Programa de Pós-Graduação em Distúrbios do Desenvolvimento, Universidade Presbiteriana Mackenzie, Brazil.
Braz J Psychiatry. 2012 Oct;34(3):334-51. doi: 10.1016/j.rbp.2012.04.001.
Child/adolescent mental health (CAMH) problems are associated with high burden and high costs across the patient's lifetime. Addressing mental health needs early on can be cost effective and improve the future quality of life.
OBJECTIVE/METHODS: Analyzing most relevant papers databases and policies, this paper discusses how to best address current gaps in CAMH services and presents strategies for improving access to quality care using existing resources.
The data suggest a notable scarcity of health services and providers to treat CAMH problems. Specialized services such as CAPSi (from Portuguese: Psychosocial Community Care Center for Children and Adolescents) are designed to assist severe cases; however, such services are insufficient in number and are unequally distributed. The majority of the population already has good access to primary care and further planning would allow them to become better equipped to address CAMH problems. Psychiatrists are scarce in the public health system, while psychologists and pediatricians are more available; but, additional specialized training in CAMH is recommended to optimize capabilities. Financial and career development incentives could be important drivers to motivate employment-seeking in the public health system.
Although a long-term, comprehensive strategy addressing barriers to quality CAMH care is still necessary, implementation of these strategies could make.
儿童/青少年心理健康问题在患者的一生中都伴随着高负担和高成本。早期解决心理健康需求可以具有成本效益，并提高未来的生活质量。
目的/方法：本文通过分析最相关的论文数据库和政策，讨论了如何最好地解决当前儿童/青少年心理健康服务方面的差距，并提出了利用现有资源改善获得优质护理的途径的策略。
数据表明，治疗儿童/青少年心理健康问题的卫生服务和提供者明显短缺。专门服务，如 CAPSi（葡萄牙语：儿童和青少年心理社会社区关怀中心）旨在帮助严重病例；但是，这类服务的数量不足且分布不均。大多数人已经很好地获得了初级保健服务，如果进一步规划，他们将能够更好地解决儿童/青少年心理健康问题。精神科医生在公共卫生系统中稀缺，而心理学家和儿科医生则更充足；但是，建议在儿童/青少年心理健康方面进行更多的专门培训，以优化能力。财务和职业发展激励措施可能是激励在公共卫生系统中就业的重要因素。
尽管仍需要长期、全面的战略来解决优质儿童/青少年心理健康护理的障碍，但实施这些战略可能会有所帮助。
