Bakgrund: Graden av självrapporterad stress bland tonåringar i Sverige är hög. 30 % av flickorna i årskurs 4-9 och 23 % av jämnåriga pojkar upplever att de är stressade. I årskurs 2 i gymnasiet anger nästan 40 % av flickorna att de är stressade och 20 % av pojkarna. Den största anledningen är prestationskrav i relation till skolan och hemuppgifter.Syfte: Syftet med studien var att undersöka eventuella skillnader mellan flickor och pojkars upplevda stress i åldrarna 13-19 år i Sverige, Danmark och Norge.Metod: Studien utfördes genom en litteraturstudie där artiklar sökts i databaserna PubMed, PsycINFO, Sociological abstracts, Social Services Abstracts och Medline. För att hitta studier med en hög kvalitet användes en graderingsmall.Resultat: Både flickor och pojkar upplever stress, men flickor till en högre grad. Flickor upplever även en högre grad av prestationskrav och en lägre självkänsla. Slutsats: Det är svårt att dra en slutsats om hur stor betydelse genus har på tonåringars hälsa och ohälsa och hur mycket som kan förklaras av biologiska faktorer. Det är dock mycket som pekar på att flickor och pojkar har olika förväntningar och krav på sig från samhället. Dessa krav kan vara orsaken till att flickor upplever en högre grad av stress än jämnåriga pojkar. / Introduction: Stress and stress related diseases are pressing issues in today’s society. The proportion of stressed teenagers in Sweden are high. 30 % of girls in school year 4-9 and 23 % of boys at the same age indicates stress. 40 % of girls in school year 2 in high school indicates stress and 20 % of the boys at the same age. The reason for it is school related demands and homework.The aim: The aim of this study was to investigate if there is a gender difference in perceived stress in Sweden, Denmark and Norway among teenagers.Method: This study is a literature survey. Databases such as PubMed, PsycINFO, Sociological abstracts, Social Services Abstracts and Medline were used to find studies.To be able to choose studies with a high quality we used a grading template.Result: Both girls and boys indicate a high perceived stress. A higher proportion of girls than boys. Girls also indicated a higher level of demands from achievements and a lower degree of self-esteem.Conclusion: It is difficult to reach a conclusion about what impact the gender has on the teenagers’ health or lack of it, and how much that can be explained by biological factors. However, girls and boys have different expectations and demands of the society, which may create a higher level of stress amongst girls.

In Canada mental health related concerns are estimated to cost the economy $20-$50 billion annually. 500,000 Canadian each week have to take time off of work because of a mental health disability. This study explores the experiences of people living with a mental health disability in the workplace. The goal is to provide an opportunity to highlight many of the obstacles they face every day. This study relies on qualitative methodologies, using semi-structured interviews to get a more detailed understanding of their experiences. This study not only highlights the perceptions, experience and challenges of people living with a mental health disability, it highlights coping strategies and suggestions for building mentally health workplaces. The participant’s personal narratives can help by providing a chance for a community to build and be used to challenge the stigma and discrimination associated with mental health. / October 2016

Made available in DSpace on 2016-04-27T18:47:07Z (GMT). No. of bitstreams: 1 Monica Priscila Ribeiro.pdf: 349438 bytes, checksum: a17979035d105c63cfa49a32e4e7252c (MD5) Previous issue date: 2011-06-16 / In this work, the focus of the inquiry is come back toward (1) the configuration of Ample Geriatric Evaluation and the effect of its use in the scope of the Alive Program more good best age (a set of activities proposals for an operator of plans of health in the São Paulo city) e, also, for (2) the quarrel of the contribution of the nursing in the promotion of health of the aged one. The use of the Ample Geriatric Evalution , disgnostic instrument considered by Warren (1930), has been tied with the adoption of new a paradigm in the attention to the health of the aged one, in function of the instauration of a differentiated look - more full and humanized - to approach the health condition and to guide therapeutical come back toward the improvement of the quality of life of this age segment. A qualitative boarding of the data - gotten through the accomplishment of interviews half-structuralized with participant citizens of the related Program associates to the notations, made for me (observing participant) of the accompaniment of the same ones -, was taken as one of the ways (beyond the quarrel properly theoretician) to make possible the commitment of inquiry with the object of this study. One notices that I gave priority when saying of the aged ones. I clarify, still, that the directed reflection took as reference theoretician-methodological the works of Canguilhem (1966), Beauvoir (1970), Geertz (1989) e Bogdan (1994). In the first chapter, I explore the concepts of health and illness and the way as such reflection (directed in the Medicine) has produced effect in the field of the Gerontology. I looked for to make to be valid the beddings of this field (that if distance of an exclusively biological vision of the aging and the oldness) to problematize the subjective-social condition of the aged ones submitted to the Ample Geriatric Evaluation. In as the chapter, what it is in cause is the joint of the team to multidiscipline required for the accomplishment of ample the geriatric evaluation - with prominence for the contribution of the nursing. What it was intended was, from a critical reading of representative authors of this field, to designate its necessary opening to the beddings that underpin the reflection directed in the gerontological studies. Finally, in the third chapter, I offer an interpretation of the data collected in the field research. The results of this enterprise had indicated that she is necessary to place in relief, in the specific formation required the nurse, a resizing of the health notion that includes the opening of listening for the complex demands restored in the practical one of care with the aged one. This creates the requirement of installation of the paradigm to interdisciplinary in the area of the health, what it implies, of my point of view, to take the aged one as protagonist of changes so that to live the oldness well it is possibility each time next to the reality (in such a way of the social point of view, as subjective). I wait that the debate carried through here contributes the reflection and awareness of the multiprofessional team of health on ample the geriatric evaluation and its function of disgnostic complementation, with emphasis in the education in health / Neste trabalho, o foco da investigação está voltado para (1) a configuração da Avaliação Geriátrica Ampla (AGA) e os efeitos da sua utilização no âmbito do Programa Viva melhor a melhor idade (um conjunto de atividades propostas por uma operadora de planos de saúde na cidade São Paulo) e, também, para (2) a discussão da contribuição da enfermagem na promoção de saúde do idoso. A utilização da AGA, instrumento diagnóstico proposto por Warren (1930), tem sido vinculada à adoção de um novo paradigma na atenção à saúde do idoso, em função da instauração de um olhar diferenciado - mais integral e humanizado para abordar a condição de saúde e orientar terapêuticas voltadas para a melhoria da qualidade de vida desse segmento etário. Uma abordagem qualitativa dos dados - obtidos através da realização de entrevistas semi-estruturadas com sujeitos participantes do referido Programa associadas às anotações, feitas por mim (observadora participante) do acompanhamento dos mesmos -, foi tomada como um dos meios (além da discussão propriamente teórica) para viabilizar o compromisso de investigação com o objeto deste estudo. Note-se que dei prioridade ao dizer dos idosos. Esclareço, ainda, que a reflexão encaminhada tomou como referencial teórico-metodológico os trabalhos de Canguilhem (1966), Beauvoir (1970), Geertz (1989) e Bogdan (1994). No primeiro capítulo, exploro os conceitos de saúde e doença e o modo como tal reflexão (encaminhada na Medicina) tem produzido efeitos no campo da Gerontologia. Procurei fazer valer os fundamentos deste campo (que se distancia de uma visão exclusivamente biológica do envelhecimento e da velhice) para problematizar a condição subjetivo-social dos idosos submetidos à AGA. No segundo capítulo, o que está em causa é a articulação da equipe multidisciplinar requerida para a realização da avaliação geriátrica ampla - com destaque para a contribuição da enfermagem. O que se pretendeu foi, a partir de uma leitura crítica de autores representativos desse campo, assinalar sua necessária abertura aos fundamentos que alicerçam a reflexão encaminhada nos estudos gerontológicos. Finalmente, no terceiro capítulo, ofereço uma interpretação dos dados coletados na pesquisa de campo. Os resultados desse empreendimento indicaram que é preciso colocar em relevo, na formação específica requerida ao enfermeiro, um redimensionamento da noção de saúde que inclua a abertura da escuta para as complexas demandas instauradas na prática de cuidado com o idoso. Isso cria a exigência de assunção do paradigma interdisciplinar na área da saúde, o que implica, do meu ponto de vista, tomar o idoso como protagonista de mudanças para que viver bem a velhice seja possibilidade cada vez mais próxima da realidade (tanto do ponto de vista social, como subjetivo). Espero que o debate aqui realizado contribua a reflexão e conscientização da equipe multiprofissional de saúde sobre a avaliação geriátrica ampla e a sua função de complementação diagnóstica, com ênfase na educação em saúde

The transition to parenthood involves psychological and social adjustments for men and women, with evidence of possible declines in mental health and close relationships. This thesis examined the relationship between parents' mental health (depression, anxiety, PTSD), the parent-infant relationship, couple's relationship and infant development. The five articles in this thesis were part of a prospective multi-method investigation of first-time parents. Parents completed questionnaires in late pregnancy, 3 months and 15 months postpartum (Article 3 & 4), detailed observations of parent-infant interactions 3 months postpartum (CARE-index; Article 4), in-depth interviews (Birmingham Interview of Maternal Mental Health) 5 months postpartum (Article 1 and 2), and infant development (Bayley Scales III) was examined at 17 months postpartum (Article 5). Results showed that a proportion of men and women suffered from poor mental health. Mental health problems were more common in pregnancy than postpartum. Women experienced worse mental health than men, but few other gender or within couple differences were found (Articles 2 & 3). A relatively high rate of poor parent-infant interactions was found (Article 4) and many parents reported feelings of anger towards their infant (Articles 1 & 2). Parents' perceptions of their infant's characteristics were important for the parent-infant relationship (Article 3) and infant's cognitive, language and motor development (Article 5). Additionally, women's postpartum PTSD and prenatal depression were associated with poor infant development (Article 5). Men's mental health was associated with poor interaction with their infants (Article 4), negative perceptions of the father-infant and couple's relationship (Article 3). These findings suggest that both men and women should be included in early mental health and family relationship interventions. However, the small low-risk sample limits generalizability of results. Future research would benefit from exploring the links between parental, infant and family relationship variables further, over time in larger more representative samples.

Il lavoro si propone di rendere conto del ruolo dell’associazionismo di auto-mutuo aiuto (self-help) nel contesto del modello di welfare regionale lombardo, il “quasi mercato”. Questa forma associata vive una nuova stagione di sviluppo e dimostra di essere una delle risposte possibili ai recenti mutamenti dei sistemi di welfare, soprattutto in un contesto socio-demografico caratterizzato dall’invecchiamento della popolazione, dalla riduzione dei componenti delle famiglie e dal prevalere di malattie croniche e di disabilità. L’associazionismo di auto-mutuo aiuto si dimostra una delle risorse emergenti della società civile, capace di trasformare soggetti passivi e marginalizzati in cittadini attivi e responsabili; è più difficile capire quale sia il suo ruolo all’interno della governance locale, in termini di partecipazione. La ricerca presenta un quadro complesso, in cui il self-help riesce a promuovere innovazioni capaci di divenire risorse per il territorio locale, ma anche una certa incapacità di essere valorizzate presso le istituzioni locali, in ragione della fragilità istituzionale di cui soffre ancora questo tipo di associazionismo. / Purpose of the present study is to explain the role played by self-help associations within the Lombardia regional welfare model, the so-called ‘quasi-market’. Such associative forms are undergoing a whole new deal of development and prove to be one of the possible answers to the recent changes typical of the welfare systems, especially in a socio-demographic context characterized by ageing processes, decrease in the number of family members, prevailing of chronic diseases and disabilities. Self-help associations prove to be one of the resources emerging from civil society, able to transform passive subjects into active and responsible citizens. However, it is still difficult to understand what role they play in the local governance, in terms of participation. Major finding of the research is a complex picture, where self-help associations are able, on the one hand, to encourage innovations able in their turn to become resources for the local communities; on the other hand, they still show a certain inability to be fully appreciated by the local institutions because of the institutional fragility that still characterize these specific associations.

Personality disorder has been and continues to be a contested diagnosis. Those who attract this form of diagnosis have been particularly vulnerable to the effects of stigma and have tended to be excluded from service provision. This thesis provides an examination of how recent developments in law, policy and practice have impacted upon the status of personality disorder as a diagnosis of exclusion in Scotland. The theoretical framework that provides this thesis with its structure is derived from the post-empiricist approach proposed by Derek Layder. This approach seeks to contextualise emergent inductive findings within a broader historical and contemporary analysis. In the case of this research the broader context consists of the interplay between mental health law, policy and practice in the field of mental health and the diagnosis of personality disorder more specifically. The empirical enquiry at the core of this thesis is based upon an analysis of the views, beliefs and expectations of front-line staff (psychiatrists and social workers qualified as mental health officers) involved in the process of assessment and service provision. In addition to front-line staff (n = 27) a range of key informants who were in a position to shed light on the strategic imperatives underpinning recent developments in law and policy were also interviewed. This analysis is contextualised within a review of key developments in law and policy that have particular significance for anyone who may attract a diagnosis of personality disorder. Despite the ostensibly inclusive approach towards those who may attract a diagnosis of personality disorder evident within the Mental Health (Care and Treatment) (Scotland) Act 2003, the reality is a highly selective and very limited inclusion of those who attract this form of diagnosis. The effective inclusion of those who may attract a diagnosis of personality disorder has been obstructed by several key impediments: 1: an insufficiently robust policy framework to drive forward the process of inclusion; 2: residual ambivalence towards the legitimacy of the diagnosis of personality disorder itself and the legitimacy of the claims made upon services by those who may attract a diagnosis of personality disorder; 3: insufficient and inadequately focused resources; 4: service structures that have not been redesigned sufficiently to engage successfully with service users who may attract a diagnosis of personality disorder. As a consequence of these impediments to inclusion, the majority of those who may attract a diagnosis of personality disorder in Scotland are likely to continue to face high levels of marginalisation and exclusion.

O estudo investigou a visão de adolescentes e seus cuidadores sobre saúde/doença mental, estereótipos e acessibilidade aos serviços de saúde, bem como as principais redes de apoio e estratégias de cuidado utilizadas pelos adolescentes. Participaram do estudo 30 adolescentes de ambos os sexos da periferia de Porto Alegre com idades entre 14 a 18 anos e 28 cuidadores destes, 10 do sexo masculino com idade entre 27 a 55 anos e 18 do sexo feminino com idade entre 31 a 67 anos. Da amostra total dos adolescentes foram entrevistadas 20 famílias de variada configuração. Como instrumentos foram utilizados: diário de campo, roteiro de entrevista da família e questionários auto-aplicáveis. Os resultados dos questionários foram analisados através do SPSS 13.0, sendo levantadas estatísticas descritivas. Para os diários de campo e roteiro de entrevista utilizou-se a análise de conteúdo. Os resultados destes dois instrumentos mostraram a implicação dos aspectos socioeconômicos e dos acontecimentos estressantes da história de vida familiar na saúde mental dos adolescentes e membros da família. Os resultados dos questionários revelaram que a visão de saúde mental dos adolescentes estava associada à capacidade de pensar de forma crítica e relacionar-se bem com os outros. Da doença mental, os adolescentes apresentaram uma visão integradora entre corpo-mente. Os profissionais de saúde, os pais e amigos constaram como as principais redes de apoio. Foram encontradas mais barreiras ideológicas do que estruturais para o acesso aos serviços de saúde. As estratégias de cuidado variaram entre comportamentos em busca de mudança e fuga do problema. Na visão dos cuidadores, saúde mental esteve associada com o bom funcionamento físico, cognitivo e com a satisfação pessoal, apresentando algumas diferenças entre a visão do cuidador e da cuidadora. Da doença mental, identificou-se uma visão integradora corpo-mente e associação com problemas de concentração. A escola, o profissional de saúde e a mídia foram os principais formadores de opinião sobre a visão de saúde/doença mental. Dos estereótipos, foram identificadas mais barreiras ideológicas do que estruturais. Acerca da busca de ajuda e rede de apoio, a mãe, o pai e profissionais de saúde foram citados. Das estratégias de cuidado incentivadas aos adolescentes, a busca de mudança foi mais freqüente. Intervenções sociais e meios de melhorar a prestação de serviços em saúde mental aos adolescentes são discutidos. / The aim of this study was to investigate adolescents' and their caregivers' perspective about mental health and illness, stereotypes and accessibility to mental health services, as well as the main support networks and strategies used by adolescen ts to look after themselves. 30 female and male adolescents living in the suburb of Porto Alegre aged 14 to 18; and 28 caregivers, 10 male aged 27 to 55 and 18 female aged 31 to 67 participated in the study. 20 out of 30 adolescents' families were intervie wed during home visits. Families showed different configuration. Field diary, family interview, self-applicable questionnaires on mental health and illness were applied. Questionnaires results were analyzed with SPSS 13.0 and descriptive statistics was mad e for all items. Content analysis was adopted to analyze qualitative data in field diary and family interview. Results from those two instruments showed the implication of socioeconomic aspects and stressful occurrences of family history on adolescents and other family members' mental health. Questionnaire results unveil that adolescents' mental health was associated to the ability of thinking critically and getting along well with others. Adolescents presented an integrated view of health and body. Health professionals, parents and friends formed the main support networks for adolescents. Ideological barrier with regard to access to health services were found more than structural. Adolescents presented care strategies that varied from behaviors in search of change and scape from the problem. Caregivers' mental health perspective was associated with good physical and cognitive functioning and personal satisfaction, presenting some difference between male and female caregivers' perspective. About mental illnes s, caregivers presented an integrated view of body and mind and associated with concentration problems. School, health professional and media are the main opinion boosters about mental health and illness. About stereotypes was found more ideological barriers than structural. Mother, father and health professionals were the main help - seeking. Care strategies motivated to adolescents' indicates search of change when feeling mentally sick. Social interventions and ways to improve health services for adolescents were discussed.

The thesis has a theoretical characteristic, it focuses and desribes the current age issue from the demographic, biologic, psychological and social prospective. It addresses the relationship of the society and senior citizens and describes the demonstration of age, the needs of senior citizens, their adaptability to different types of changes and also to health conditions of older people. It also focuses on the end of life, dying and etical principles.

O estudo investigou a visão de adolescentes e seus cuidadores sobre saúde/doença mental, estereótipos e acessibilidade aos serviços de saúde, bem como as principais redes de apoio e estratégias de cuidado utilizadas pelos adolescentes. Participaram do estudo 30 adolescentes de ambos os sexos da periferia de Porto Alegre com idades entre 14 a 18 anos e 28 cuidadores destes, 10 do sexo masculino com idade entre 27 a 55 anos e 18 do sexo feminino com idade entre 31 a 67 anos. Da amostra total dos adolescentes foram entrevistadas 20 famílias de variada configuração. Como instrumentos foram utilizados: diário de campo, roteiro de entrevista da família e questionários auto-aplicáveis. Os resultados dos questionários foram analisados através do SPSS 13.0, sendo levantadas estatísticas descritivas. Para os diários de campo e roteiro de entrevista utilizou-se a análise de conteúdo. Os resultados destes dois instrumentos mostraram a implicação dos aspectos socioeconômicos e dos acontecimentos estressantes da história de vida familiar na saúde mental dos adolescentes e membros da família. Os resultados dos questionários revelaram que a visão de saúde mental dos adolescentes estava associada à capacidade de pensar de forma crítica e relacionar-se bem com os outros. Da doença mental, os adolescentes apresentaram uma visão integradora entre corpo-mente. Os profissionais de saúde, os pais e amigos constaram como as principais redes de apoio. Foram encontradas mais barreiras ideológicas do que estruturais para o acesso aos serviços de saúde. As estratégias de cuidado variaram entre comportamentos em busca de mudança e fuga do problema. Na visão dos cuidadores, saúde mental esteve associada com o bom funcionamento físico, cognitivo e com a satisfação pessoal, apresentando algumas diferenças entre a visão do cuidador e da cuidadora. Da doença mental, identificou-se uma visão integradora corpo-mente e associação com problemas de concentração. A escola, o profissional de saúde e a mídia foram os principais formadores de opinião sobre a visão de saúde/doença mental. Dos estereótipos, foram identificadas mais barreiras ideológicas do que estruturais. Acerca da busca de ajuda e rede de apoio, a mãe, o pai e profissionais de saúde foram citados. Das estratégias de cuidado incentivadas aos adolescentes, a busca de mudança foi mais freqüente. Intervenções sociais e meios de melhorar a prestação de serviços em saúde mental aos adolescentes são discutidos. / The aim of this study was to investigate adolescents' and their caregivers' perspective about mental health and illness, stereotypes and accessibility to mental health services, as well as the main support networks and strategies used by adolescen ts to look after themselves. 30 female and male adolescents living in the suburb of Porto Alegre aged 14 to 18; and 28 caregivers, 10 male aged 27 to 55 and 18 female aged 31 to 67 participated in the study. 20 out of 30 adolescents' families were intervie wed during home visits. Families showed different configuration. Field diary, family interview, self-applicable questionnaires on mental health and illness were applied. Questionnaires results were analyzed with SPSS 13.0 and descriptive statistics was mad e for all items. Content analysis was adopted to analyze qualitative data in field diary and family interview. Results from those two instruments showed the implication of socioeconomic aspects and stressful occurrences of family history on adolescents and other family members' mental health. Questionnaire results unveil that adolescents' mental health was associated to the ability of thinking critically and getting along well with others. Adolescents presented an integrated view of health and body. Health professionals, parents and friends formed the main support networks for adolescents. Ideological barrier with regard to access to health services were found more than structural. Adolescents presented care strategies that varied from behaviors in search of change and scape from the problem. Caregivers' mental health perspective was associated with good physical and cognitive functioning and personal satisfaction, presenting some difference between male and female caregivers' perspective. About mental illnes s, caregivers presented an integrated view of body and mind and associated with concentration problems. School, health professional and media are the main opinion boosters about mental health and illness. About stereotypes was found more ideological barriers than structural. Mother, father and health professionals were the main help - seeking. Care strategies motivated to adolescents' indicates search of change when feeling mentally sick. Social interventions and ways to improve health services for adolescents were discussed.

O estudo investigou a visão de adolescentes e seus cuidadores sobre saúde/doença mental, estereótipos e acessibilidade aos serviços de saúde, bem como as principais redes de apoio e estratégias de cuidado utilizadas pelos adolescentes. Participaram do estudo 30 adolescentes de ambos os sexos da periferia de Porto Alegre com idades entre 14 a 18 anos e 28 cuidadores destes, 10 do sexo masculino com idade entre 27 a 55 anos e 18 do sexo feminino com idade entre 31 a 67 anos. Da amostra total dos adolescentes foram entrevistadas 20 famílias de variada configuração. Como instrumentos foram utilizados: diário de campo, roteiro de entrevista da família e questionários auto-aplicáveis. Os resultados dos questionários foram analisados através do SPSS 13.0, sendo levantadas estatísticas descritivas. Para os diários de campo e roteiro de entrevista utilizou-se a análise de conteúdo. Os resultados destes dois instrumentos mostraram a implicação dos aspectos socioeconômicos e dos acontecimentos estressantes da história de vida familiar na saúde mental dos adolescentes e membros da família. Os resultados dos questionários revelaram que a visão de saúde mental dos adolescentes estava associada à capacidade de pensar de forma crítica e relacionar-se bem com os outros. Da doença mental, os adolescentes apresentaram uma visão integradora entre corpo-mente. Os profissionais de saúde, os pais e amigos constaram como as principais redes de apoio. Foram encontradas mais barreiras ideológicas do que estruturais para o acesso aos serviços de saúde. As estratégias de cuidado variaram entre comportamentos em busca de mudança e fuga do problema. Na visão dos cuidadores, saúde mental esteve associada com o bom funcionamento físico, cognitivo e com a satisfação pessoal, apresentando algumas diferenças entre a visão do cuidador e da cuidadora. Da doença mental, identificou-se uma visão integradora corpo-mente e associação com problemas de concentração. A escola, o profissional de saúde e a mídia foram os principais formadores de opinião sobre a visão de saúde/doença mental. Dos estereótipos, foram identificadas mais barreiras ideológicas do que estruturais. Acerca da busca de ajuda e rede de apoio, a mãe, o pai e profissionais de saúde foram citados. Das estratégias de cuidado incentivadas aos adolescentes, a busca de mudança foi mais freqüente. Intervenções sociais e meios de melhorar a prestação de serviços em saúde mental aos adolescentes são discutidos. / The aim of this study was to investigate adolescents' and their caregivers' perspective about mental health and illness, stereotypes and accessibility to mental health services, as well as the main support networks and strategies used by adolescen ts to look after themselves. 30 female and male adolescents living in the suburb of Porto Alegre aged 14 to 18; and 28 caregivers, 10 male aged 27 to 55 and 18 female aged 31 to 67 participated in the study. 20 out of 30 adolescents' families were intervie wed during home visits. Families showed different configuration. Field diary, family interview, self-applicable questionnaires on mental health and illness were applied. Questionnaires results were analyzed with SPSS 13.0 and descriptive statistics was mad e for all items. Content analysis was adopted to analyze qualitative data in field diary and family interview. Results from those two instruments showed the implication of socioeconomic aspects and stressful occurrences of family history on adolescents and other family members' mental health. Questionnaire results unveil that adolescents' mental health was associated to the ability of thinking critically and getting along well with others. Adolescents presented an integrated view of health and body. Health professionals, parents and friends formed the main support networks for adolescents. Ideological barrier with regard to access to health services were found more than structural. Adolescents presented care strategies that varied from behaviors in search of change and scape from the problem. Caregivers' mental health perspective was associated with good physical and cognitive functioning and personal satisfaction, presenting some difference between male and female caregivers' perspective. About mental illnes s, caregivers presented an integrated view of body and mind and associated with concentration problems. School, health professional and media are the main opinion boosters about mental health and illness. About stereotypes was found more ideological barriers than structural. Mother, father and health professionals were the main help - seeking. Care strategies motivated to adolescents' indicates search of change when feeling mentally sick. Social interventions and ways to improve health services for adolescents were discussed.