization,withaconsistentpatternofsocioeconomicdeprivation,lowschooling,anddruguse.Anotherkeyaspectwastheroleofthecourtsysteminreferringthemforhospitalization,adheringtoakindoflogicthatpunishedboththeyouthandtheservicesandparadoxicallyformedastrategyforaccesstohealthservices.(AU)

Assuntos



HumanosMasculinoFemininoCrianaAdolescenteHospitaisPsiquitricos/tendnciasServiosdeSadeMentalPacientesInternadosAdolescenteInstitucionalizadoTranstornosMentaisTranstornosRelacionadosaoUsodeSubstnciasHospitalizaoUnidadeHospitalardePsiquiatria/utilizaoFatoresSocioeconmicosPobrezaBrasilBibliotecaresponsvel:BR526.1

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[Thepsychiatrichospitalcircuit:thetrajectoriesofyoungpeoplepriortopsychiatrichospitalization].

ScisleskiACMaraschinCSilvaRN.CadSaudePublica24(2):34252,2008Feb.ArtigoemPortugus|MEDLINE|ID:mdl18278281

Resumo

Thisarticleanalyzespsychiatrichospitalizationofyoungpatientsfromacontemporarysocialsubjective(ratherthanapsychopathological)perspective,followingthetrajectoryoftheseyouthpriortotheiradmission.ThestudywasconductedattheCenterforComprehensivePsychosocialCareforChildrenandAdolescents,SoPedroPsychiatricHospital,inthecityofPortoAlegre,RioGrandedoSulState,Brazil.Recurrenttraitsinthetrajectoryoftheseyouthexpressedhowthehealthcarenetworkfunctionedwiththempriortotheirhospitalization,withaconsistentpatternofsocioeconomicdeprivation,lowschooling,anddruguse.Anotherkeyaspectwastheroleofthecourtsysteminreferringthemforhospitalization,adheringtoakindoflogicthatpunishedboththeyouthandtheservicesandparadoxicallyformedastrategyforaccesstohealthservices.

Assuntos

HospitaisPsiquitricosInstitucionalizaoTranstornosMentais/terapiaServiosdeSadeMentalAdolescenteBrasilCrianaFemininoHumanosMasculinoTranstornosMentais/psicologiaPsicosesInduzidasporSubstncias/psicologiaPsicosesInduzidasporSubstncias/terapiaFatoresSocioeconmicos

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[MentalhealthandcontinuityofcareinhealthcarecentersinacityofSoutheasternBrazil].

OliveiraGLCaiaffaWTCherchigliaML.



RevSaudePublica42(4):70716,2008Aug.ArtigoemPortugus|MEDLINE|ID:mdl18622457

Resumo

OBJECTIVE:Toanalyzefactorsassociatedwiththecontinuityofmentalhealthcareprovidedforpatientsreferredtohealthcarecenters.METHODS:Afollowupstudywascarriedoutwith98patientsassistedbetween2003and2004.ThesepatientswerereferredtoeighthealthcarecenterswithmentalhealthteamslocatedinthecatchmentareaofamentalhealthreferenceventerinthecityofBeloHorizonte,SoutheasternBrazil.Social,demographic,clinicalandcontinuityvariablesweredescribedandthencomparedusingthechisquaretest.RESULTS:Afterreferral,35patientsdidnotattendthefirstvisitinthehealthcarecenter.Ofthosewhodid,38continuedintreatment.Toreturntothereferencecenterforanewvisitafterreferralandtohavehadmorethantworeferralswerefactorsthatfacilitatedcontinuityofcare.Noindividualcharacteristicwasassociatedwithcontinuity.CONCLUSIONS:Thefindingssuggestthatthereisagapintheproposalforthelineofcare.Treatmentcontinuityseemstobemorerelatedtoservicefactorsthantopatients'characteristics.

Assuntos

CentrosComunitriosdeSadeMental/normasContinuidadedaAssistnciaaoPacienteTranstornosMentais/terapiaSadeMentalQualidadedaAssistnciaSadeAdultoIdosoBrasilFemininoSeguimentosAcessoaosServiosdeSadeHumanosMasculinoMeiaIdadeSeleodePacientesRefernciaeConsultaAdultoJovem

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SadementaleacontinuidadedocuidadoemcentrosdesadedeBeloHorizonte,MG/MentalhealthandcontinuityofcareinhealthcarecentersinacityofSoutheasternBrazil/SaludmentalylacontinuidaddelcuidadoencentrosdesaluddeunaciudadenSudestedeBrasil

Oliveira,GraziellaLageCaiaffa,WaleskaTeixeiraCherchiglia,MariangelaLeal.RevSaudePublica42(4):707716,ago.2008.tab.ArtigoemIngls,Portugus|LILACS|ID:lil489011

Resumo

OBJETIVO:Analisarosfatoresassociadoscontinuidadedocuidadoemsadementaldepacientesencaminhadosacentrosdesade.MTODOS:Foiconduzidoumestudodeseguimentode98pacientesencaminhadosaoitocentrosdesadecomequipedesadementaldareadeabrangnciadeumcentroderefernciasademental,emBeloHorizonte,MG,atendidosentre2003e2004.Variveissociodemogrficas,clnicasereferentescontinuidadeforamdescritaseemseguidacomparadas,utilizandootestedoquiquadrado.RESULTADOS:Apsoencaminhamento,35pacientesnocompareceramparaoprimeiroatendimentonoscentrosdesade.Dosqueofizeram,38continuaramemtratamento.Retornaraocentroderefernciaparanovaconsultaapso



encaminhamentoetertidomaisdedoisencaminhamentosforamfatoresfacilitadoresdacontinuidadedocuidado.Nenhumacaractersticaindividualesteveassociadacontinuidade.CONCLUSES:Osachadossugeremhaverumafalhanapropostadalinhadecuidado.Acontinuidadedotratamentopareceestarmaisrelacionadaafatoresreferentesaoserviodoqueacaractersticasdopaciente.(AU)

OBJECTIVE:Toanalyzefactorsassociatedwiththecontinuityofmentalhealthcareprovidedforpatientsreferredtohealthcarecenters.METHODS:Afollowupstudywascarriedoutwith98patientsassistedbetween2003and2004.ThesepatientswerereferredtoeighthealthcarecenterswithmentalhealthteamslocatedinthecatchmentareaofamentalhealthreferenceventerinthecityofBeloHorizonte,SoutheasternBrazil.Social,demographic,clinicalandcontinuityvariablesweredescribedandthencomparedusingthechisquaretest.RESULTS:Afterreferral,35patientsdidnotattendthefirstvisitinthehealthcarecenter.Ofthosewhodid,38continuedintreatment.Toreturntothereferencecenterforanewvisitafterreferralandtohavehadmorethantworeferralswerefactorsthatfacilitatedcontinuityofcare.Noindividualcharacteristicwasassociatedwithcontinuity.CONCLUSIONS:Thefindingssuggestthatthereisagapintheproposalforthelineofcare.Treatmentcontinuityseemstobemorerelatedtoservicefactorsthantopatients'characteristics.(AU)

OBJETIVO:Analizarlosfactoresasociadosalacontinuidaddelcuidadoensaludmentaldepacientesencaminadosacentrosdesalud.MTODOS:Fuerealizadounestudiodeseguimientode98pacientesencaminadosaochocentrosdesaludconequipodesaludmentaldelreadealcancedeuncentrodereferenciadesaludmental,enBeloHorizonte,SudestedeBrasil,atendidosentre2003e2004.Variablessociodemogrficas,clnicasyreferentesalacontinuidadfuerondescritasyenseguidacomparadas,utilizandoeltestedoquicuadrado.RESULTADOS:Despusdelencaminamiento,35pacientesnoacudieronparalaprimeraatencinencentrosdesalud.Delosquehicieron,38continuaronentratamiento.Retornaralcentrodereferenciaparanuevaconsultadespusdelencaminamientohabertenidomsdedosencaminamientosfueronfactoresfacilitadoresdelacontinuidaddelcuidado.Ningunacaractersticaindividualestuvoasociadaalacontinuidad.CONCLUSIONES:Loshallazgossugierenhaberunafallaenlapropuestadelneadecuidado.Lacontinuidaddeltratamientopareceestarmasrelacionadaafactoresreferentesalserviciodequelascaractersticasdelpaciente.(AU)

Assuntos

AdultoIdosoFemininoHumanosMasculinoMeiaIdadeAdultoJovemCentrosComunitriosdeSadeMental/normasContinuidadedaAssistnciaaoPacienteTranstornosMentais/terapiaSadeMentalQualidadedaAssistnciaSadeBrasilSeguimentosAcessoaosServiosdeSadeSeleodePacientesRefernciaeConsultaAdultoJovemBibliotecaresponsvel:BR67.1

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Omixpblicoprivadonautilizaodeserviosdesade:umestudodositinerriosteraputicosdebeneficiriosdosegmentodesadesuplementarbrasileiro/Thepublicprivatemixandhealthserviceutilization:astudyofthetherapeuticitinerariesofBraziliansupplementarycarebeneficiaries

Conill,EleonorMinhoPires,DeniseSisson,MaristelaChittoOliveira,MariaConceiodeBoing,



AntonioFernandoFertonani,HosannaPattrig.Cinc.sadecoletiva13(5):15011510,set.out.2008.ArtigoemPortugus|LILACS|ID:lil492134

Resumo

Otrabalhoanalisouaexperinciadesadedoenacuidadosreferidaporusuriosdosegmentosuplementarcomsituaesounecessidadesdesadenasreasdecuidadocardiovascular,oncolgico,sadementaleobsttrico,nomunicpiodeFlorianpolis,capitaldeSantaCatarina.Discuteseoprocessodeescolhadassituaesmarcadorasnessasreas,oinfartoagudodomiocrdioocncerdemama,oalcoolismoeoparto,almdosprocedimentossugeridosparaexplorarcontribuiesdasocioantropologianocampodagesto.Osresultadosrevelamaprocuraderecursosnossubsistemasdesadeprofissional,informalepopular,sendoosdoisltimosimportantesnasreasdasadementaleoncologia.Ousocombinadodosserviospblicosedaassistnciasuplementaraparecenocuidadocardiovasculareoncolgico.Diversosarranjosseestabelecemnocotidianoassistencialdosusuriosquandoprocuramsuperarlacunasdoacessoedaintegralidadedaatenoatravsdesuasprpriasescolhas,caminhosouestratgias.Aabordagemsocioantropolgicamostrasetilparaumacompreensomaisabrangentedosignificadodepblicoeprivadonosistemadesade,bemcomodosmodelosdecuidadosempreendidospelosusurios.(AU)

ThisstudyanalyzesthehealthdiseasecareexperiencereportedbyusersoftheBraziliansupplementarysystemincardiovascular,oncological,mentalhealthandobstetriccareinFlorianpolis,capitalofthestateofSantaCatarina.Itdiscussestheselectionofindicatorsintheseareassuchasmyocardialinfarction,breastcancer,alcoholismandchildbirthbesidesexploringsocioanthropologicalcontributionstothemanagementfield.Theresultsshowasearchforsolutionsinthreeinterconnectedsubsectorsofthesystemtheprofessionalsector,thepopularsectorandthefolksector,thetwolatterbeingofgreatestimportanceinmentalandoncologicalcare.Combineduseofpublicandprivateservicesappearsincardiovascularandoncologicalfield.Seekingtoovercomethegapswithrespecttoaccessandintegralitybyusingtheirownchoiceswithrespecttoaccessibilityandcomprehensivenessofcarebyusingpathsorstrategiestheusersestablishavarietyofarrangementsintheireverydaylife.Thesocioanthropologicalapproachisthereforeusefulfordeepeningtheunderstandingofthemeaningofpublicandprivateinhealthsystemsaswellasofthecaremodelsundertakenbythepatients.(AU)

Assuntos

HumanosAssistnciaSade/utilizaoSeguroSadeSetorPrivadoSetorPblicoBrasilBibliotecaresponsvel:BR1.1

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Ispsychiatricreformastrategyforreducingthementalhealthbudget?ThecaseofBrazil

Andreoli,SrgioBaxterAlmeidaFilho,NaomarMartin,DeniseMateus,MrioDinisM.LMari,JairdeJesus.RevBrasPsiquiatr29(1):4346,mar.2007.graf.



ArtigoemIngls|LILACS|ID:lil448550

Resumo

OBJECTIVE:ToinvestigatetrendsintheprovisionofmentalhealthservicesandfinancinginBrazil.METHOD:DatafromDATASUS(theBrazilianUnifiedHealthComputerizedSystem)withfreeaccessinthewebwerecollectedregardingthenumberofbeds,thedevelopmentofnewcommunitycenters,thenumberofmentalhealthprofessionals,andcostsinvolvedfrom1995to2005.RESULTS:Intenyears,thenumberofpsychiatricbedsdecreased41percent(5.4to3.2per10,000inhabitants)whilecommunityserviceshaveincreasedninefold(0.004to0.037per10,000inhabitants).Psychologistsandsocialworkershaveaccountedforthreeandtwofold,respectively,asmuchhiringsaspsychiatrists.Psychiatricadmissionsaccountedfor95.5percentofthebudgetin1995and49percentin2005,andtheexpenseswithcommunityservicesandmedicationhaveincreased15percenteach.Asawhole,theexpensesinmentalhealthdecreasedby26.7percent(2.66to1.95US$percapita).CONCLUSION:TherehasbeenaclearswitchfromhospitaltocommunitypsychiatriccareinBrazil,wherethesystemcannowprovideadiversityoftreatmentsandfreeaccesstopsychotropics.However,thecoverageofcommunityservicesisprecarious,andthereformwasnotaccompaniedbyanincreasedpublicinvestmentinmentalhealth.Thepsychiatricreformisnotastrategyforreducingcostsitnecessarilyimpliesincreasinginvestmentsifcountriesdecidetohaveabettercareofthosemoredisadvantaged.(AU)

OBJETIVO:InvestigarodesenvolvimentodainfraestruturadeserviodesadementaledoseufinanciamentonoBrasil.MTODO:Osdadossobrenmerodeleitos,centroscomunitriosdesademental,profissionaisdesadementalecustos,noperodode1995a2005,foramcoletadosnostiodeinternetdelivreacessodoDATASUS.RESULTADOS:Em10anos,houveumareduode41porcentononmerodeleitospsiquitricos(5,4a3,2por10.000habitantes),enquantoosservioscomunitriosaumentaramnovevezes(0,004to0,037por10.000).Psiclogoseassistentessociaisforamcontratadostrseduasvezesmaisdoquepsiquiatras,respectivamente.Asinternaespsiquitricasrepresentavam95,5porcentodototaldegastoscomsadementalem1995,passandopara49porcentoem2005.Poroutrolado,asdespesascomservioscomunitriosemedicaoaumentaram15porcentocada.Emrelaoaototaldegastos,asdespesascomsadementaldiminuram26,7porcento(2,66a1,95US$percapita).CONCLUSO:ExisteumclaromovimentodetransformaodomodelodoscuidadospsiquitricosnoBrasil,passandodohospitalpsiquitricoparaosservioscomunitrios.Osistematemdisponibilizadoummaiornmerodemodalidadesdetratamento,incluindooacessogratuitoaospsicotrpicos.Acoberturadosservioscomunitrios,entretanto,aindaprecriaeareformadaassistnciapsiquitricanofoiacompanhadapeloaumentodoinvestimentopblicoemsademental.Areformapsiquitricanoumaestratgiadereduodecustoselanecessariamenteimplicanoaumentodeinvestimentosseospasesdecidiremmelhoraroscuidadosemsadeparaaquelesemdesvantagens.(AU)

Assuntos

HumanosOramentosServiosComunitriosdeSadeMental/economiaReformadosServiosdeSadeHospitaisPsiquitricos/organizao&administraoSadeMentalOcupaodeLeitosBrasilServiosComunitriosdeSadeMental/proviso&distribuioDesinstitucionalizaoHospitaisPsiquitricos/recursoshumanosHospitaisPsiquitricos/proviso&distribuioTranstornosMentais/economiaProgramasNacionaisdeSadeBibliotecaresponsvel:BR1.1

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Selecionar18.

Ispsychiatricreformastrategyforreducingthementalhealthbudget?ThecaseofBrazil.

AndreoliSBAlmeidaFilhoNMartinDMateusMDMariJdeJ.RevBrasPsiquiatr29(1):436,2007Mar.ArtigoemIngls|MEDLINE|ID:mdl17435928

Resumo

OBJECTIVE:ToinvestigatetrendsintheprovisionofmentalhealthservicesandfinancinginBrazil.METHOD:DatafromDATASUS(theBrazilianUnifiedHealthComputerizedSystem)withfreeaccessinthewebwerecollectedregardingthenumberofbeds,thedevelopmentofnewcommunitycenters,thenumberofmentalhealthprofessionals,andcostsinvolvedfrom1995to2005.RESULTS:Intenyears,thenumberofpsychiatricbedsdecreased41%(5.4to3.2per10,000inhabitants)whilecommunityserviceshaveincreasedninefold(0.004to0.037per10,000inhabitants).Psychologistsandsocialworkershaveaccountedforthreeandtwofold,respectively,asmuchhiringsaspsychiatrists.Psychiatricadmissionsaccountedfor95.5%ofthebudgetin1995and49%in2005,andtheexpenseswithcommunityservicesandmedicationhaveincreased15%each.Asawhole,theexpensesinmentalhealthdecreasedby26.7%(2.66to1.95US$percapita).CONCLUSION:TherehasbeenaclearswitchfromhospitaltocommunitypsychiatriccareinBrazil,wherethesystemcannowprovideadiversityoftreatmentsandfreeaccesstopsychotropics.However,thecoverageofcommunityservicesisprecarious,andthereformwasnotaccompaniedbyanincreasedpublicinvestmentinmentalhealth.Thepsychiatricreformisnotastrategyforreducingcostsitnecessarilyimpliesincreasinginvestmentsifcountriesdecidetohaveabettercareofthosemoredisadvantaged.

Assuntos

OramentosServiosComunitriosdeSadeMental/economiaReformadosServiosdeSadeHospitaisPsiquitricos/organizao&administraoSadeMentalOcupaodeLeitosBrasilServiosComunitriosdeSadeMental/proviso&distribuioDesinstitucionalizaoHospitaisPsiquitricos/recursoshumanosHospitaisPsiquitricos/proviso&distribuioHumanosTranstornosMentais/economiaProgramasNacionaisdeSade

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[Publichealthandmentalhealth:methodologicaltoolstoevaluatetheBrazilianNetworkofReferralCentersforPsychoSocialCare(CAPS)intheBrazilianUnifiedHealthSystem].

OnockoCamposRTFurtadoJP.CadSaudePublica22(5):105362,2006May.ArtigoemPortugus|MEDLINE|ID:mdl16680358



Resumo

ThisarticlepresentsapreliminarydiscussionofpotentialmethodologicaltoolsforqualitativeresearchontheNetworkofReferralCentersforPsychoSocialCare(CAPS)intheBrazilianUnifiedHealthSystem(SUS).Therelevanceofmentalhealthwithinthefieldofpublichealthisexamined.Thestudyfocusesonthehighprevalenceofmentaldisordersandthedisproportionatelackofstudiesontheinterfacebetweenmentalhealthandpublichealth.Theestablishmentofaninterdisciplinaryfieldbetweenpublichealthandmentalhealthisproposedtomeetcommonneedsbyachievingsimilarperspectivesinknowledgeandpractice.Aparticulargroupoftoolsisproposed,emphasizingtheimportanceofreclaimingandguaranteeingtherolesofvarioussocialactorstoshapetheassessmentprocess,theneedforcollectingandstandardizingacademicstudiesonthetopic,andtheimportanceofpromotinganewresearchfieldfocusingonpublichealthpoliciestosupportpolicymakers,managers,andhealthteamsinreshapingtheirpractices.

Assuntos

AcessoaosServiosdeSadePesquisasobreServiosdeSade/normasServiosdeSadeMental/normasSadeMentalQualidadedaAssistnciaSadeApoioSocialBrasilColetadeDadosInterpretaoEstatsticadeDadosHumanosProgramasNacionaisdeSadeRefernciaeConsulta

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[TheUnifiedNationalHealthSystemandpublicpolicies:psychologicalcareformenopausalwomenintheFederalDistrict,Brazil].

MoriMECoelhoVLEstrellaRdaC.CadSaudePublica22(9):182533,2006Sep.ArtigoemPortugus|MEDLINE|ID:mdl16917579

Resumo

ThisstudyfocusedonpsychologicalcareformiddleagedwomeninpublichealthservicesintheFederalDistrict(Brasilia),Brazil.Thearticlediscusseswomen'shealthandmorespecificallymenopauseanditsplaceinBrazilianpublichealthpolicies.Thesurveyconfirmedthelackofpsychologicalsupportformenopausalwomen.Inmostcasesonlyoutpatientmedicalcarewasoffered.Nopsychologisthadbeendesignatedinanyoftheunitssurveyedtoassistthesewomen.Thestudyconcludesthatthisperiodofwomen'slifehasfailedtoreceivepsychologicalcareinBrazil,thusneglectingtheprinciplesoftheUnifiedNationalHealthSystem.Menopausalwomendeservecomprehensivehealthcare,includingattentiontoconflictsrelatedtobiological,psychological,andsocioculturaldimensionsofaging,thuscontributingtotheprocessofworkingthroughmaturity.

Assuntos

PolticadeSadeMenopausa/psicologiaServiosdeSadeMental/proviso&distribuioServiosdeSadedaMulher/proviso&distribuioAdultoBrasilFemininoAcessoaosServiosdeSade



HumanosMeiaIdadePsicoterapia/estatstica&dadosnumricosSadePblica

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ThementalhealthofgraduatestudentsattheFederalUniversityofSoPaulo:apreliminaryreport.

NogueiraMartinsLAFagnaniNetoRMacedoPCCteroVAMariJJ.BrazJMedBiolRes37(10):151924,2004Oct.ArtigoemIngls|MEDLINE|ID:mdl15448873

Resumo

WepresentdataregardingthecareprovidedtograduatelevelhealthprofessionalsatthementalhealthcenteroftheFederalUniversityofSoPaulo.FromSeptember1996toSeptember2003,146graduatestudents(99intheMaster'sdegreeprogramand47intheDoctoralprogram)wereattended.Thispopulationwaspredominantlyfemale(68.5%),withamean(+/SD)ageof28.6+/4.42years,notmarried(71.9%).MostofthesubjectswereprofessionalswhohadnotgraduatedfromtheFederalUniversity(78.1%).Thestudentswhosoughthelpforpsychologicaland/orpsychiatricproblemswereclassifiedintotwocategories:situationaladaptivecrisesandpsychopathologicalcrises.Themaindiagnosesweredepressionandanxietydisorders(44%)causing4.5%ofthesubjectstobetemporarilysuspendedfromtheirgraduatestudies19.2%reportedthattheyhadusedpsychotropicdrugswithinthepreviousmonth,and47.9%referredtosleepdisturbances.Suicidaltendencieswerementionedby18%ofthoseinterviewed.Studentswithemotionaldisturbancesandacademicdysfunctionsshouldberecognizedatanearlystage,anditisfundamentalforthemtohaveaccesstomentalhealthprogramsthatprovideformal,structuredandconfidentialcare.Thus,itisimportantthatprofessorsandadvisorsingraduateprogramsbuildawarmandaffectivelearningenvironment.IfweconsidertheexpressivegrowthinBrazilianscientificproductionresultingfromtheimplementationofanextensivenationalsystemofgraduateeducation,itisimportanttofocuseffortsonenhancingandupgradingthementalhealthcaresystem.

Assuntos

TranstornosMentais/epidemiologiaServiosdeSadeMentalEstudantesdeMedicina/psicologiaBrasil/epidemiologiaEducaodePsGraduaoemMedicinaFemininoHumanosEntrevistaPsicolgicaMasculinoTranstornosMentais/diagnsticoPrevalncia

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ThementalhealthofgraduatestudentsattheFederalUniversityofSoPaulo:apreliminaryreport

NogueiraMartins,L.AFagnaniNeto,RMacedo,P.C.MCtero,V.AMari,J.J.BrazJMedBiolRes37(10):15191524,Oct.2004.tab.ArtigoemIngls|LILACS|ID:lil383038

Resumo

WepresentdataregardingthecareprovidedtograduatelevelhealthprofessionalsatthementalhealthcenteroftheFederalUniversityofSoPaulo.FromSeptember1996toSeptember2003,146graduatestudents(99intheMaster'sdegreeprogramand47intheDoctoralprogram)wereattended.Thispopulationwaspredominantlyfemale(68.5percent),withamean(SD)ageof28.64.42years,notmarried(71.9percent).MostofthesubjectswereprofessionalswhohadnotgraduatedfromtheFederalUniversity(78.1percent).Thestudentswhosoughthelpforpsychologicaland/orpsychiatricproblemswereclassifiedintotwocategories:situationaladaptivecrisesandpsychopathologicalcrises.Themaindiagnosesweredepressionandanxietydisorders(44percent)causing4.5percentofthesubjectstobetemporarilysuspendedfromtheirgraduatestudies19.2percentreportedthattheyhadusedpsychotropicdrugswithinthepreviousmonth,and47.9percentreferredtosleepdisturbances.Suicidaltendencieswerementionedby18percentofthoseinterviewed.Studentswithemotionaldisturbancesandacademicdysfunctionsshouldberecognizedatanearlystage,anditisfundamentalforthemtohaveaccesstomentalhealthprogramsthatprovideformal,structuredandconfidentialcare.Thus,itisimportantthatprofessorsandadvisorsingraduateprogramsbuildawarmandaffectivelearningenvironment.IfweconsidertheexpressivegrowthinBrazilianscientificproductionresultingfromtheimplementationofanextensivenationalsystemofgraduateeducation,itisimportanttofocuseffortsonenhancingandupgradingthementalhealthcaresystem.(AU)

Assuntos

HumanosMasculinoFemininoTranstornosMentais/epidemiologiaEstudantesdeMedicina/psicologiaServiosdeSadeMentalEntrevistaPsicolgicaPrevalnciaBrasil/epidemiologiaBibliotecaresponsvel:BR1.1

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RetentionpredictorsofasmokingtreatmentprovidedbyapublicpsychosocialunitinBrazil.

CastaldelliMaiaJMLoretoARCarvalhoCFFrallonardoFPdeAndradeAG.IntRevPsychiatry26(4):51523,2014Aug.ArtigoemIngls|MEDLINE|ID:mdl25137119

Resumo

PsychosocialunitsinBrazil(CAPS)provideaccesstomentalhealthandaddictionpatients,whoarenotroutinelytreatedfornicotinedependence.Thepresentstudyanalysedpredictorsofretentionofa



6weektreatmentprovidedbyaCAPSunitto367smokerswithahighrateofpsychiatricdisordersandaddictionsfortheperiod20072010.Severalbaselinevariableswerecollected.Retentionwasdefinedasthepresenceoftheindividualinallfourmedicalconsultationsandsixgroupsessions.MultivariatediscretetimeCoxsurvivalregressionmodelswereusedtotestfortheoutcomeofinterest.Timetableswereusedtoexploreinwhichmomentofthetreatmenteachpredictorwasimportant.Timetosmokingthefirstcigarette(TTFC)5minorlaterafterwakingandnicotinepatchuse(nicotinereplacementtherapy,NRT)wereassociatedwithretention.ThepresentstudysupportstheimportanceofthevariablesTTFCandNRTwhenusedintreatmentretentionforasamplewithahighrateofpsychiatricandalcoholdisorders.NRTseemstobeveryimportantinthebeginningofthetreatment,probablybecauseofwithdrawalsymptoms.Individualscurrentlyundergoingpsychiatrictreatmentandwithalcoholproblemshadgoodretentionratescomparabletotheotherindividuals.

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FonoaudiologiaeSadeMental:reorientandootrabalhonaperspectivadaatenopsicossocial/Speech,languageandhearingsciencesandmentalhealth:redirectingtheworkaccordingtopsychosocialcare

Arce,VladimirAndreiRodrigues.Rev.CEFAC16(3):10041012,mayjun/2014..ArtigoemPortugus|LILACSExpress|ID:lil718480

Resumo

ProcessosdetrabalhoemSadeMentaldaFonoaudiologianombitodeumCentrodeAtenoPsicossocialinfantojuvenilsootemadesteestudo.ApartirdeumareflexosobreoslimitesdaclnicafonoaudiolgicatradicionaldesempenhadacomcrianasqueapresentavamgravestranstornosmentaisemumserviopblicoespecializadoemSadeMentalinfantojuvenilnoDistritoFederal,propsseareorientaodotrabalhoapartirdacriaodenovosdispositivosclnicosnosentidodadesinstitucionalizaoedocuidadointerdisciplinar.Abuscapelainterdisciplinaridadeeorompimentocomaesfragmentadaseisoladasdosprofissionaisforamasprincipaismudanasobservadas.Narealidadedotrabalhodosfonoaudilogosforaminseridasprticasdeacolhimento,atendimentosemgrupo,aesintersetoriais,participaoemoficinasteraputicaseeducaopermanente,bemcomoforamredefinidoscritriosparaoacessoprecocedeusuriosaoprofissionalapartirdeumagestocoletivadaclnica.Houvesignificativoavanonocuidadoemsadementaldecrianasatendidasnoservio,comimportantesreflexosnatransformaodasconcepesedasprticasdesadeproduzidaspelosfonoaudilogos.PropesequeaFonoaudiologiaultrapasseabarreiraestritadaproduocientficaclnicoteraputicadisciplinaracercadosTranstornosInvasivosdoDesenvolvimentoemdireoconstruodeumaclnicapsicossocial,demodoaassumirefortaleceropapelpolticodesteprofissionalnalutapelapermanenteimplantaodaReformaPsiquitricabrasileira,emdefesadocuidadointegralaestascrianas.(AU)

WorkprocessesinMentalHealthofSpeech,LanguageandHearingSciencesinaPsychosocialCareCenterforchildrenandadolescents(CAPSi)arethethemeofthisstudy.ReflectingaboutthelimitsofthetraditionalSpeech,LanguageandHearingclinicalapproachforchildrenwithseverementaldisordersinapublicmentalhealthserviceinFederalDistrict,Brazil,weproposedthereorientationof



theworkprocesstowardsthedeinstitucionalizationandtheinterdisciplinarycareinapsychosocialclinic.Theinterdisciplinaryperspectiveandtheovercomeoffragmentedandisolatedactionswerethemainchangesobserved.Receptivenesspractices,groupcare,intersectoractions,participationintherapeuticworkshopsandpermanenteducationwereinsertedintheroutineofthespeechtherapists.Theaccesscriteriawereredefinedfromacollectivemanagementoftheclinic.TherewasalargeimprovementinmentalhealthcareattheCAPSireflectingonchangesinconceptsandhealthpracticesoftheprofessionals.ItisproposedthatfurtherresearchinSpeech,LanguageandHearingSciencestakeintoaccountnotonlythetraditionalclinicofpervasivedevelopmentdisordersbutalsothepsychosocialclinic,embracingandstrengtheningitspoliticalroleinthecampaignfortheimplementationofpsychiatricreformandinthedefenseofintegralcareforthesechildren.(AU)Bibliotecaresponsvel:BR1.1

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Thementalhealthcaregapamongchildrenandadolescents:datafromanepidemiologicalsurveyfromfourBrazilianregions.

PaulaCSBordinIAMariJJVelasqueLRohdeLACoutinhoES.PLoSOne9(2):e88241,2014.ArtigoemIngls|MEDLINE|ID:mdl24558382

Resumo

INTRODUCTION:Worldwide,aminorityofdisorderedchildren/adolescentsreceivesmentalhealthassistance.Inordertoimproveserviceaccess,itisimportanttoinvestigatefactorsthatinfluencetheprocessleadingtoreceivingcare.Dataonfrequencyandbarriersformentalhealthserviceuse(MHSU)amongBrazilianchildren/adolescentsareextremelyscarceandareneededtoguidepublicpolicy.OBJECTIVES:ToestablishthefrequencyofMHSUamong6to16yearoldwithpsychiatricdisordersfromfourBrazilianregionsandtoidentifystructural/psychosocial/demographicbarriersassociatedwithchild/adolescentMHSU.METHODS:MulticentercrosssectionalstudyinvolvingfourtownsfromfouroutoffiveBrazilianregions.Ineachtown,arepresentativesampleofelementarypublicschoolstudentswasrandomlyselected(sample:1,721).Child/adolescentMHSUwasdefinedasbeingseenbyapsychologist/psychiatrist/neurologistintheprevious12months.Standardizedinstrumentsmeasured:(1)children/adolescentcharacteristics[(1.1)ScheduleforAffectiveDisordersandSchizophreniaforSchoolAgeChildren(KSADSPL)psychiatricdisorders(1.2)TenQuestionsScreenneurodevelopmentproblems(1.3)twosubtestsofWISCIIIestimatedIQ(1.4)AcademicPerformanceTestschoolperformance)],(2)factorsrelatedtomothers/maincaregivers(SelfReportingQuestionnaireanxiety/depression),(3)family(BrazilianResearchCompaniesAssociation'sQuestionnaireSES).RESULTS:Only19.8%ofchildren/adolescentswithpsychiatricdisorderhaveusedmentalhealthservicesintheprevious12months.MultiplelogisticregressionmodelingidentifiedfivefactorsassociatedwithlowerratesofMHSU(femalegender,adequateschoolperformance,mother/maincaregiverlivingwithapartner,lowerSES,residingindeprivedBrazilianregions)regardlessofthepresenceofanypsychiatricdisorders/neurodevelopmentalproblems.CONCLUSIONS:Onlyasmallproportionofchildren/adolescentswithpsychiatricdisordershadbeenseenbyamentalhealthspecialistintheprevious12months.Structural/psychosocial/demographicfactorswereassociatedwithunevenaccesstoserviceforcertaingroupsofchildren/adolescents.Theseresultscallattentiontotheurgentneedtoimplementprogramstohelpreducethislargeunmetmentalhealthneedinequalitiesmustbe



consideredbypolicymakerswhenplanningstrategiestoaddressbarriersforcare.

Assuntos

DisparidadesemAssistnciaSadeTranstornosMentais/epidemiologiaServiosdeSadeMental/utilizaoSadeMentalAdolescenteBrasilCrianaOrientaoInfantil/organizao&administraoEstudosTransversaisFemininoAcessoaosServiosdeSadeHumanosMasculinoTranstornosMentais/genticaQuestionriosReprodutibilidadedosTestesClasseSocial

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ComparingkeycharacteristicsofyoungadultcrackusersinandoutoftreatmentinRiodeJaneiro,Brazil.

CruzMBertoniNBastosFIBurnettCGoochJFischerB.SubstAbuseTreatPrevPolicy9:2,2014.ArtigoemIngls|MEDLINE|ID:mdl24406052

Resumo

BACKGROUND:CrackuseisprevalentamongstreetdrugusersinBraziliancities,yetdespiterecenthelpsystemreformsandinvestments,treatmentutilizationislow.Otherstudieshaveidentifiedavarietyofofteninconsistentfactorsassociatedwithtreatmentstatusamongcrackorotherdrugusers.Thisstudycomparedsocioeconomic,druguse,healthandserviceusecharacteristicsbetweensamplesofyoungadultcrackusersinandoutoftreatmentinRiodeJaneiro,Brazil.FINDINGS:Streetinvolvedcrackusers(n=81)wererecruitedbycommunitybasedmethods,andprivatelyassessedbywayofananonymousintervieweradministeredquestionnaireaswellasbiologicalmethods,followinginformedconsent.Intreatmentusers(n=30)wererecruitedfromapublicserviceinpatienttreatmentfacilityandassessedbasedonthesameprotocol.Keyindicatorsofinterestwerestatisticallycrosscompared.Notintreatmentuserswerelesslikelyto:bewhite,educated,stablyhoused,tobeinvolvedindrugdealing,toreportlifetimemarijuanaandcurrentalcoholuse,toreportlowmentalhealthstatusandgeneralhealthoraddiction/mentalhealthcaretheyweremorelikelyto:beinvolvedinbeggingandutilizesocialservices,comparedtotheintreatmentsample(statisticalsignificancefordifferencessetatp



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[Accessibilityandresolutionofmentalhealthcare:thematrixsupportexperience].

QuinderPHJorgeMSNogueiraMSCostaLFVasconcelosMG.CienSaudeColet18(7):215766,2013Jul.ArtigoemPortugus|MEDLINE|ID:mdl23827920

Resumo

PsychosocialCareCenters(PCC)arealsodesignedtocoordinateactionsinmentalhealthcareinBrazil,mainlyatPrimaryHealthCare(PHC)level.Matrixsupportisoneofthepillarsoftheprogram,asitaimstoensureassistanceofspecializedbackupstafftothehealthteams.Inthisrespect,thisresearchseekstounderstandhowmatrixactionsinmentalhealthcontributetotheaccessibilityandresolutionofmentalhealthcases.ThisstudyinvolvedqualitativeresearchconductedinthecitiesofFortalezaandSobralintheStateofCear,where37(thirtyseven)mentalhealthworkers,14(fourteen)primaryhealthcareusersand13(thirteen)relativeswhotookpartinmatrixsupportactionswereinterviewed.Astheresultsrevealed,thePHCworkersdonotfeelqualifiedtointerveneinmentalhealthcases.ThereisalsoexcesshasteinreferringuserstoPCCsmakingaccesstomentalhealthcaremoredifficult.However,itwasidentifiedthatdiscussionsonmentalhealthinprimarycareallowtheappropriationofcasesbyPHCworkersandpromoterapprochementbetweentheteams.Inthisway,theyinfluencetheresolutionofmentalhealthcases.

Assuntos

AcessoaosServiosdeSadeServiosdeSadeMental/normasAtenoPrimriaSadeHumanos

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AdaptationoftheBarrierstoAccesstoCareEvaluation(BACE)scaletotheBraziliansocialandculturalcontext/AdaptacaodaEscaladeAvaliacaodasBarreirasaoAcessoaoCuidado(BACE)paraocontextosocialeculturalbrasileiro

Silva,LeticiaSilva,PaulaFreitasRamalhodaGadelha,AryClement,SarahThornicroft,GrahamMari,JairdeJesusBrietzke,Elisa.



Trendspychiatrypsychother.(Impr.)35(4):287291,dez.2013.tab,graf.ArtigoemIngls|LILACSExpress|ID:lil698106

Resumo

INTRODUCTION:Asignificantgapbetweenthenumberofindividualswhoneedmentalhealthcareandtheoneswhoactuallyhaveaccesstoithasbeenconsistentlydemonstratedinstudiesconductedindifferentcountries.Recognizingthebarrierstocareandtheircontributionstodelayingorpreventingaccesstomentalhealthservicesisakeysteptoimprovethemanagementofmentalhealthcare.TheBarrierstoAccesstoCareEvaluation(BACE)scaleisa30itemselfreportinstrumentconceivedtoevaluateobstaclestopropermentalhealthcare.ThemainconstraintintheinvestigationofthesebarriersinBrazilisthelackofareliableinstrumenttobeusedintheBraziliansocialandculturalcontext.OBJECTIVE:TodescribethetranslationandadaptationprocessoftheBACEscaletotheBraziliansocialandculturalcontext.METHOD:Thetranslationandadaptationprocesscomprisedthefollowingsteps:1)translationfromEnglishtoBrazilianPortuguesebytwoauthorswhoareBrazilianPortuguesenativespeakers,oneofwhomisapsychiatrist2)evaluation,comparisonandmatchingofthetwopreliminaryversionsbyanexpertcommittee3)backtranslationtoEnglishbyasworntranslatorwhoisanEnglishnativespeaker4)correctionofthebacktranslatedversionbytheauthorsoftheoriginalscale5)modificationsandfinaladjustmentoftheBrazilianPortugueseversion.RESULTSANDCONCLUSION:TheprocessesoftranslationandadaptationdescribedinthisstudywereperformedbytheauthorsandresultedintheBrazilianversionofascaletoevaluatebarrierstoaccesstomentalhealthcare..(AU)

INTRODUO:Umalacunasignificativaentreonmerodeindivduosquenecessitamdecuidadonareadesadementaleaquelesqueefetivamentetmacessoaelatemsidoconsistentementedemonstradaemestudosrealizadosemdiferentespases.Reconhecerasbarreirasaocuidadoesuascontribuiesnosentidoderetardareatimpediroacessoaserviosdesadementalumpassoessencialparamelhoraromanejoemsademental.AescalaBarrierstoAccesstoCareEvaluation(BACE)uminstrumentodeautorrelato,compostode30itens,concebidoparaavaliarosobstculosaocuidadoadequadoemsademental.OprincipalempecilhonainvestigaodessasbarreirasnoBrasilainexistnciadeuminstrumentoconfivelparaserutilizadonocontextosocialeculturalbrasileiro.Objetivo:DescreveroprocessodetraduoeadaptaodaescalaBACEparaocontextosocialeculturalbrasileiro.MTODO:Oprocessodetraduoeadaptaoincluiuosseguintespassos:1)traduodoinglsparaoportugusbrasileiropordoisautores,falantesnativosdeportugusbrasileiro,sendoqueumdelespsiquiatra2)avaliao,comparaoecorrespondnciadasduasversespreliminaresporumcomitespecialista3)retrotraduoparainglsporumtradutorjuramentado,falantenativodeingls4)correodaversoretrotraduzidapelosautoresdaescalaoriginal5)alteraeseajustesfinaisdaversoemportugusbrasileiro.RESULTADOSECONCLUSO:Osprocessosdetraduoeadaptaoaquidescritosforamrealizadospelosautoreseresultaramnaversobrasileiradeumaescalaparaavaliarasbarreirasaoacessoaocuidadoemsademental..(AU)Bibliotecaresponsvel:BR1.1

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Economicevaluationinthefieldofmentalhealth:conceptualbasis.

LimaAFCruzLNPolanczykCAMaiaCR.



RevBrasPsiquiatr35(2):18692,2013AprJun.ArtigoemIngls|MEDLINE|ID:mdl23904026

Resumo

OBJECTIVE:Technologicaladvancesinmedicinehavegivenrisetoadilemmaconcerningtheuseofnewhealthtechnologiesinacontextoflimitedfinancialresources.Inthefieldofpsychiatry,healtheconomicevaluationisarecentmethodthatcanassistinchoosinginterventionswithdifferentcostand/oreffectivenessforspecificpopulationsorconditions.Thisarticleintroducesclinicianstothefundamentalconceptsrequiredforcriticalassessmentofhealtheconomicevaluations.METHODS:TheauthorsconductedareviewwithsystematicmethodstoassesstheessentialtheoreticalframeworkofhealtheconomicevaluationandmentalhealthinBrazilthroughtextbooksandstudiesindexedinthePubMed,CochraneCentral,LILACS,NHSCRD,andREBRATSdatabases.Atotalof334studieswerefoundusingthespecifiedterms(MeSHMentalHealthANDEconomic,Medical)andfilters(BrazilANDHumans)however,onlyfiveBrazilianeconomicevaluationswerefound.RESULTSANDCONCLUSIONS:Economicevaluationstudiesaregrowingexponentiallyinthemedicalliterature.Publicationsfocusingonhealtheconomicsasappliedtopsychiatryareincreasinglycommon,butBraziliandataarestillveryincipient.Inacountrywherefinancialresourcesaresoscarce,economicanalysesarenecessarytoensurebetteruseofpublicresourcesandwiderpopulationaccesstoeffectivehealthtechnologies.

Assuntos

TecnologiaBiomdica/economiaTranstornosMentais/economiaSadeMental/economiaBrasilAnliseCustoBenefcioHumanosTranstornosMentais/terapiaQualidadedeVida

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Humanrightsaccountabilityformaternaldeathandfailuretoprovidesafe,legalabortion:thesignificanceoftwogroundbreakingCEDAWdecisions.

KismdiEdeMesquitaJBIbaezXAKhoslaRSeplvedaL.ReprodHealthMatters20(39):319,2012Jun.ArtigoemIngls|MEDLINE|ID:mdl22789080

Resumo

In2011,theCommitteeontheEliminationofDiscriminationagainstWomen(CEDAW)issuedtwolandmarkdecisions.InAlynedaSilvaPimentelv.Brazil,thefirstmaternaldeathcasedecidedbyaninternationalhumanrightsbody,itconfirmsthatStateshaveahumanrightsobligationtoguaranteethatallwomen,irrespectiveoftheirincomeorracialbackground,haveaccesstotimely,nondiscriminatory,andappropriatematernalhealthservices.InL.C.v.Peru,concerninga13yearoldrapevictimwhowasdeniedatherapeuticabortionandhadanoperationonherspinedelayedthatleftherseriouslydisabledasaresult,itestablishedthattheStateshouldguaranteeaccesstoabortionwhenawoman'sphysicalormentalhealthisindanger,decriminaliseabortionwhenpregnancyresults



fromrapeorsexualabuse,reviewitsrestrictiveinterpretationoftherapeuticabortionandestablishamechanismtoensurethatreproductiverightsareunderstoodandobservedinallhealthcarefacilities.Bothcasesaffirmthataccessibleandgoodqualityhealthservicesarevitaltowomen'shumanrightsandexpandStates'obligationsinrelationtothese.TheyalsoaffirmthatStatesmustensurenationalaccountabilityforsexualandreproductivehealthrights,andprovideremediesandredressintheeventofviolations.Andtheyreaffirmtheimportanceofinternationalhumanrightsbodiesassourcesofaccountabilityforsexualandreproductiverightsviolations,especiallywherenationalaccountabilityisabsentorineffective.

Assuntos

AbortoLegal/legislao&jurisprudnciaDireitosHumanos/legislao&jurisprudnciaCooperaoInternacionalMorteMaterna/legislao&jurisprudnciaAdolescenteAdultoBrasil/epidemiologiaFemininoAcessoaosServiosdeSade/legislao&jurisprudnciaHumanosEstupro/legislao&jurisprudnciaDireitosdaMulher/legislao&jurisprudncia

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ProjetocopiadoradoCAPSLuisCerqueira:dotrabalhodereproduzircoisasproduodevida/ProyetocopiadoradelCAPSLuisCerqueira:desdeeltrabajodereproducirlascosashastalaproduccindelavida/PhotocopierprojectbyCAPSLuisCerqueira:fromworktoreproducethinksasaliveproduction

Silva,AnaLuisaAranhaeFonseca,RosaMariaGodoySerpada.RevEscEnfermUSP36(4):358366,dez.2002.ArtigoemPortugus|LILACS|ID:lil500408

Resumo

Anecessidademanifestadeinclusonoprocessodeproduodavidamaterialatravsdotrabalho,deumaparceladapopulaousuriadeserviodesademental,deuorigemaesteestudo.Paraapreenderosignificadodotrabalhoutilizouseoreferencialdomaterialismohistricoedialtico,fundamentadonoconceitodereabilitaopsicossocial,eofezatravsdaanlisedosdiscursosdosusurios.OcenriooCentrodeAtenoPsicossocialProf.LuisCerqueira(CAPS).Osresultadosindicamacompreensodotrabalhocomouminstrumentoquepossibilitaaosusuriosacessarocampodosdireitossociais.(AU)

Thisstudywasbornoutofthenecessitymanifestedbyaportionofthepopulationwhichusesthementalhealthservicelinkedtotheprocessofproducionofmaterialisticlifethroughwork.Theintentionwastocomprehendthesignificanceofworkusinghistoricalanddialecticmaterialsmasareference,basedupontheconceptsofpsycosocialreabilitationandwasperformedthroughtheanalysisofdiscoursesoftheusers.ThesiteistheProf.LuisCerqueiraCenterforPsycoSocialCare(CAPS).Theresultsevidencethecomprehensionofworkasaninstrumentwhichenabledtheusersaccesstothefieldofsocialrights.(AU)



Esteestudiotuveorigenenlanecesidadmanifiestadeinclusinenelprocesodeproduccindelavidamaterial,atravsdeltrabajo,departedelapoblacinusuariadeunserviciodesaludmental.Paraaprehenderelsignificadodeltrabajoseutilizelreferencialdelmaterialismohistricoydialctico,fundamientadoenelconceptoderehabilitacinpsicossocial,apartirdelosdiscursosdelosusuarios.ElescenarioeselCentrodeAtencinPsicosocialProf.LuisCerqueira(CAPS).Losresultadosindicanlacomprensindeltrabajocomouninstrumentoquepossibilitaalosusuariosaccederalcampodelosderechossociales.(AU)

Assuntos

AdultoHumanosMasculinoMeiaIdadeTranstornosMentais/reabilitaoReabilitaoVocacional/psicologiaTrabalhoBrasilEficinciaRelaesInterpessoaisTranstornosMentais/enfermagemSadeMentalReabilitaoVocacional/mtodosBibliotecaresponsvel:BR1.1

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[TheProfessorLuisCerqueiraCenterforPsychoSocialCarePhotocopierProject:fromthereproductionofthingstoaproductivelife].

eSilvaALdaFonsecaRM.RevEscEnfermUSP36(4):35866,2002Dec.ArtigoemPortugus|MEDLINE|ID:mdl12876848

Resumo

Thisstudywasbornoutofthenecessitymanifestedbyaportionofthepopulationwhichusesthementalhealthservicelinkedtotheprocessofproductionofmaterialisticlifethroughwork.Theintentionwastocomprehendthesignificanceofworkusinghistoricalanddialecticmaterialismasareference,basedupontheconceptsofpsycosocialrehabilitationandwasperformedthroughtheanalysisofdiscoursesoftheusers.ThesiteistheProf.LuisCerqueiraCenterforPsycoSocialCare(CAPS).Theresultsevidencethecomprehensionofworkasaninstrumentwhichenabledtheusersaccesstothefieldofsocialrights.

Assuntos

TranstornosMentais/reabilitaoReabilitaoVocacional/psicologiaTrabalhoAdultoBrasilEficinciaHumanosRelaesInterpessoaisMasculinoTranstornosMentais/enfermagemSadeMentalMeiaIdadeReabilitaoVocacional/mtodos

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PubMedMoreResourcesSelecionar



33.

[Accessandcomprehensiveness:theviewpointofusersofamentalhealthnetwork].

deOliveiraRFdeAndradeLOGoyaN.CienSaudeColet17(11):306978,2012Nov.ArtigoemPortugus|MEDLINE|ID:mdl23175313

Resumo

Thisarticleanalyzesuserviewpointsregardingmentalhealthcare,withafocusoncomprehensivenessandaccessatPsychosocialCareCenters(PCCs).ItisaqualitativestudywiththeoreticalandmethodologicalreferencesoftheFourthGenerationEvaluationandapplicationoftheHermeneuticDialecticCircletechnique.TwelveusersoftenmentalhealthservicesinFortalezawereinterviewedfromMarchtoMay2011.Themesofthestudyweregroupedfromthenarratives,withthehermeneuticsofPaulRicoeurasthebenchmarkforanalysis.Thethematiccategorieswere:viewpointsonmentalhealthcareconflictsbetweensupplyandthesubjectiveneedtoreceivesimilaritiesanddifferences:fromtutelagetoautonomyabsenceandbelonging:openPCCsandnoncommunitycentersbetweenstigmaandhumanization.Themainfindingsare:thePCCsareseenasspacesforconvivialityabletoestablishaffectiveandsocialnetworksstigma,prejudiceandtutelagearepresentintheservices,intheirfamiliesandinthecommunityasylumpracticespersistinalternativeservicesthehumanizationofcareextendsaccessandbondingintheservicesthetrajectoryofusersoftheUnifiedHealthSystemoccursduetotheirsocialandhealthneeds.

Assuntos

AcessoaosServiosdeSade/normasServiosdeSadeMental/normasAtitudeFrenteaSadeBrasilHumanos

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[Methodologicalcontributionstowardsthestudyofhealthcareproduction:lessonsfromaresearchstudyonbarriersandaccessinmentalhealth].

MerhyEEFeuerwerkerLCSilvaE.SaludColect8(1):2534,2012JanApr.ArtigoemEspanhol|MEDLINE|ID:mdl23995493

Resumo

Thisarticlepresentsmethodologicalcontributionsandaconceptualinnovationforthinkingabouttheproductionofhealthcare,stemmingfromastudyonaccessandbarriersinmentalhealthcarriedoutinthemunicipalityofCampinas(SoPaulo,Brazil).Thestudyusedacartographicapproachand,afteraninitialidentificationofthemostcomplexcases(onthepartoftheteamsofworkers),adopted



theusersasguidestoexplorethedifferentlevelsofproductionoftheirlivesandtoevaluatethepossibilityofforminganetworkofexistentialconnectionsthatproducelifeasafundamentalanalyzerofaccessorbarrierstocare.

Assuntos

AcessoaosServiosdeSadeServiosdeSadeMental/organizao&administraoBrasilMapeamentoGeogrficoHumanos

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HowtoimprovethementalhealthcareofchildrenandadolescentsinBrazil:actionsneededinthepublicsector.

PaulaCSLauridsenRibeiroEWissowLBordinIAEvansLackoS.RevBrasPsiquiatr34(3):33451,2012Oct.ArtigoemIngls|MEDLINE|ID:mdl23429780

Resumo

INTRODUCTION:Child/adolescentmentalhealth(CAMH)problemsareassociatedwithhighburdenandhighcostsacrossthepatient'slifetime.Addressingmentalhealthneedsearlyoncanbecosteffectiveandimprovethefuturequalityoflife.OBJECTIVE/METHODS:Analyzingmostrelevantpapersdatabasesandpolicies,thispaperdiscusseshowtobestaddresscurrentgapsinCAMHservicesandpresentsstrategiesforimprovingaccesstoqualitycareusingexistingresources.RESULTS:ThedatasuggestanotablescarcityofhealthservicesandproviderstotreatCAMHproblems.SpecializedservicessuchasCAPSi(fromPortuguese:PsychosocialCommunityCareCenterforChildrenandAdolescents)aredesignedtoassistseverecaseshowever,suchservicesareinsufficientinnumberandareunequallydistributed.ThemajorityofthepopulationalreadyhasgoodaccesstoprimarycareandfurtherplanningwouldallowthemtobecomebetterequippedtoaddressCAMHproblems.Psychiatristsarescarceinthepublichealthsystem,whilepsychologistsandpediatriciansaremoreavailablebut,additionalspecializedtraininginCAMHisrecommendedtooptimizecapabilities.Financialandcareerdevelopmentincentivescouldbeimportantdriverstomotivateemploymentseekinginthepublichealthsystem.CONCLUSIONS:Althoughalongterm,comprehensivestrategyaddressingbarrierstoqualityCAMHcareisstillnecessary,implementationofthesestrategiescouldmake.

Assuntos

ServiosdeSadeMentalAtenoPrimriaSadeSetorPblicoMelhoriadeQualidadeAdolescenteBrasilCrianaHumanosProgramasNacionaisdeSadeMdicosdeAtenoPrimriaPsiquiatria

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EvaluationofadherencetotreatmentbypatientsseeninapsychosocialcarecenterinnortheasternBrazil

Souza,ThasTelesSilva,WellingtonBarrosOnofre,AlexandreSherlleyCasimiroQuintans,JullyanadeSouzaSiqueiraOnofre,FabianaBotelhodeMirandaQuintansJnior,LucindoJos.Braz.j.pharm.sci47(4):787795,Oct.Dec.2011.graf,tab.ArtigoemIngls|LILACSExpress|ID:lil618072

Resumo

Inthetreatmentofmentaldisorders,nonadherencetomedication,themaincauseofpsychiatricmorbidity,isobservedinabout50percentofthecasesandisresponsiblefornumerouslosses.ThisstudyevaluatedadherencetodrugtreatmentbypatientsseeninaPsychosocialCareCenter(CAPS)innortheasternBrazil.AdherencetotreatmentwasevaluatedusingtheHaynesSackettandMoriskyGreenLevinetests.AllpatientsregisteredintheCAPSwereincludedinthestudy(n=101).Only11.88percentofthepatientsadheredtodrugtreatment.Themainreasonsnottousemedicationwere:oblivion(68.83percent),feelingunwellaftertakingthemedication(54.22percent),nothavingmoneytobuythemedication(43.83percent),notfindingthemedicationinthepublichealthservice(39.94percent)andfearofharmthatmightbecausedbythedrug(28.90percent).Furthermore,85.1percentofthepatientsdidnotknowtheirdiseases,88.1percentdidnotknowtheirtreatment,86.4percentdidnotfeelgoodwhentheytooktheirmedication,and88.1percenttooktheirmedicationincorrectly.Theresultsrevealedthatthelackofinformationaboutdiseasesanddrugsused,thenuisanceposedbydrugtherapyandthelowaccesstomedicationsreduceadherencetotreatmentand,consequently,treatmenteffectiveness.(AU)

Notratamentodedesordensmentais,anoadesoaotratamentoocorreemcercade50porcentodoscasoseresponsvelporinmerosprejuzos,almdeseraprincipalcausademorbidadepsiquitrica.OpresenteestudoobjetivouavaliaraadesoaotratamentomedicamentosodepacientesatendidosemumCentrodeAtenoPsicossocial(CAPS)noNordestedoBrasil.AavaliaodaadesoaotratamentofoifeitaatravsdostestesdeHaynesSacketteMoriskyGreenLevine.TodosospacientescadastradosnoCAPSforamincludosnoestudo(n=101).Observousequeapenas11,88porcentodospacientesaderiramaotratamentomedicamentoso.Asprincipaisrazesparaonousodosmedicamentosforam:esquecimento(68,83porcento),sentirsemalapsaingestodemedicamentos(54,22porcento),noterdinheiroparacomprarmedicamentos(43,83porcento),noencontrarosmedicamentosnoserviopblicodesade(39,94porcento)emedodosdanoscausadospelosmedicamentos(28,90porcento).Almdisso,observouseque85,1porcentodospacientesnoconheciamsuasdoenas,88,1porcentonoconheciamseustratamentos,86,4porcentonosesentiambemquandousavammedicamentose88,1porcentousavamosmedicamentosincorretamente.Osresultadosdemonstramqueafaltadeinformaosobredoenasemedicamentos,osdanosdecorrentesdaterapiamedicamentosaeobaixoacessoaosmedicamentoscomprometemaadesoaotratamentoe,consequentemente,aeficciadotratamento.(AU)Bibliotecaresponsvel:BR1.1

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AprxisdaSadeMentalnombitodaEstratgiaSadedaFamlia:contribuiesparaaconstruodeumcuidadointegrado/MentalHealthPraxiswithintheFamilyHealthStrategy:contributionstobuildanintegratedcare

AndreiRodriguesArce,VladimirSousa,MariaFtimadeLima,MariadaGlria.Physis(RioJ.)21(2):541560,2011..ArtigoemPortugus|LILACS|ID:lil596066

Resumo

Esteartigo,originadodeumestudoqualiquantitativo,buscouanalisarasprticasdeSadeMentalnaatuaodasequipesdaEstra

Bireme Access Mentalhealth Brazil

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