Abstract
This paper aimed to characterize actions directed to children's mental health (CMH) in Primary Health Care (PHC), based on an integrative review of Brazilian literature (2006-2017). The searches were carried out from LILACS, SciELO and VHL Network databases. After applying the inclusion and exclusion criteria, 13 articles were identified for analysis, which were presented in three thematic axes: 1) Characterization of the demands on CMH for PHC; 2) Actions and interventions on CMH carried out in PHC; and 3) Difficulties and propositions for the implementation of actions on CMH in PHC. The literature points, as the main actions, the identification of CMH problems and their referral to care by specialties. Some studies described specific actions of professionals such as physicians, pediatricians, and psychologists. Interventions of a local character or in partnerships with universities were also identified. The analysis of this material indicated that PHC has been considered as an important field of action in CMH, but that nevertheless requires greater investments, especially in professional training and work organization.
Highlights
Resumo Este estudo objetivou caracterizar as ações voltadas à saúde mental infantil (SMI) no contexto da Atenção Básica (AB), a partir de uma revisão integrativa da literatura brasileira (2006-2017)
After applying the inclusion and exclusion criteria, 13 articles were identified for analysis, which were presented in three thematic axes: 1) Characterization of the demands on CMH for PHC; 2) Actions and interventions on CMH carried out in PHC; and 3) Difficulties and propositions for the implementation of actions on CMH in PHC
Destaca-se a proximidade da equipe de saúde com os espaços de convivência da comunidade enquanto fator positivo na abordagem à população infanto-juvenil[8]
Summary
Dentre os estudos empíricos (n=10), identificaram-se como participantes: crianças (n=6, 60%), pais ou familiares (n=6, 60%) e profissionais de saúde (n=6, 60%). A seguir são apresentados os principais resultados dos estudos analisados, a partir da integração das informações constantes em cada um dos eixos temáticos do protocolo descritivo elaborado para o registro das informações no presente estudo. Dentre os 13 artigos analisados, observou-se predominância do Nível 4 de evidências, pelo maior número de estudos qualitativos identificados na Caracterização das demandas em SMI para a AB. Outros estudos também identificaram demandas em SMI na AB decorrentes de encaminhamentos realizados por escolas ou relacionados às queixas escolares[6,20,21,22,23]. As demandas também são percebidas como associadas a outros contextos, tais como escola, situação familiar ou problemas socioeconômicos[21]
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