Made available in DSpace on 2016-08-10T10:47:00Z (GMT). No. of bitstreams: 1 ANDREA MACHADO REZENDE DE MORAES.pdf: 1004287 bytes, checksum: 77e648ca18952bc790630da7154e4381 (MD5) Previous issue date: 2013-12-04 / The incorporation of the protection of the right to health in constitutional texts is a contemporary expression of the desire of the society to see effected this fundamental right, which is why the Executive should adopt public policies to guarantee it to Brazilian citizens. Children and adolescents are deserving of priority treatment and differentiated, not only because of constitutional protection, but also on the condition of people in development. The establishment and execution of public policy priorities for this group are indispensable for the formation of the personality of these people, and therefore to perform in the future of free and equal citizens. The result of this interaction has led to the study of the possibility of judicial review of public policies related to health of children and adolescents. The focus of this ressearch is to examine the legality of the judicial role in the control of public policies related to health of children and adolescents, given the need to protect the fundamental right to development of the individual and the family as members of society. / A incorporação da proteção do direito à saúde em textos constitucionais é uma forma contemporânea de expressão do desejo de uma sociedade em ver efetivado esse direito fundamental, razão pela qual o Poder Executivo deve adotar políticas públicas a fim de garanti-la aos cidadãos brasileiros. A criança e o adolescente são merecedores de um tratamento prioritário e diferenciado, não apenas em razão da proteção constitucional, mas também diante da condição de pessoas em desenvolvimento. O estabelecimento e efetivação de políticas públicas prioritárias a esse grupo são indispensáveis para a formação da personalidade dessas pessoas e, consequentemente, para a realização, no futuro, de cidadãos livres e iguais. A resultante dessa interação tem levado ao estudo da possibilidade do controle judicial das políticas públicas relacionadas à saúde infantojuvenil. O foco dessa investigação consiste em analisar, diante da necessidade de proteção do direito fundamental ao desenvolvimento do indivíduo e da família como integrantes da sociedade, a legalidade da atuação judicial no controle de políticas públicas relacionadas à saúde infantojuvenil.

Made available in DSpace on 2016-04-29T13:31:00Z (GMT). No. of bitstreams: 1 Flavia Blikstein.pdf: 1941762 bytes, checksum: 9f036f75bb2d7801ee39313339efd3f4 (MD5) Previous issue date: 2012-11-07 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This dissertation s main objective is to contribute to the advancement of the field of mental health for children and adolescents. This study aims to investigate the causes of the continuation of the practice of hospitalization of children and adolescents in psychiatric hospitals in the state of São Paulo despite the advances of Brazilian Psychiatric Reform. CAISM Philippe Pinel was chosen as the main research site, due to its status as a reference institution for the hospitalization of children and adolescents in the state of São Paulo. Through medical records, we investigated the profile of admissions between January 2005 and December 2009. The methodological strategies were developed in order to grasp the nuances of children and adolescents hospitalized during this period, and highlight their paths to institutional admission. Based on the data analyzed, we could make some key inferences about the functioning of the mental health field for children and adolescents. In our study, we observed that children and teenagers are sent to institutions in two ways: either through health services, or by court order. After a comparative analysis between these two forms of routing, we found that the institutionalization via court order, in many cases, occur in circumstances that contradict the norms of Psychiatric Reform and the Statute of Children and Adolescents. We conclude that new practices and policies in the field of mental health must prioritize transversal actions between different sectors of governmental institutions. / A presente dissertação tem como principal objetivo colaborar com o desenvolvimento do campo da saúde mental infantojuvenil. Para tanto, este estudo propõe-se a investigar como e por que, apesar dos avanços da Reforma Psiquiátrica brasileira, se mantém a internação de crianças e adolescentes em hospitais psiquiátricos no Estado de São Paulo. Escolhemos como campo de pesquisa o CAISM Philippe Pinel por ser a instituição de referência para a internação de crianças e adolescentes no Estado de São Paulo. Por meio dos prontuários, investigamos o perfil das internações entre janeiro de 2005 e dezembro de 2009. As estratégias metodológicas foram desenvolvidas a fim de apreender as particularidades das crianças e adolescentes internados neste período e evidenciar suas trajetórias institucionais até a internação. A partir da análise dos dados produzidos, pudemos fazer algumas observações sobre o funcionamento do campo da saúde mental infantojuvenil. Em nosso estudo observamos que as crianças e adolescentes são encaminhados à internação de duas formas distintas: por serviços de saúde ou por ordem judicial. Após uma análise comparativa entre estas duas formas de encaminhamento, pudemos observar que as internações via ordem judicial, em diversos casos, ocorrem em circunstâncias que contradizem as normas da Reforma Psiquiátrica e do Estatuto da Criança e do Adolescente (ECA). Concluímos assim que novas práticas e políticas públicas do campo da saúde mental infantojuvenil devem priorizar ações transversais e intersetoriais do poder público

Background: Over the past decades the public health relevance of mental health conditions in children and adolescents has been of growing concern. However, so far no detailed epidemiological data has been available for a representative national sample in Germany. Objectives: The present paper reports prevalence rates of general and specific mental health problems among children and adolescents in Germany and describes the link between symptoms and impairment as well as the treatment situation. Methods: The mental health module (BELLA study) examines mental health problems in a representative sub-sample of 2,863 families with children aged 7–17 from the National Health Interview and Examination Survey among Children and Adolescents (KiGGS). Mental health problems were determined using the extended version of the strengths and difficulties questionnaire (SDQ). Further standardised screening measures were employed to screen for anxiety disorders (SCARED), conduct disorder (CBCL), attention deficit-/ hyperactivity disorder (FBBHKS, Conners’ Scale) and depressive disorders (CES-DC). Furthermore, substance abuse and suicidal tendencies were assessed. Health-related quality of life (HRQoL) and health care use were determined. Results Overall, 14.5% of the children and adolescents aged 7–17 fulfilled the criteria for at least one specific mental health problem associated with impairment, or had an overall mental health problem indicated by an abnormal SDQ score and present impairment. However, high comorbidity was found in the children concerned. Symptoms of overall mental health problems were present in 8.6% of the children and 6.6% of the adolescents. This number was reduced to prevalence rates of 6.3 and 4.9% when additional impairment was taken as a criterion. Irrespective of the type of disorder, fewer than half of the children affected were reported as receiving treatment. However, for those suffering from mental health problems, large impairments in HRQoL were observed. Conclusions: The observed prevalence of mental health problems as well as their large impact on well-being and functioning calls for early prevention. This is especially important with regard to the large decrease in HRQoL in the children and adolescents affected.