The research aimed to analyze from a gender perspective, the work of Managers, Professionals and Counselors that make up the Social Protection Network for Children and Adolescents in the municipality of Itabaianinha/SE, highlighting experiences and challenges faced in the joint, structuring and preventive care actions, to extend the rights and citizenship of children and adolescents victims of domestic violence. The approach of the phenomenon domestic violence against children and adolescents is anchored in full perspective formed by processes, where reality is seen critically, historical, contradictory and dialectical. We seek to break with the idea of domestic violence can be understood only by the appearance of the facts and naturalized as a "social problem" family nature, domestic, where the State is unable to intervene. The qualitative research was conducted with the consultation of bibliographic and documentary sources, giving priority to oral sources through interviews with 14 research subjects: Representatives of Social Protection Network, one Manager of the Municipal Secretariat of Social Assistance, one Manager of the Municipal Department of Education, (01) Manager of the Municipal Department of Health, onr Tutor Counselor, one Representative of the Municipal Children‟s and Adolescents Rights Council, technical staff of CREAS - Specialized Social Assistance Reference Center, consisting of two Social Workers, one Psychologist and one Coordinator, the technical staff of CRAS – Social Assistance Reference Center one Social Worker, one Psychologist and onr Coordinator). The professionals express the importance of vocational training in gender for the performance in social public policies, but do not mention experiments in this way, aimed at multiplying the area, for the children care and groups in vulnerable situations in order to ensure a more humanized care and effective guidance in search of protection and guarantee of rights. / A pesquisa objetivou analisar sob a perspectiva de gênero, o trabalho de gestoras, profissionais e conselheiras que integram a Rede de Proteção Social a Crianças e Adolescentes no município de Itabaianinha/SE, destacando as experiências e desafios enfrentados na articulação, estruturação e prevenção de ações de atendimento, no sentido de ampliar os direitos e a cidadania de crianças e adolescentes, vitimas de violência doméstica. A abordagem do fenômeno da violência doméstica contra crianças e adolescentes está ancorada na perspectiva de totalidade constituída através de processos, onde a realidade é vista de forma crítica, histórica, contraditória e dialética. Buscamos romper com a ideia de que a violência doméstica pode ser compreendida apenas pela aparência dos fatos e naturalizada como um “problema social” de cunho familiar, doméstico, onde o Estado não tem capacidade de intervir. A pesquisa de natureza qualitativa realizou-se com a consulta a fontes bibliográficas e documentais, priorizando-se as fontes orais por meio de entrevistas com 14 sujeitos da pesquisa: representantes da rede de proteção social, 01 gestor(a) da Secretaria Municipal de Assistência Social, 01 Gestor(a) da Secretaria Municipal de Educação,01 Gestor(a) da Secretaria Municipal de Saúde, 01 conselheiro(a) tutelar, 01 representante do Conselho Municipal dos Direitos da Criança e Adolescente, a equipe técnica do CREAS – Centro de Referência Especializado de Assistência Social, composta por 02 Assistente Social 01 Psicólogo e 01 coordenador, a equipe técnica do CRAS – Centro de Referência da Assistência Social , composta por 01 Assistente Social, 01 psicólogo e 01 coordenador. As profissionais expressam a importância da capacitação profissional em gênero para a atuação nas politicas públicas sociais, entretanto não mencionam experiências neste sentido, voltadas aos multiplicadores da área, para o atendimento às crianças e grupos em situação de vulnerabilidade, a fim de assegurar um atendimento mais humanizado e orientação efetiva na busca de proteção e de garantia de direitos.

Made available in DSpace on 2014-07-29T15:29:07Z (GMT). No. of bitstreams: 1 Dissertacao Paulo Verlaine.pdf: 2471983 bytes, checksum: 2b5b94d2bdbc742306bf943ccad71d80 (MD5) Previous issue date: 2009-02-04 / Few studies have been carried out worldwide about ADHD among indigenous children and no study has been conducted in Brazil so far. This study aims to evaluate the estimated prevalence of ADHD among the indigenous populations of Karajá children and adolescents aged 7 to 14 years old. Three of the largest settlements pertaining to this ethnic group were investigated and a sample of 144 subjects of a total population of 350 individuals was collected. The sample was randomly collected and stratified according to the age bands and gender (male and female) proportionally to the size of each participating settlement. Both the CBCL/6-18 (Child Behavior Checklist for ages 6 18) and the TRF (Teacher s Report Form 6-18) were used as instruments of epidemiological tracking of behavioral and emotional problems. Of these instruments, the data used were those compatible with the DSM-IV and ADHD diagnoses as well as Affective Disorder, Anxiety Disorders, Oppositional Defiant Disorders and Conduct Disorders comorbidities. The results indicate a prevalence of 10.4% (95% CI 6.6 14.2) when the respondents are either the parents or the guardians and 2.8% (95% CI 0.7 4.8) when the respondents are the teachers. Of the 144 interviewed participants, 30 had ADHD and comorbidities were 86.7% (95% CI 74.5 98.8) for conduct disorders, 86.7% (95% CI 74.5 98.8) for oppositional defiant disorders, 83.3% Abstract xxviii (95% CI 70.0 96.7) for anxiety disorders and 60% (95% CI 42.5 77.5) for affective disorders. ADHD is then concluded to exist in a population so culturally diverse from that of the east white and to have a high prevalence rate and the comorbidities routinely found in all populations of children from a number of diverse cultures around the globe. / Poucos estudos foram realizados no mundo sobre o TDAH em crianças indígenas, e nenhum no Brasil, até o momento. O objetivo deste estudo é avaliar a prevalência estimada do TDAH na população de crianças e adolescentes índias Karajá, na faixa etária dos 07 aos 14 anos de idade. Três das maiores aldeias dessa etnia foram investigadas, tendo-se colhido de uma população total de 350 indivíduos na faixa de estudo uma amostra de 144 sujeitos. A amostra foi colhida de forma aleatória, com estratificação conforme as faixas etárias e o sexo (feminino e masculino), proporcionalmente ao tamanho de cada aldeia participante. Foram empregados os instrumentos de rastreamento epidemiológico de problemas comportamentais e emocionais CBCL/6-18 (Inventário de Comportamentos para Crianças e Adolescentes de 6 a 18 anos) e TRF (Inventário de Comportamentos Referidos pelo Professor para Alunos de 6 a 18 anos). Desses instrumentos utilizaram-se os dados compatíveis com os diagnósticos pelo DSM-IV do TDAH, bem como para os Transtornos Afetivos, Transtornos de Ansiedade, Transtorno Opositor Desafiante e o Transtorno de Conduta. Os resultados obtidos indicam uma prevalência de 10,4% (IC 95% 6,6 14,2) quando os respondentes são os pais ou responsáveis e de 2,8% (IC 95% 0,7 4,8) quando os respondentes são os professores. Dos 144 entrevistados, 30 eram portadores do TDAH, e as Resumo xxvi comorbidades foram de 86,7% (IC 95% 74,5 98,8) com transtorno de conduta, 86,7% (IC 95% 74,5 98,8) com transtorno opositor desafiante, 83,3% (IC 95% 70,0 96,7) com transtornos de ansiedade e 60% (IC 95% 42,5 77,5) com transtornos afetivos. Conclui-se que o TDAH existe numa população culturalmente tão diversa da branca ocidental, bem como com uma alta taxa de prevalência, com as comorbidades habitualmente encontradas em todas as outras populações de crianças das mais variadas culturas ao redor do mundo.

Na Constituição Federal de 1988 (CF/88) o direito à educação é declarado como um direito fundamental, de caráter social, configurando-se um direito de todos e dever do Estado. Todavia, há um longo caminho a ser percorrido para que todos, sem distinção, tenham acesso à educação, e que esta seja de qualidade. Recorrer ao Poder Judiciário pode ser uma das possibilidades de efetivá-lo. Esta tese analisa como os desembargadores têm apreciado e julgado as demandas envolvendo os direitos de crianças e adolescentes à educação, no âmbito do Tribunal de Justiça de São Paulo (TJ-SP), instância de recurso do Poder Judiciário, no período após a implantação do Estatuto da Criança e do Adolescente. Objetivou-se identificar em quais litígios consolidou-se uma jurisprudência favorável à exigibilidade judicial, e localizar os possíveis entraves quanto à interpretação do direito à educação, procurando compreender se a intervenção judicial possibilita uma ampliação da efetivação dos direitos educacionais e, consequentemente, o fortalecimento da democracia. Nas referências teóricas buscou-se discutir a efetividade e a interpretação das normas relacionadas ao direito à educação, como um direito social, no contexto do Estado democrático de direito adotado pela CF/88, o processo de expansão do Poder Judiciário para a proteção dos direitos sociais e as características institucionais do Judiciário brasileiro e do TJ-SP. Tendo em vista os objetivos, realizou-se uma pesquisa documental, com a coleta de 483 decisões proferidas pelo TJ-SP, no período de 1991 a 2008. Esses documentos, com base nas principais demandas e questionamentos discutidos nos processos, foram organizados e analisados em amplas categorias: acesso à educação básica; permanência; responsabilidade estatal; poder de regulação estatal; decisões administrativas e políticas; gestão dos recursos públicos e deveres dos pais. A partir da análise geral das decisões, denota-se que os principais obstáculos para a exigibilidade judicial do direito à educação estão relacionados, sobretudo, às questões sobre o orçamento público, aos limites da discricionariedade do administrador e do campo decisório do Judiciário e ao atendimento às demandas difusas e coletivas envolvendo a formulação e a implementação de políticas públicas. Observa-se que há uma tendência majoritária entre os membros do TJ-SP a aceitar com mais facilidade as demandas que requisitavam, individualmente ou para um número definido de interessados, o acesso à educação, consolidando uma jurisprudência favorável ao longo dos anos, principalmente com relação à educação infantil e à educação especial. Todavia, os desembargadores foram mais resistentes em acatar os pedidos relacionados às questões técnicas ou políticas, considerando o argumento da separação dos poderes. Por fim, constata-se que o Judiciário constitui importante instrumento para a consolidação da democracia ao possibilitar reivindicar a efetivação do direito à educação, no entanto torna-se fundamental a mudança de concepção de parcela dos seus membros, no que se refere à interferência desta instituição no controle da ação da administração pública, quando esta deixa de cumprir com os direitos declarados. / In the Federal Constitution of 1988 (CF/88) the right to education is declared as a fundamental right, social character, configuring a everyone right and duty of the State. However, there is a long way to be crawled so that everyone, without distinction, has access to education, and that this is quality. Recourse to the Judiciary can be one of the possibilities to make permanent. This thesis examines how the magistrates have esteemed and judged demands involving the rights of children and adolescents to education, in the context of the São Paulo Justice Court (TJ-SP), the judiciary instance appeal, in the period after the implantation of the Children and Adolescents Statute. The target is identify in which litigations consolidated a favorable jurisprudence to judicial enforceability and find potential barriers as to the interpretation of the right to education, trying to understand if judicial intervention enables extension of effective educational rights and consequently, the strengthening of the democracy. In the theoretical references attempted discuss the effectiveness and interpretation of standards related to the right to education, as a social law, in the Democratic State context adopted by CF/88, the process of Judiciary expansion to the protection of social rights and institutional characteristics of the Brazilian Judiciary, and judicial and the São Paulo Justice Court (TJ-SP). According the objectives, achieved the research with 483 decisions given by the TJ-SP, during the period 1991 to 2008. These documents, on the basis of the main demands and questions discussed in the processes, were organized and analyzed in wide categories: access to basic education; permanence; State responsibility; State regulatory power; policies and administrative decisions; management of public resources and parents obligations. From the general analysis of the decisions, denotes that the main obstacles to judicial enforceability of the right to education are related, primarily, to questions about the public budget, to the administrator discretionary limits and the Judiciary decisive area, and the attendance to the diffuse and collective demands involving the formulation and implementation of public policies. Noted that there is a tendency majority among of the TJ-SP members to accept more easily demands that required, individually or to a defined number of interested parties, the access to education, consolidating a favorable jurisprudence over the years, mainly with respect to early childhood education and special education. However, the magistrates were more resistant to accept requests related to policy or technical issues, whereas the argument of the separation of powers. Finally, the Judiciary constitutes an important instrument for consolidating to democracy, enabled identifiable claim the right to education, however it, becomes crucial to changing the conception of its members, regarding the interference of this institution in control of the action of public administration, when this not comply with the rights declared.

Submitted by Marilene Donadel (marilene.donadel@unioeste.br) on 2018-06-04T20:40:47Z No. of bitstreams: 1 Josefa_Silva_2018.pdf: 1442831 bytes, checksum: c832866013a29658382e21eb921eeae4 (MD5) / Made available in DSpace on 2018-06-04T20:40:48Z (GMT). No. of bitstreams: 1 Josefa_Silva_2018.pdf: 1442831 bytes, checksum: c832866013a29658382e21eb921eeae4 (MD5) Previous issue date: 2018-02-23 / Introduction: This research aims at analyzing children and adolescents’ profiles under hospitalization conditions for the detoxification program offered by the Western Paraná University Hospital (HUOP). Methodology: This is a qualitative and quantitative research, with an exploratory-descriptive character. As a support for the analysis, the study deals not only with a bibliographical discussion about children and adolescents under psychoactive substances addiction, but also with the legal rulings established by the Statute of Child and Adolescent, and by the guidelines of SUS and Ministry of Health. The present study also adopted the documentary analysis to rescue the history of the implantation of the HUOP Detoxification Program and its activities. This research used a 400 physical-file samples with the patient’s information in order to carry out statistical analyses concerning the program users. All the information was collected on the day the patient was hospitalized by HUOP's on-call social worker, and all questions were answered by the own patient and his / her caregiver. The selected files are from 2007 to 2016, which was chosen because the Detoxification Wing began its operation in March 2007. The studied variables were: age, sex, schooling, school dropout, family income, chronological order of consumption of psychoactive substances, first substance, substances most used, how the substance was obtained, occupation, participation of social programs, family composition, birth order, addicted familiar member, housing conditions, origin, as well as involvement in infractions, compliance with socio-educational measures, sexual behavior, patients who have become pregnant. Results: Most of them were male (76.5%), while females were 23.5%. Their mean age ranged from 8 to 17 years old, and the oldest age group ranged from 15 to 17 years old, whose focus was the 15-year old group. And regarding their schooling degree, it was observed that the users were behind in school degree. 89.9% of them did not have finish the elementary education and 9% had just part of secondary education. At their hospitalization day, more than 60% were out of school. The familiar average income of the studied individual ranged from one to two minimum wages. In order to get information about the characteristics of psychoactive substances used, it was observed that many of them were introduced to both licit and illicit substances by influence of friends, siblings, relatives and even parents. The main reason that led them to try psychoactive substances was curiosity. And as the first psychoactive substance most consumed was alcohol, and almost 50% was followed by tobacco, and then marijuana. All those patients, before hospitalization, used more than one substance, but marijuana was the most consumed (59.2%), followed by crack. We also have the use of psychoactive substances, among parents reaching 70.4%. The use of psychoactive substances by patients was associated with involvement with illegal activities in order to get them. This index reached 92%. They were involved in robbery, prostitution and, mostly, they took part of illicit psychoactive substance trafficking. It was recorded that 18.2% of them complied with socio-educational measures, 17.5% were in compliance as a service measure, 11.0% were under assisted freedom, 2.6% were in compliance with freedom deprivation measures. Regarding the family, it is observed that 70.5% are part of a parental/single-parent family nucleus. And the number of siblings is small. There were two or three children. They had a bad or conflicting relationship with their family, but the greatest conflict was with their father. The major modality of hospitalization was involuntary, in which they are brought by the parents or guardian, followed by compulsory. The greatest majority was admitted at the hospital against their own will and were brought by parents or guardian, followed by the compulsory. 63.9% had already took part of some treatment before hospitalization in this Wing. The mother is the main person who most come with their sons and daughters to the hospital. Sexual behavior was more associated with risk, with early onset of sexual activity, whose practice is with different partners, including prostitution. Thus, there were forty girls from 400 sampling charts, and from those ones, twelve had already become pregnant at least once. / Introdução: Esta pesquisa tem como objetivo a análise do perfil das crianças e adolescentes em condição de internação no programa de desintoxicação, oferecido pelo Hospital Universitário do Oeste do Paraná (HUOP). Metodologia: O estudo consiste em uma pesquisa qualitativa e quantitativa, de caráter exploratório-descritivo. Como suporte para a análise, o estudo trata não só da discussão bibliográfica sobre crianças e adolescentes em situação de uso de substâncias psicoativas, como também da normatização jurídica, prevista pelo Estatuto da Criança e Adolescente, e das diretrizes do SUS e do Ministério da Saúde. O presente estudo, também, adotou a análise documental para resgatar a história da implantação do Programa de Desintoxicação do HUOP e suas atividades. Para efetuar análises estatísticas sobre os usuários do programa, a pesquisa utilizou uma amostra de 400 prontuários físicos, contendo informações referentes aos pacientes. Todas as informações contidas nos prontuários físicos são coletadas no dia do internamento do paciente, pela assistente social de plantão do HUOP, e todas as perguntas são respondidas pelo próprio paciente e seu responsável. Os prontuários escolhidos são do período de 2007 a 2016, e esse período foi escolhido pelo fato de a Ala de Desintoxicação ter seu início de funcionamento em março de 2007. As variáveis estudadas foram idade, sexo, escolaridade, evasão escolar, renda familiar, experimentação, ordem cronológica de consumo de substâncias psicoativas, primeira substância, substâncias de maior uso, modo de obtenção da substância, ocupação, participação de programas sociais, composição familiar, ordem de nascimento, membro familiar com dependência, condições das moradias, procedência, bem como envolvimento em atos infracionais, cumprimento em medidas socioeducativas, comportamento sexual, pacientes que já engravidaram. Resultados: A maioria era do sexo masculino, com um percentual de 76,5%, enquanto o sexo feminino era de 23,5%. A média de idade dos pacientes variou entre oito e 17 anos, sendo que a maior faixa etária é dos 15 aos 17 anos, concentrando-se na faixa etária dos 15 anos. Quanto ao grau de escolaridade, observouse que os usuários apresentavam algum grau de atraso escolar, 89,9% dos usuários possuíam o ensino fundamental incompleto e 9% tinham o ensino médio incompleto, e no dia do internamento mais de 60% estavam fora da escola. A renda média dos familiares da população estudada é de um a dois salários mínimos. Quanto às características do uso das substâncias psicoativas, constatou-se que muitos iniciaram o uso destas, tanto lícitas como ilícitas, por influência de amigos, irmãos, parentes e até mesmo dos pais. O maior motivo que levou à experimentação das substâncias psicoativas foi a curiosidade. E, como a primeira substância psicoativa mais consumida foi o álcool, com quase 50% seguido pelo tabaco, evoluído para a segunda, que foi a maconha. Todos, antes do internamento, faziam uso de mais de um tipo de substância, só que a mais consumida era a maconha, com 59,2%, seguida pelo crack. Há também o uso de substâncias psicoativas entre os pais, chegando a 70,4%. O uso dessas substâncias pelos pacientes estava associado ao envolvimento com atividades ilegais para consegui-las, chegando a 92%. Havia o envolvimento em roubo, prostituição e, sobretudo, a adesão ao tráfico de substâncias psicoativas ilícitas. E 18,2% cumpriram medidas socioeducativas, 17,5% estavam em cumprimento de medida de prestação de serviço, 11,0%, em liberdade assistida, 2,6% estavam em cumprimento de medidas com privação da liberdade. Com relação à família, observa-se que 70,5% fazem parte de um núcleo familiar parental/monoparental. E o número de irmãos é pequeno, de dois a três filhos. O relacionamento dos pacientes com a família é uma relação ruim ou conflituosa com algum membro, sendo o pai com quem ocorrem os maiores conflitos. A maior modalidade de internação foi a involuntária, em que são trazidos pelos pais ou responsável, seguida pela compulsória. E 63,9% já tinham recorrido a algum tratamento antes da internação na ala. A mãe é a principal pessoa que mais acompanha os filhos nos internamentos. O comportamento sexual esteve mais associado ao de risco, com início precoce de atividade sexual, cuja prática é com parceiros diferentes, inclusive se prostituindo. E, da amostra dos 400 prontuários, 40 eram meninas, e, destas, 12 já tinham engravidado uma ou mais de uma vez.

Submitted by Neusa Fagundes (neusa.fagundes@unioeste.br) on 2018-09-11T20:13:38Z No. of bitstreams: 2 Veronice_Baldin2018.pdf: 5526763 bytes, checksum: bd464b992b7e7c2bb91206db869824d1 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2018-09-11T20:13:38Z (GMT). No. of bitstreams: 2 Veronice_Baldin2018.pdf: 5526763 bytes, checksum: bd464b992b7e7c2bb91206db869824d1 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-04-19 / This paper presents the results related to the development of the research developed as a criterion for obtaining a Master’s Degree in Education from the Postgraduate Program in Education – PPGE of the State University of the West of Paraná – Cascavel Campus. It was carried out the analysis of the PAD – Decentralized Actions Plan of the SEED – PR, during the period from 2013 to 2015. The PAD constituted a pedagogical intervention program developed by the Superintendency of Education of Paraná and was implemented by the State Secretariat of Education, in articulation with the Regional Core of Education of Cascavel, in order to give attention to the results presented by the Schools of the Basic Education Network in the Evaluations in Large Scale, more specifically, in the results presented by IDEB – Basic Education Development Index and the evaluation of SAEP – Education Evaluation System of Paraná. The main objective of the analysis was to study the development of this Educational Policy, seeking to understand to what extent the actions of the Decentralized Action Plan of the SEED / PR have responded to the large scale evaluation systems and, at the same time, Integral to the Child and Adolescent in Cascavel – PR, in the period of 2013-2015. As a result of the investigations, the PAD presented two years of effective follow-up in the process of its implementation by NRE of Cascavel-PR. Conceived as a mechanism for the improvement of indices in the large-scale evaluations, it partially achieved its objective, since even as an increase of the IDEB in 2015, in the results of the SAEP test, referring to Portuguese and Mathematics literacy, there was no increase in the standard performance note, which was formulated as a goal to be achieved. Regarding its relationship with the Child and Adolescent Protection Policies, the PAD also partially responded to the objective of articulating with the Networks for the Protection of Children and Adolescents, limiting itself to focused policies, since dropout rates increased in the period investigated evidencing a certain fragility in the process of intervention of the “pedagogical practices” developed during the PAD for the permanence of the students in the school. / Esse trabalho apresenta os resultados relacionados ao desenvolvimento da pesquisa desenvolvida como critério para obtenção do título de Mestre em Educação do Programa de Pós-Graduação em Educação – PPGE da Universidade Estadual do Oeste do Paraná – Campus de Cascavel. Nele foi realizada a análise do PAD – Plano de Ações Descentralizadas da SEED – PR, durante o período de 2013 a 2015. O PAD constituiu um programa de intervenção pedagógica desenvolvido pela Superintendência de Educação do Paraná e foi implementado pela Secretaria de Estado da Educação, em articulação com o Núcleo Regional de Educação de Cascavel, a fim de dar atenção aos resultados apresentados pelas Escolas da Rede de Educação Básica nas avaliações em Larga Escala, mais especificamente, nos resultados apresentados pelo IDEB – Índice de Desenvolvimento da Educação Básica e pela avaliação do SAEP – Sistema de Avaliação da Educação do Paraná. O objetivo central da análise foi estudar o desenvolvimento dessa Política Educacional, buscando compreender em que medida as ações do PAD – Plano de Ações Descentralizadas da SEED/PR tem respondido aos sistemas de avaliação em larga escala e, ao mesmo tempo, as políticas de Proteção Integral à Criança e Adolescente em Cascavel – PR, no período de 2013-2015. Como resultado das investigações, o PAD apresentou dois anos de acompanhamento efetivo no processo de sua implementação pelo NRE de Cascavel –PR. Concebido como um mecanismo para a melhoria dos índices nas avaliações em larga escala alcançou parcialmente o seu objetivo, pois mesmo como aumento do IDEB no ano de 2015, nos resultados da prova do SAEP, referentes ao letramento em Língua Portuguesa e Matemática, não houve aumento na nota “padrão de desempenho”, que foi formulada como meta a ser alcançada. Sobre sua relação com as Políticas de Proteção à Criança e ao Adolescente, o PAD também respondeu parcialmente ao objetivo de articulação com as Redes de Proteção Integral à Criança e Adolescente, limitando-se a políticas focalizadas, uma vez que os índices de abandono escolar aumentaram no período investigado evidenciando certa fragilidade no processo de intervenção das “práticas pedagógicas” desenvolvidas durante o PAD para a permanência dos alunos na escola.

Abstract The empirical material for studying children's creative writing was collected in Taivalkoski, Lapland (a basic education course at Päätalo Institute, ten girls), and Oulu, Northern Finland (a creative writing project in a hospital school, two girls and two boys), in spring 2000. I was the instructor at the courses as well as the researcher. The children were 8–13 years in age. The subject of my study consists of the stories written by the children: what sort of stories they write and how creative writing suits hospital and school environments. I also look into bibliotherapy conducted among children and young people. In my study I describe, analyse and interpret by means of qualitative research the courses in creative writing offered by Päätalo Institute and the hospital school. As case studies, these two are stand-alone studies independent of each other. By qualitative approach in this work I mean that I describe how I build my interpretation as a researcher. The stories written by children provide material externalised from the subconscious as stories and writings which it is possible to interpret from a depth-psychological point of view. Sigmund Freud's understanding of dreams as manifestations of subconscious fears and hopes acquires a new form in the horror stories children write. The child works his or her activated energy charge through manipulating the dream-like and violent elements in stories in a controlled manner: by writing. In bibliotherapy, one studies one's own feelings, thoughts and memories and compares them to the experiences of others. This sort of work on feelings, thoughts and memories seemed to take place especially in the writer projects of the hospital school children: they worked on emotional processes while writing. On the basis of my study, creative writing and bibliotherapy offer a child or a young person a means for working out, at both conscious and subconscious levels, matters relating to the present stage of his or her development and current life condition. While writing, the child deals with his or her relations to friends, parents and the self. He or she treats hobbies and other topics of interest but problems as well. Studies already provide information as to the positive effects of bibliotherapy – reading and writing both have therapeutic effects – but more in-depth research is required. My dissertation shows that groups using bibliotherapy can function in the field of paediatric and adolescent psychiatry in homes for children and adolescents. They can also function in the environment of youth clubs and schools with bibliotherapy as a creative literary art activity to deter problems and foster growth and development. The method I developed, the Fantasy Treasure Chest (Fantasian aarrearkku), is one that can be taken in more general use for both instructing creative writing and collecting research material. / Tiivistelmä Lasten luovan kirjoittamisen tutkimuksen empiirinen aineisto kerättiin keväällä 2000 Taivalkoskella (Päätalo-instituutin sanataiteen perusopetuksen jakso, 10 tyttöä) ja Oulussa (sairaalakoulun luovan kirjoittamisen projekti, 2 tyttöä, 2 poikaa). Toimin itse sekä tutkijana että kurssien ohjaajana. Lapset olivat 8–13-vuotiaita. Tutkimuskohteina olivat lasten kirjoittamat tarinat: millaisia tarinoita he kirjoittavat, ja miten luova kirjoittaminen sopii sairaala- ja koulukontekstiin. Tein myös katsauksen lasten ja nuorten parissa toteutettuun kirjallisuusterapiaan. Tutkimuksessani kuvaan, analysoin ja tulkitsen laadullisen tutkimuksen keinoin Päätalo-instituutin ja sairaalakoulun luovan kirjoittamisen kursseja. Nämä ovat tutkimustapauksina itsenäisiä, toisistaan riippumattomia kokonaisuuksia. Laadullinen lähestymistapa työssäni on sitä, että kuvaan, miten tutkijana rakennan tulkintaani. Lasten kirjoittamista tarinoista löytyy tiedostamattoman materiaalia ulkoistuneina tarinoiksi ja kirjoituksiksi, jotka avautuvat syvyyspsykologisesta näkökulmasta tulkittuina. Sigmund Freudin käsitykset unista pelkojen ja toiveiden tiedostamattoman ilmentyminä saavat uudenlaisen muotonsa esimerkiksi lasten kirjoittamissa kauhukertomuksissa. Tarinoiden unenomaisten ja väkivaltaisten elementtien kautta lapsi käsittelee aktivoitunutta energialataustaan hallitussa muodossa: kirjoittamalla. Kirjallisuusterapiassa tutkitaan omia tunteita, ajatuksia ja muistoja, ja näitä verrataan toisten kokemuksiin. Tätä tunteiden, ajatusten ja muistojen käsittelyä näytti tapahtuvan etenkin sairaalakoulun lasten kirjoittajaprojektissa: lapset työstivät kirjoittamisen ohessa psyykkisiä prosessejaan. Tutkimukseni perusteella lasten luova kirjoittaminen ja kirjallisuusterapia tarjoavat lapselle ja nuorelle väylän työstää meneillään olevaan kehitysvaiheeseen ja elämäntilanteeseen liittyviä asioita sekä tietoisella että tiedostamattomalla tasolla. Lapsi käsittelee kirjoittaessaan suhdettaan kavereihin, vanhempiinsa ja itseensä. Hän käsittelee kirjoittamalla harrastuksiaan ja mielenkiinnonkohteitaan mutta myös ongelmiaan. Tutkimukset kertovat kirjallisuusterapian myönteisistä vaikutuksista – lukemisella ja kirjoittamisella on terapeuttinen vaikutus – mutta tarvitaan vielä perusteellisempia tutkimuksia. Väitöskirjani osoittaa, että kirjallisuusterapeuttisia ryhmiä voi toimia lasten- ja nuorisopsykiatriassa ja lasten- ja nuorisokodeissa sekä sanataidetoimintana ennaltaehkäisevänä, kasvua ja kehitystä tukevana ryhmätoimintana kerhoissa ja kouluissa. Kehittelemäni Fantasian aarrearkku -menetelmä on yksi keino käyttöön otettavaksi niin luovan kirjoittamisen ohjaukseen kuin tutkimusmateriaalin keräämiseenkin.

This diploma thesis is based on a study of seven year old children Childhood Obesity Surveillance Initiative (COSI) processed by Institute of Endocrinology sponsored by WHO Europe and MZ ČR and on a study of adolescents Childhood Obesity Prevalence And Treatment (COPAT) organized by Institute of Endocrinology sponsored by Norway grants and MŠMT ČR. These studies were focused on the prevalence of overweight and obesity among children and adolescents and on factors possibly related to origin of overweight and obesity. Obesity is a severe chronical multifactorial disease that significantly affects health conditions and development of children. Obesity, as a risk factor, is involved in origin of cardiometabolic problems (II. type diabetes mellitus, ischemic heart disease, hypertension, dyslipidemia), cancer, musculosceletal problems and reproductive system disorders (infertility, hypogonadism, polycystic ovary syndrome, disorders of sexual development in children). Preventive programs, focused on childhood obesity, are important part of health care. These programs are based on results of factors involved in the origin of obesity. The aim of this thesis is determine and compare the prevalence of overweight and obesity in seven year old children and adolescents by classification of Czech republic, WHO...

Background: Studies situated in an institutional care environment point to the fact that addiction issues in institutional care are a topic that deserves special attention, even with regard to the fact that the children of these institutions are considered vulnerable to risky behavior. The Ústí nad Labem Region has long been in the first places in the prevalence of substance use and is also specific in the occurrence of a number of negative social factors. In the whole region there is 1 addiction treatment outpatient clinic focused on the target group of children and adolescents, which during its operation registered repeated demand for specialized help that originates from children's homes. Aim: The main aim of the study is to identify the opportunity of applying an addiction specialist in the children's home in the Ústí nad Labem region. The partial aims of the study are to map the current state of addiction issues in these children's homes and to describe the possible form of cooperation of these facilities and addiction specialist with regard to the identification of barriers to this cooperation. Methods: The research is based on a qualitative approach. The research sample was obtained by a combination of selective sampling method and self-selection method. All 17 children's homes in the Ústí...

Inledning: Den psykiska ohälsoutvecklingen bland barn och unga är idag ett allvarligt folkhälsoproblem. Evidens påvisar att den existentiella hälsan har betydelse för psykisk hälsa och välbefinnande. Snacka om livet (SOL) är ett projekt som utformats för att främja barn och ungas existentiella hälsa. Ett fortsatt arbete med projektet är beroende av att det skapas förutsättningar för områdets implementering och att politiken och beslutsfattare prioriterar området. Syfte: Att undersöka upplevelsen av den existentiella hälsan inom Skånes kommunala och regionala sektorsövergripande folkhälsoarbete i främjandet av barn och ungas psykiska hälsa. Metod: Studien hade en kvalitativ ansats med tio deltagare med ledande befattning inom kommun och region. Informanterna selekterades utifrån ett strategiskt urval. Intervjuerna genomfördes med semistrukturerad metod och med ett genomgående etiskt beaktande. Empirin analyserades utifrån kvalitativ innehållsanalys. Resultat: I resultatet framkom att området är nytt, viktigt och aktuellt i relation till den psykiska ohälsan bland barn och unga. Begreppet upplevdes i viss mån komplext och tabubelagt men beskrevs även ha stora vinster för individ och samhälle. Den existentiella hälsan uppfattades kunna stärka och rusta barn och unga. En förutsättning för områdets implementering menades bland annat vara att begreppet inkluderas i folkhälsoarbetet. Konklusion: Studien har kunnat bidra med ytterligare evidens och kunskap till detta relativt nya och outforskade område. Den existentiella hälsan är en resurs i såväl det förebyggande som främjande folkhälsoarbetet. Studien har identifierat att health literacy kan vara ett viktigt verktyg för områdets integrering inom folkhälsan. Begreppet behöver tydliggöras, medvetandegöras och få utrymme i det folkhälsovetenskapliga perspektivet. / Introduction: The development of mental illness among children and adolescents is a serious public health problem today. Evidence shows that spiritual health is important for mental health and well-being. Snacka om livet (SOL) is a project designed to promote the existential health of children and adolescents. Continued work on the project depends on creating the conditions for the area’s implementation and on policymakers prioritizing the area. Purpose: To investigate the experience of existential health within Skåne's municipal and regional cross-sectoral public health work in the promotion of children and young people's mental health. Methods: The study had a qualitative approach with ten participants with senior positions within the municipality and region. The informants were selected based on a strategic selection. The interviews were conducted with a semi-structured method and with thorough ethical considerations. The empirics were analyzed based on qualitative content analysis. Results: The results showed that the area is new, important and of current interest in relation to mental illness among children and adolescents. The concept was to some extent perceived as complex and taboo but was also described as having great benefits for individuals and society. Spiritual health was perceived to strengthen and equip children and adolescents. A prerequisite for the area’s implementation was meant, among other things, to include the concept in public health work. Conclusion: The study has been able to contribute additional evidence and knowledge to this relatively new and unexplored area. Spiritual health is a resource in both prevention and promotion of public health work. The study has identified that health literacy can be an important tool for the area's integration into public health. The concept needs to be clarified, made aware and given space in the public health perspective.

Background: In Sweden, health outcomes for children placed in care have been disappointing. ‘Placed in care’ refers to social out of home care (OHC). Hälsofam is a medical home model for healthcare of children in OHC currently delivered in Uppsala. Aim: To explore how social workers perceive and experience the Hälsofam model. Methodology: A qualitative explorative study with ten semi-structured individual telephone interviews. The criteria for inclusion in the study sample were employees within the social service, working in a specialised case unit and having experience of referring children and/or adolescents to Hälsofam. Results: Working with Hälsofam has offered social workers a way into the health care sector, which is something that previously has been limited. The Hälsofam model has offered the social workers an active collaborative working situation, where focus has been given to organised work across the ‘silos’ of care services for these children. However, the findings raised the question of whether or not all children and adolescents have the same possibility to receive care from Hälsofam. Conclusion: The Hälsofam model appears to have had a positive impact on the interrelations between the social service and the health care sector. Social workers perceive it to facilitate necessary support for children and adolescents in OHC. Yet, findings show that personal views of the social worker and the societal situation in which they operate create limitations for providing care for every child and adolescent. / Bakgrund: I Sverige har hälsoutfallen för barn och ungdomar inom socialtjänstens placeringar utanför det egna hemmet varit bristande. Hälsofam är en organisatorisk modell inom hälso- och sjukvård för barn i placeringar utanför det egna hemmet i Uppsala. Syfte: Syftet med denna kvalitativa studie är att undersöka hur anställda inom Socialtjänsten har upplevt och erfarit Hälsofam-modellen. Metod: En kvalitativ explorativ studie med tio semi-strukturerade individuella telefonintervjuer användes. Kriterier för inkludering i studieurvalet var att personen skulle vara anställd inom Socialtjänsten, arbeta med denna typ av fall samt ha erfarenhet av att remittera barn och unga till Hälsofam. Resultat: Arbetet med Hälsofam har erbjudit anställa inom socialtjänsten en väg in till hälso- och sjukvården, vilket tidigare upplevts begränsat. Hälsofam har erbjudit anställda inom socialtjänsten ett aktivt samarbete, där fokus har lagts på organiserat interprofessionellt arbete. Frågan har också rests, huruvida alla barn och ungdomar har samma möjlighet till vård inom Hälsofam. Slutsats: Hälsofam-modellen har haft en positiv inverkan på det inbördes förhållandet mellan Socialtjänst och hälso- och sjukvårdssektorn. Anställda inom socialtjänsten upplever även att arbetet med att stödja de barn och unga som får vård utanför hemmet, har blivit lättare i och med Hälsofam. Resultatet visar dock att det personliga perspektivet hos den anställda samt den samhälleliga situationen där de arbetar, skapar begräsningar för att erbjuda vård till alla barn och unga.