Teixeira Melissa Ribeiro, Couto Maria Cristina Ventura, Delgado Pedro Gabriel Godinho
Núcleo de Pesquisa em Políticas Públicas de Saúde Mental , Instituto de Psiquiatria Universidade Federal do Rio de Janeiro. Av. Venceslau Brás 71/fundos, Botafogo. 22290-140 Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2017 Jun;22(6):1933-1942. doi: 10.1590/1413-81232017226.06892016.
Considering the care gap in child and youth psychosocial care, the articulation of the intra-sectoral network is an important strategy to promote less fragmented care flows. The study analyzes facilitators and obstacles to collaborative care between the Family Health Strategy (ESF) and a Child and Youth Psychosocial Care Center (CAPSi) in Rio de Janeiro/RJ. This is an exploratory study with a qualitative approach, which main methodological tools were focus and intervention groups. From the proposed thematic axes, we identified that the perception of child and adolescent mental health problems by ESF workers was named by the behavioral changes located in a context of vulnerability. The main obstacles to implementing actions were lack of knowledge about how to provide care, work process-related issues and network disarticulation. Even if ESF professionals are able to identify mental health problems of children and adolescents, care actions are fragile and network articulation is practically nonexistent. Collaborative care was recognized as a strategy to validate child psychosocial care.
考虑到儿童和青少年心理社会护理方面的照护差距，部门内网络的衔接是促进护理流程少碎片化的一项重要策略。该研究分析了里约热内卢州家庭健康战略（ESF）与儿童和青少年心理社会护理中心（CAPSi）之间协作护理的促进因素和障碍。这是一项采用定性方法的探索性研究，其主要方法工具是焦点小组和干预小组。从所提出的主题轴来看，我们发现家庭健康战略工作人员对儿童和青少年心理健康问题的认知是以处于脆弱背景下行为变化来界定的。实施行动的主要障碍包括缺乏提供护理的知识、与工作流程相关的问题以及网络衔接不畅。即便家庭健康战略专业人员能够识别儿童和青少年的心理健康问题，但护理行动仍很薄弱，且网络衔接实际上并不存在。协作护理被视为验证儿童心理社会护理的一项策略。
