Caracterização da população de um Serviço de Saúde Mental Infantil em Salvador / Characterization of users from a Child Mental Health Service in Salvador

Este estudo se propôs a caracterizar os usuários de um serviço de saúde mental, que oferece um espaço terapêutico à população infantil e suas famílias. Com base em fichas de acompanhamento de 137 crianças que frequentaram o espaço em 2013, foram analisadas as seguintes variáveis: sexo; idade;motivos de procura; configuração familiar e frequência no projeto. Os resultados mostraram que a maioria das crianças é do sexo masculino (55,5%), entre as idades de quatro a dez anos (63,2%) e pertence a famílias nucleares (47,0%). Dentre as famílias quefrequentaram o projeto, 48,2% não expressaram demandas. Em contrapartida, dentre as famílias que trouxeram queixas, a mais frequente –referida por 24,1% das famílias –foi problemas de comportamento. O presente trabalho revela concordâncias com outros estudos de caracterização da população infantojuvenil que frequenta serviços de saúde mental. Ao mesmo tempo, faz novas contribuições ao trazer dados sobre os arranjos familiares dos frequentadores e sobre o padrão de frequência dos mesmos. Finalmente, é necessário repensar as práticas de saúde, tanto no sentido de oferecer espaços de promoção da saúde e o desenvolvimento infantil, quanto na necessidade de que os serviços sejam capazes de atender diversas queixas, cuidando da criança e sua família e possibilitando o diálogo com instituições de educação

This study aimed to characterize the users of a mental health service, which provides a therapeutic space to the child population and their families. Based on 137 attendances sheets of children who attended the space in 2013, the following variables were analyzed: sex; age; reasons demands; family configuration and frequency in the project. The results showed that most children are male (55,5%) among 4 to 10 years old (63,2%) and belongs to nuclear families (47,0%). Among the families who attended the project, 48,2% did not express demands. By contrast, those who had demands attested behavior problems as the most prevalent issue (24,1%). This research reveals agreements with other characterization studies of the child and adolescent population that attend mental health services. At the same time make new contributions to bring data about the living arrangements of the assisted families as well their frequency patterns. Finally we need to rethink about the health practices, both to provide health promotion spaces and child development and the need for services to be able to meet several complaints, taking care of the children and their families and enabling the dialogue with educational institutions.

Changing Scene of Mental Health Care in Shivpuri District of M.P.

Objectives: To ensure availability and accessibility of minimum mental health care for all in the future; to provide sustainable basic mental health services to the community and to integrate these services with other health services; early detection and treatment of patients within the community itself; to see that patient and their relatives do not have to travel long distance to go to hospitals or nursing homes in the cities; to take pressure off the mental hospitals; to change the attitude of people towards mental illnesses by public education. Methodology: Retrospective analysis of OPD records of GMA and District Mental Health Programme (DMHP) to find out the total numbers of patients in the psychiatric OPD of the Mental Hospital, (GMA) Gwalior and DMHP-Shivpuri. Results/ conclusions: The observation showed that with the implementation of DMHP, higher number of psychiatric patients are availing mental health facilities in the community. It was observed that the number of the patients taking institutional care is going down gradually.

Rodas de conversa sobre o trabalho na rua: discutindo saúde mental / Conversation groups on outreach work: discussing mental health

O artigo narra uma experiência de ensino com agentes comunitários de saúde em uma unidade do Programa de Saúde da Família da periferia de São Paulo. Com o objetivo de discutir temas de Saúde Mental relevantes para o trabalho cotidiano desses profissionais, criou-se um espaço de aprendizagem e construção de sentido para esses agentes. Em grupos de encontro quinzenais com uma psiquiatra e cerca de 20 agentes, discutiam-se casos clínicos e situações de vida e trabalho a partir dos quais era possível aprender conceitos básicos de Saúde Mental e pensar o papel e a identidade desses profissionais na comunidade. Ao final de um ano de experiência, avaliou-se que tal atividade é fundamental como apoio para o desenvolvimento do trabalho desses profissionais, e para o aprendizado de como lidar com aspectos subjetivos próprios e dos usuários, especialmente na periferia de grandes centros urbanos.

This article describes a teaching experience with health community agents in a Family Health Program unit. In order to discuss important everyday mental health themes, a space for these agents was created, intended for learning and building up senses. Groups of 20 agents and a psychiatrist met every two weeks, to discuss clinical cases, and life and work situations which helped apprehend basic Mental Health concepts and to reflect on the role and identity of these professionals in the community. After one year, this activity was considered fundamental to support the work developed by the agents and to help them learn how to deal with their and the users' subjective aspects, especially in the periphery of large urban centers.

Comparison of self-reporting questionnaire and bradford somatic inventory as screening instruments for psychiatric morbidity in community settings in pakistan

While there is high prevalence rate of anxiety and depressive illness in community their recognition rate in primary care varies from 17-30 percent. There is, therefore, need to detect these disorders in primary care settings. The study aims at comparing the reliability and validity of two frequently used instruments for their detection namely self-reporting questionnaire [SRQ] and Bradford SOMATIC inventory [BSI]. Two-stage study. Study was carried out in a rural community [Susral], about 75 km south-west of Rawalpindi, and its duration was 4 months. First stage involved administration of SRQ and BSI by trained raters to 664 adults. In the Second stage Psychiatrist blind to the first stage score carried out structured interview on stratified random sample population using Psychiatric Assessment Schedule [PAS] based on lCD-10 [Research diagnostic criteria] to 191 adults. The data was analyzed using SPSS.PV+V, 3-0 and ROCFIT Computer programme for receiver operative characteristics analysis. The validity co-efficients of SRQ and BSI for males and females were calculated. The best threshold for SRQ was 7/8 for women having a sensitivity of 78 percent and specificity of 81 percent. For men the best SRQ threshold was 3/4 having a sensitivity of 78 percent and specificity of 70 percent. The positive predictive values [PPV] were 95 percent and 62 percent respectively. In case of BSI the best threshold for women was 20/22 with sensitivity of 82 percent and specificity of 71 percent. For men the best threshold was 11/14 having a sensitivity of 59 percent and specificity of 62 percent. The PPVs were 95 percent and 44 percent respectively. It is safe to conclude that both SRQ-20 and BSI-44 are useful as screening instruments for probable psychiatric morbidity with SRQ - 20 emerging as a more versatile screening instrument