Plano EVA-TO: plano de enfrentamento à violência autoprovocada do Estado do Tocantins com ênfase na atenção integral à saúde / EVA-TO Plan: plan to face self-inflicted violence in the State of Tocantins with an emphasis on comprehensive health care

O Plano de Enfrentamento à Violência Autoprovocada do Estado do Tocantins com Ênfase na Atenção Integral à Saúde foi desenvolvido para fortalecer a rede de atenção psicossocial, em colaboração com o Sistema Único de Saúde (SUS) e o Sistema Único de Assistência Social (SUAS). Elaborado pelo Grupo de Trabalho "Flor de Pequi", o plano tem como objetivo qualificar a Rede de Atenção à Saúde, orientando gestores e profissionais de saúde na prevenção da violência autoprovocada, automutilação e suicídio, além de promover o acolhimento e compartilhamento do cuidado na rede de atenção à saúde. O documento foi elaborado em resposta a demandas relacionadas aos dados de violência autoprovocada, solicitações do Conselho Estadual de Defesa de Direitos da Criança e do Adolescente e do Conselho Regional de Psicologia. A metodologia, discussão, metas, ações e monitoramento também são abordados no plano.

The Plan for Confronting Self-Inflicted Violence in the State of Tocantins with an Emphasis on Comprehensive Health Care was developed to strengthen the psychosocial care network in collaboration with the Unified Health System (SUS) and the Unified Social Assistance System (SUAS). Elaborated by the "Flor de Pequi" Working Group, the plan aims to enhance the Health Care Network by providing guidance to managers and health professionals in the prevention of self-inflicted violence, self-harm, and suicide, while promoting care and support within the health care system. The document was created in response to demands related to self-inflicted violence data, requests from the State Council for the Defense of the Rights of Children and Adolescents, and the Regional Psychology Council. The plan also addresses methodology, discussion, goals, actions, and monitoring.

El Plan de Enfrentamiento a la Violencia Autoinfligida en el Estado de Tocantins con Énfasis en la Atención Integral de Salud fue desarrollado para fortalecer la red de atención psicosocial en colaboración con el Sistema Único de Salud (SUS) y el Sistema Único de Asistencia Social (SUAS). Elaborado por el Grupo de Trabajo "Flor de Pequi", el plan tiene como objetivo calificar la Red de Atención a la Salud, brindando orientación a los gestores y profesionales de la salud en la prevención de la violencia autoinfligida, la automutilación y el suicidio, además de promover el cuidado y apoyo dentro de la red de atención sanitaria. El documento fue elaborado en respuesta a demandas relacionadas con datos de violencia autoinfligida, solicitudes del Consejo Estatal para la Defensa de los Derechos de la Niñez y la Adolescencia y del Consejo Regional de Psicología. El plan también aborda la metodología, la discusión, las metas, las acciones y el monitoreo

Ateneo General de la Residencia de Psicopedagogía: En busca de una oportunidad: Intervenciones psicopedagógicas en la clínica con adolescentes / General Athenaeum of the Psychopedagogical Residence: In search of an opportunity: Psychopedagogical interventions in the clinic with teenagers

Ateneo centrado en la intervención, la intervención psicopedagógica, y la intervención temprana y oportuna en la adolescencia. Se determinan qué imaginarios acompañan el concepto de adolescencia situando el discurso médico, normativo y social. Finalmente, se profundiza acerca de los espacios que desde el Sistema de Salud, y más específicamente desde el equipo de psicopedagogía del Hospital Vélez Sarsfield, se ofrecen a la población adolescente. Se incluyen fragmentos de entrevistas y reflexiones aportados desde la propia experiencia profesional.

¿Hay alguien ahí?: Experiencias en la clínica psicopedagógica grupal con púberes en tiempos de pandemia / Anyone there?: Experiences in the psychopedagogical clinic group with pubescents in times of pandemic

Escrito del Equipo de Psicopedagogía del Centro de Salud Nº 10, perteneciente al Área Programática del Hospital Dr. José María Penna, de la Ciudad de Buenos Aires. Debido a la pandemia la atención clínica presencial debió ser suspendida, y se continuó con la asistencia a los pacientes de manera virtual. Con algunxs se realizaron seguimientos telefónicos con lxs referentes familiares y en algunos casos con lxs niñxs así como también se mantuvieron comunicaciones con las escuelas, derivaciones e interconsultas; con otrxs se logró cierta continuidad en el tratamiento por lo general a través de videollamadas de whastapp. Este es el caso del grupo de tratamiento de púberes del que se propone compartir y reflexionar. En la sede de este equipo, el abordaje clínico grupal data ya de varios años pero particularmente el grupo de púberes surgió en el año 2018. Por tanto, en un primer momento, se propone historizar y contextualizar al grupo de tratamiento psicopedagógico así como también compartir la concepción de la clínica grupal. Además, se comparten la conceptualización de la pubertad que sostiene el equipo y los procesos psíquicos esperables que se dan en este tiempo articulado con el contexto actual. (AU)

Dá el primer paso y los caminos aparecerán: Percepciones de los/as adolescentes sobre el taller de Orientación Vocacional Ocupacional / Take the first step and the paths will appear: Perceptions of adolescents about the vocational orientation workshop

El Equipo de Psicopedagogía del Área Programática del Hospital Vélez Sarsfield, implementa desde el año 1998 procesos de Orientación Vocacional Ocupacional (OVO) en el marco de la Atención Primaria de la Salud (APS), la cual tiene como objetivo generar la participación, autogestión y responsabilidad en el cuidado de la salud de la población en general. El proceso de OVO busca que los/as estudiantes sean protagonistas de su elección, pudiendo llegar a tomar decisiones autónomas y significativas respecto a su futuro y, de esta manera, optimizar así su calidad de vida. Particularmente en este contexto de pandemia por Covid19, se decidió re-pensar de qué modo continuar con la oferta de esta actividad a pesar del impedimento de llevarlos a cabo de forma presencial; se consideró necesario mantener estos espacios donde se pudiera acompañar a los/as adolescentes ante la incertidumbre de la elección de una carrera o trabajo. Por tal motivo, se pensó en la idea de diseñar y llevar a cabo un Taller de OVO de forma virtual y acotado en cantidad de encuentros. La presente investigación tiene como objetivo analizar las percepciones de los/as adolescentes que iniciaron y culminaron el Taller de Orientación Vocacional Ocupacional, realizado de manera virtual en el periodo de octubre a diciembre de 2020, en relación al dispositivo de Orientación Vocacional Ocupacional. (AU)

A Clinical Care Algorithmic Toolkit for Promoting Screening and Next-Level Assessment of Pediatric Depression and Anxiety in Primary Care.

With a documented shortage in youth mental health services, pediatric primary care (PPC) providers face increased pressure to enhance their capacity to identify and manage common mental health problems among youth, such as anxiety and depression. Because 90% of U.S. youth regularly see a PPC provider, the primary care setting is well positioned to serve as a key access point for early identification, service provision, and connection to mental health services. In the context of task shifting, we evaluated a quality improvement project designed to assist PPC providers in overcoming barriers to practice-wide mental health screening through implementing paper and computer-assisted clinical care algorithms. PPC providers were fairly successful at changing practice to better address mental health concerns when equipped with screening tools that included family mental health histories, next-level actions, and referral options. Task shifting is a promising strategy to enhance mental health services, particularly when guided by computer-assisted algorithms.

Ateneo General de la Residencia de Psicopedagogía: ¿Quién ser y qué hacer en el Siglo XXI? Adolescentes en el espacio de Orientación Vocacional Ocupacional / General athenaeum of the Psychopedagogy Residence: Who to be and what to do in the 21st century? Adolescents in the occupational vocational guidance space

Ateneo del equipo de residentes de Psicopedagogía del Hospital D. Vélez Sarsfield de la Ciudad de Buenos Aires. Ante la disminución en las demandas de adolescentes por un proceso de Orientación Vocacional Ocupacional, surgieron interrogantes como eje de este trabajo: ¿Por qué son cada vez menos los adolescentes que se acercan al Área Programática del hospital en busca de un proceso de Orientación Vocacional Ocupacional? ¿Cuánta influencia tiene el contexto, los pares y la familia a la hora de elegir una vocación / ocupación? ¿Cuál es el rol de la escuela? ¿Guarda todo esto alguna relación con los tiempos actuales? ¿De qué manera? Incluye bibliografía y los anexos: Compendio de técnicas para Orientación Vocacional, y Encuestas realizadas a jóvenes que se encuentran finalizado o ya han finalizado la escuela secundaria.

The future of screening, brief intervention and referral to treatment in adolescent primary care: research directions and dissemination challenges.

PURPOSE OF REVIEW: Screening, brief intervention and referral to treatment (SBIRT) offers a practical, integrated model for addressing substance use in primary care settings. This review provides an update of the research on SBIRT for adolescents in primary care, examines current dissemination challenges and suggests future research directions. RECENT FINDINGS: A number of brief screening tools for adolescents have been developed and tested relative to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) substance use disorders. Computerized previsit screening promotes standardization and is a more time-efficient alternative to provider interview. The adolescent brief intervention literature is growing, particularly with respect to technology-based tools, but is still limited, with evidence greatest for alcohol, and for motivational enhancement therapy interventions. Increasing SBIRT implementation in pediatric primary care remains a challenge. Using nonphysician behavioral health providers to deliver SBIRT, and embedding a screener and decision support tool in electronic medical record systems are strategies being investigated to promote SBIRT implementation. SUMMARY: Substance use begins in adolescence, and pediatric SBIRT could help to achieve a population-level reduction of substance use-related harms. With a growing number of available tools, adolescent SBIRT effectiveness and feasibility are increasing, but more studies are needed to grow its evidence base, and elucidate strategies to increase implementation.

Assessment and management of obesity in childhood and adolescence.

The increased prevalence of obesity in childhood and adolescence highlights the need for effective treatment approaches. Initial assessments of these patients should include taking a careful history (investigating comorbidities, family history and potentially modifiable behaviors) and physical examination with BMI plotted on a BMI-for-age chart. The degree of investigation is dependent on the patient's age and severity of obesity, the findings on history and physical examination, and associated familial risk factors. There are several broad principles of conventional management: management of comorbidities; family involvement; taking a developmentally appropriate approach; the use of a range of behavior change techniques; long-term dietary change; increased physical activity; and decreased sedentary behaviors. Orlistat can be useful as an adjunct to lifestyle changes in severely obese adolescents and metformin can be used in older children and adolescents with clinical insulin resistance. Bariatric surgery should be considered in those who are severely obese, with recognition of the need for management in centers with multidisciplinary weight management teams and for surgery to be performed in tertiary institutions experienced in bariatric surgery. Finally, given the high prevalence and chronic nature of obesity, coordinated models of care for health-service delivery for the management of pediatric obesity are needed.

[Scientific-and-methodic bases of adolescents' health protection and promotion in Russia].

The problems that have a considerable impact on health in population groups of all ages but on that of adolescents in particular, have been formed during the complex and unstable situation in Russia and with high morbidity rates among the children, adolescents, and young people. Power bodies, concerned ministries, agencies, and nongovernmental organizations show no consistency of actions in elaborating and implementing programs and measures to prevent and correct adolescents' health and developmental disorders. The foregoing suggests that the "dolescents' Health and Development in Russia" strategy that considers Russian and international experience with the rising generation's health care is urgent. The paper presents basic principles, study areas, and indicators of the expected efficiency of the complex activities of ministries, agencies, governmental and public organizations, medical and pedagogical communities for ensuring normal development and health promotion for the adolescents.

Been there, done that, wrote the blog: the choices and challenges of supporting adolescents and young adults with cancer.

The purpose of this article is to review the current literature on the provision of support groups for adolescent and young adult (AYA) patients with cancer with a focus on the challenges that are faced by these initiatives. The value of group support to patients with cancer and particularly to this age group has been well documented. However, with the advent and increase in popularity of online support options, it is an opportune time to examine the options available to the AYA group and highlight areas that would benefit from further investigation. This article will review the literature on the need to provide support groups to this age group, the available options, and the challenges they face.

Factores que dificultan la permanencia en tratamientos de los drogadependientes / Factors inhibiting stay in treatment of drug addicts

El presente trabajo intenta dar cuanta de aquellos factores que ejercen mayor influencia sobre el sujeto adolescente adicto, predisponiéndolo a rechazar los recursos terapéutico que aportan a la recuperación de la autonomía psíquica. Muchos factores resultan sospechosos de ejercer dicha influencia. Algundos dependen de la sociedad, otros del propio sujeto y otros de las actitudes de los progenitores del paciente. Estos últimos, según los resultados del estudio, ejercen la mayor influencia secundados por condición socio-económica. Se compara aquí la persistencia de 72 adolescentes sometidos a idénticas condiciones de tratamiento. Se evidencia que abandonan el tratamiento en mayor medida aquellos que fueron desatendidos por sus adultos en lo que hace a fomentar un proyecto de vida. Asimismo incurren en aboanono muchos de los que padecen necesidades básicas insatisfechas. Se infiere a partir de los resultados: que promover un sentido de vida para el adolescente es fundamental a la recuperación; que no todos los adultos a cargo estarían dispuesto a encarar la tarea y por último que en sectores marginados los adultos cuentan con menor recursos (materiales y psico-afectivos) para la misma.

[Congenital heart disease. Transition from adolescence to adulthood]. / Angeborene Herzfehler im Erwachsenenalter. Patientenbetreuung nach dem Ubergang vom Jugend- zum Erwachsenenalter.

There is a increasing clinical and scientific interest in adults with congenital heart disease. Germany is among, if not the first country worldwide, with a structured care of adults with congenital heart disease. Due to the advances in cardiology and in heart surgery, the primarily high mortality rate of relevant congenital heart disease has declined from 80% to less than 20% during the recent decades. Currently, in Europe the estimated number of adults with congenital heart disease is between 1.2 and 2.7 Mio., and the number in Germany exceeds 180,000. Almost all congenital heart defects, either native or interventionally or surgically treated, need regular control, since even after successful primary treatment significant residua or sequels have to be expected. Optimal care of these patients begins in the childhood and must be continued down to the high adulthood. The complexity of congenital heart defects makes a multidisciplinary approach necessary. A specialized, interdisciplinary cooperation between cardiologists, pediatric cardiologists, cardiac surgeons and other specialists is mandatory.

[Cystic fibrosis care in transition from adolescence to adult age]. / Betreuung von Mukoviszidosepatienten beim Ubergang vom Jugendalter zum Erwachsenen.

During the last 30 years, life expectancy in patients with cystic fibrosis has significantly improved. In Germany, almost half of the 8500 patients are 18 years or older. Older patients have increased rates of cystic fibrosis typical complications, In addition the characteristic complications of adulthood, including arterial hypertension, hyperlipidemia, and cardiovascular diseases, occur. Also crisis of marriage or loss of work place, as well as family planning measures including in-vitro-fertilization are problems merely of the adult cystic fibrosis patient. Therefore adult patients should be treated in a centre specialized on adults. At the moment, in Germany only one third of all adult patients are followed up in an adult center, many patients are treated in age-independent centers, and also a significant number is treated in small clinics. In this article models for transition currently established in Germany are described and occurring problems with their implementation are discussed.

[Current health status of children and adolescents and the role of socio-medical factors in its formation].

This paper summarizes results of research carried out at the Institute of Hygiene and Health Protection of Children and Adolescents during the last 15 years. Specifically, it presents data of longitudinal studies involving 1-5-form schoolchildren residing in Moscow. Dynamic studies of morbidity and physical development in 1-2-grade schoolchildren suggest stressful effect of adaptation to increasing teaching loads. In-depth studies of senior schoolchildren conducted in 1989-2005 revealed long-standing unfavourable trends in their health status including marked deterioration of functional activities and physical development, increased prevalence of chronic diseases, and changes in the overall morbidity structure. Main schooling-dependent risk factors are identified, such as excess academic loads and authoritarian teaching style (responsible for psychoemotional stress), hypokinesia, and malnutrition during school hours. Incidence of certain diseases and functional disorders among adolescents is shown to correlate with the use of alcohol and tobacco.

Aids e juventude: gênero, classe e raça / Aids and youth: gender, class and race

Dois problemas pouco visíveis na área da saúde são destacados neste livro: a violência resultante das desigualdades de gênero e raça/etnia e a feminização da Aids. Esta última está diretamente relacionada à primeira, pois é consequência não só do aumento da vulnerabilidade às DST/Aids provocada pela dificuldade das mulheres, em especial as jovens e negras, de negociar com seus parceiros práticas sexuais seguras, mas também das violências sexual e institucional. A feminização da Aids tem se intensificado nos últimos anos, reduzindo a razão entre homens e mulheres infectados de 26 para um, em 1986, para 1,4 para um, em 2005. Convidamos, então, o leitor a refletir sobre os dados deste estudo e contribuir para uma ação efetiva de enfrentamento à violência baseada no gênero e na raça que reduza as desigualdades e aperfeiçoe a qualidade da atenção a esse estrato populacional nos serviços de saúde.

Proyecto prevención embarazo adolescente / sss

Son aún escasos los estudios que se elaboraron acerca de la prevención del embarazo adolescente, es por esto que se escogió este tema como eje central de nuestro trabajo para así poder dar una respuesta a la sociedad sobre este problema. Además es importante señalar que el embarazo en la adolescencia va a marcar una etapa muy importante en la vida futura de la persona porque se une la adolescencia con la vida adulta, con todas las características biológicas, psicológicas y sociales que este transito implica. Es así que se tomó del Macro Distrito 4 de la Ciudad de La Paz, para realizar nuestra investigación, en este se determinó que los adolescentes no recibieron una adecuada información sobre sexualidad, por que no existe una comunicación con la sociedad adultocéntrica, teniendo como resultado un embarazo temprano de los adolescentes que les lleva a dejar de lado la educación y estan más propensos a entrar al círculo de la pobreza...

Grupos educativos para adolescentes: experiências do grupo especializado em adolescência do Hospital do Servidor Público Estadual de São Paulo / Adolescents educative groups: experiences of adolescence specialized group from Servidor Público Estadual Hospital from São Paulo

A adolescência é uma fase da vida de profundas transformações físicas, psíquicas e sociais, quando se desenvolvem novs percepções da realidade. Os adolescentes experimentam diversas formas de como lidar e de conceber essa nova realidade, concretamente ou não. Quando se compara, por exemplo, os dados sobre conhecimento acerca de métodos de anticoncepção e o desejo de não engravidar, os dados mostram que, apesar do conhecimento, o uso de algum método anciconcepcional é baixo. Este fato demonstra que as aquisições de informações e de conhecimentos não são sinônimos de comportamentos adequados. Atitude pode ser definida como a disposição de agir de forma favorável ou desfavorável em relação à determinado objeto. A atitude é resultante do componente cognitivo (compreensão dos fenômenos) e meramente à informação. Na maior parte do tempo existe um comportamento adequado como resultado da harmonia entre essas duas partes, a racional e a emocional. Essas faculdades são semidependentes...