Abstract

Abstract The Municipal Health Department of the city of Diadema, São Paulo, Brazil, has the Health Promotion and Violence Prevention Center focused on prevention, reception and protection of the rights of people in situations of violence. Articulation of the epidemiological, health and health surveillance actions of the worker with the psychosocial care network (in the field of mental health). What is the role of the Health Surveillance in the network of attention and protection for people in situations of violence? What is the health status of the places that shelter people in mental distress? How to intervene in situations of psychological violence at work? Violence is an important public health problem, considering the impact it has on the lives of people, families and communities. Violence is a complex, multifactorial phenomenon that can leave deep marks. From the users-guide were produced new arrangements in the production of care involving the surveillance teams, in intra and intersectoral interlocution, analyzing the situations, unfolding in the construction of other work processes and qualified interventions. In Diadema, the three health surveillance departments (Epidemiology, Reference Center in Occupational Health and the Health Surveillance department) developed strategies aimed at the qualification of comprehensive attention to people and integrating the Network of Psychosocial Care (RAPSI). The users in violence were treated with priority by the health services and the intervention was immediate. We observed that health services are more sensitive to dealing with cases of violence. The intervention requires the establishment of a network of attention and care for people in situations of violence. The interventions contributed to the prevention of violence and the promotion of health and the exchange of comprehensive care practices for people living in situations of violence and population segments at risk. Key messages The articulation of a network of protection for people in situations of violence exposes institutional violence and social vulnerabilities in order to intervene in the determinants. The compulsory notification of situations of interpersonal and self-harm inflicted violence is the basis for the action of care, prevention of violence and promotion of health.

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