Family Support Programs Research Articles

Juntos: A Support Program for Families Impacted by Congenital Zika Syndrome in Brazil.

The 2015-2016 Zika virus outbreak in Brazil was unprecedented and resulted in the birth of more than 3,000 children with congenital Zika syndrome (CZS). These children experience multiple complex health conditions and have limited services to support them and their family's needs. An existing family support program for children with cerebral palsy (Getting to Know Cerebral Palsy) was adapted to the Zika context in Brazil through expert consultation. The program was pilot tested at 2 sites among 6 groups of caregivers (total of 48 families) from August 2017 to June 2018. Group observation and focus group discussions with facilitators and participants at the end of each session informed fast-track learning, which was used to tailor the program for future groups. Fast-track learning-adjusting the intervention in real time based on gathered feedback-was found to be a helpful process to inform and hone the program from its initial concept. The intervention, Juntos, is a facilitated participatory group program for caregivers of children who have CZS. The group sessions are cofacilitated by a parent of a child who has CZS and an allied health professional. The group meets for 10 sessions that last 4 hours. Each session includes an icebreaker, activities, and group discussions. Content covers practical information on caring for a child with a developmental disability including that caused by Zika. Psychosocial support forms an important component, and families are guided from the first week to define and develop their own communities of support. Six pilot groups were successfully run in Rio de Janeiro and Greater Salvador, Bahia. The groups gave positive feedback on acceptability and demand. The program has the potential to be an important tool for community health and social support services in South America in response to Zika. The program can also be applied to children with neurodevelopmental disabilities other than those caused by the Zika virus, which could be important in ensuring families of children with CZS are less isolated.

PROPERTY RELATIONS IN KYRGYZ FAMILY: LEGAL ASPECTS

The article provides legal analysis of features of family property relations in the custom law of the Kyrgyz people and the legislation of the Kyrgyz Republic. Using analysis, synthesis, legal and historical law methods, the Matrimony and Family Code of the Kyrgyz SSR of 1969, the Family Code of the Kyrgyz Republic of 2003, the Code of Laws on Civil Status Acts, Matrimony, Family and Fiduciary Law of the RSFSR of 1918, The Code of Laws on Marriage, Family and Fiduciary of the RSFSR of 1926, The Ordinance of the President of the Kyrgyz Republic dated January 26, 2012 No. 17 “On declaring 2012 the Year of Family, Peace, Concordance and Mutual Forgiveness” and Family Support and Child Protection Program for 2018 - 2028 of Government of the Kyrgyz Republic were studied. The article analyzes relevant theoretical and practical issues related to common property of spouses, separate property of spouses, relations between parents and children for joint ownership and use of each other's property, alimony responsibility of family members and property relations of factual spouses. According to the author, legal norms regulating property relations in family are important when courts consider cases in sphere of protection of property rights of family members. In particular, the authors came to the conclusion in the Kyrgyz Republic the legal regulation of property relations in family is basis for resolving contentious issues in the family law.

Investigating Risk of Self-Harm by Young Aboriginal People with A History of Child Protection System Contact: Identifying Opportunities for Prevention

IntroductionThe Northern Territory (NT) population experiences amongst the highest rates of both child maltreatment and self-harm of any jurisdiction in Australia, especially amongst young Aboriginal people. This is a concern given the evidence linking child maltreatment to self-harm and suicide. However, few longitudinal studies have examined these associations by patterns of child protection system contacts that may represent opportunities for intervention, and none have identified the distinct pathways for Aboriginal children. Objectives and ApproachThis retrospective cohort study investigated the excess risk of self-harm hospital admissions (12-18 years) associated with different levels and timing of child protection contacts (aged <12 years) amongst Aboriginal children. The study used linked, de-identified, individual-level records from multiple agencies for 6,476 Aboriginal children born in the NT between 1999 and 2003. ResultsOver 70% (n=36/50) of the cohort who experienced self-harm had a history of child protection contact. The overall probability of self-harm increased as the level of contact with the child protection system increased. After adjusting for confounding, children with any level of child protection contact in middle childhood (5-11 years) only and across both early (0-4 years) and middle childhood were 3 to 9 times more likely to experience self-harm in adolescence compared to their peers in the general population. Conclusion / ImplicationsThe findings are consistent with evidence of intergenerational trauma impacting Aboriginal families and children and identifies middle childhood as a critical period in which the risk for self-harm emerges. There is a need for culturally appropriate family support and parenting programs to be available at all levels of the child protection system. Furthermore, hospitals should use a trauma-informed approach to assess and care for young Aboriginal people who present following self-harm. Reflections will be offered on the benefits of using data linkage for investigating rare outcomes in difficult-to-reach populations.

Changes in practitioners\u2019 attitudes, perceived training needs and self-efficacy over the implementation process of an evidence-based parenting program

BackgroundEvidence-based family support programs such as the Triple P – Positive Parenting Program have the potential to enhance the well-being of children and families. However, they cannot achieve their expected outcomes if insufficient attention is paid to the implementation process. It has been demonstrated that practitioners’ attitudes towards evidence-based programs (EBPs), perceived training needs and self-efficacy for working with parents influence implementation outcomes (e.g., program acceptability, adoption, adherence and sustainability). At the same time, the experience of being involved in the implementation process of an EBP could enhance practitioners’ perceptions of the initiative. This study aimed to assess changes in practitioner’s attitudes, perceived training needs and self-efficacy over a two-year EBP implementation process, in interaction with their appraisal of their organization’s capacity to implement the EPB.MethodsIn the province of Quebec, Canada, Triple P was implemented and evaluated in two communities. Ninety-nine practitioners from various organizations completed questionnaires shortly before their training in Triple P and two years later.ResultsFindings show that practitioners who displayed more initial skepticism regarding their organization’s capacity to implement the program reported greater improvements in attitudes over time, while practitioners who showed more optimism at baseline reported a greater decrease in their perceived training needs. Practitioners’ self-efficacy increased moderately regardless of perceived organizational capacity.ConclusionsThese results are encouraging given that more positive perceptions of EBPs could foster the systematic use of these programs in communities, for the potential benefit of a greater number of families.

Maternity (Family) Capital as a Support Program for Families with Children: Implementation Results and Development Prospects (Part Two)

Maternity (family) capital (hereinafter referred to as M(F)C) is a certain amount of funds allocated to families with children from the state budget with the goal of creating conditions providing families with children with The article analyzes the theoretical and practical issues of the development of the M(F)C program, the statistics of Rosstat, the Ministry of Labour and Social Protection and the Pension Fund of the Russian Federation, characterizing M(F)C. The article is divided into two parts due to its large volume. The first part of the article explores the conceptual and applied aspects of the origin and development of the M(F)C program. The genesis of the idea of maternal capital and the path from idea to bill is considered. The baseline parameters, such as the size of the capital, the period of action, the directions of use and the conditions governing access to funds M(F)C are analyzed. The second part shows how the initial parameters were adjusted: the extension of the period of action, the reduction of the period preceding the possibility of use, the clarification of the rules of documentation of the right to M(F)C, the removal of unnecessary administrative barriers for filing and consideration of applications, improving the conditions of use by adding new directions. The statistics of M(F)C, changes in the direction of its use and expenditures on these areas are analyzed. Proposals are presented to develop the M(F)C program, to expand its use to better support families with children

Resilient and entrepreneurial military spouses: neoliberalization meets militarization

ABSTRACT Feminist scholarship on gender and militarization reveals how militaries rely on the commitments and contributions of military spouses on the basis of essential gender norms and exploitative gender relations. Strategies to secure these contributions and power dynamics shift in response to political, social and cultural pressures and require feminist interrogation if they are to be undone. Thus, this paper asks, how is the Canadian military securing and exploiting the labour and loyalty of military spouses in support of operational effectiveness? Based on original interview data with spouses and an analysis of military family support initiatives and programmes, I argue that neoliberal logics are combining with militarization to secure and deepen the gendered expectations of military spouses by the state. Through neoliberal logics of individual responsibility, flexibility and resourcefulness, military spouses are told that they can be successful and assure their wellbeing by enhancing their ability to adapt, survive, and thrive military life. This differs from other strategies of militarization, which appeal to patriotism and devotion to one’s husband. In particular, state initiatives of support in resilience and entrepreneurialism – qualities of neoliberal citizenship – combine to generate as ideal the proactive military spouse, who invests in her capacity to adhere to the gendered requirement of military life, and sees this as a means to ensure her wellbeing. The neoliberal logics upon which contemporary processes of militarization are taking place encourage and require that military spouses create the conditions that enable them to better perform feminized practices of labour in support of the Canadian Armed Forces.

INFLUENCE OF SOCIALIZATION ON ACADEMIC PERFORMANCE OF LEARNERS WITH HEARING IMPAIRMENT AT INCLUSIVE PRIMARY SCHOOLS IN KENYA: A CASE IN THAWABU PRIMARY OF NAIROBI CITY COUNTY

Purpose: This research aimed at determining the influence of socialization on performance of learners with hearing impairment at Thawabu Inclusive Public Primary School in Nairobi, Kenya. The objectives were to; establish modes of communication that promote socialization in an inclusive environment; establish strategies for boosting socialization to enhance academic performance; and establish challenges facing teachers in enhancing socialization to improve academic performance of learners with hearing impairment.
 Methodology: The research design was a case study design. Structured questionnaires and interviews were used to collect data. Purposive sampling was employed to select the school and learners with hearing impairment while hearing learners were randomly selected.
 Findings: The study found that: modes of communication among learners with hearing impairment, hearing learners and teachers create social and educational change for improvement of academic standards in the school and narrows the gap between those with hearing impairment and their hearing counterparts. Strategies like family support program (assisting children and families in language learning), family-infant-toddler program, and competent and consistent administration system promote learning. Socialization influences incidental learning of learners with hearing impairment to put them at par with their hearing peers on matters related to both academic performance and social advancement. Socialization makes learners with hearing impairment comfortable, self-esteemed, and self-actualized, hence improving educational performance.
 Unique contribution to theory, practice and policy: The study may help to promote attitudinal, psychological and educational change in all stakeholders for inclusive education to be a success and meaningful to learners with hearing impairment. The study recommends that the government should add specially qualified teachers of learners with hearing impairment in Thawabu among other inclusive public schools in Kenya to help promote socialization and to increase inclusivity of leaners with hearing impairment.

Children's Views Are Not Taken Into Account in Accordance With Article 12 of the United Nations Convention on the Rights of the Child in the Family Talk Intervention When a Parent Is Cared for in Palliative Care.

Having a parent with a life-threatening illness is challenging throughout the illness trajectory, and for some also in bereavement. Article 12 of the United Nations Convention on the Rights of the Child states a child's right to express their opinion and have it respected in processes that affect them. The aims of this paper were to explore the child's active participation in a family support programme, the Family Talk Intervention, in accordance with Article 12, when having a parent cared for in palliative care. Twenty families with 50 children participated. Fieldnotes were taken during the programme and later analysed with interpretive descriptions. The study shows that all children were listened to, but only a quarter reached the minimum point required in Article 12, where their views were taken into account. The Family Talk Intervention in palliative care would benefit from implementing a child-centred approach in order for all children to be active participants.

Community Readiness for Child Maltreatment Prevention: The Challenge of a Brief Assessment.

In this paper, we address the assessment of community readiness (CR) for the prevention of child maltreatment in the context of a community survey. A mail survey was administered to 222 service providers and 54 supervisors and managers from 35 different organizations serving children and their families in four Canadian communities. Eleven items from the short version of the Readiness Assessment for the Prevention of Child Maltreatment (RAP-CM) were used, in combination with questions assessing knowledge of family support programs offered in the community and a measure of inter-agency collaboration. Findings show that a consistent and valid indicator of "Lack of knowledge of the environment" can be derived from the RAP-CM items and used for screening key informants. Overall, CR appears mixed in the communities studied, the weakest dimensions of which are the will to address the problem and the dynamism of informal social resources. Leadership emerges as a major gap that needs to be addressed.

Longitudinal Effects of the Family Support Program Chancenreich on Parental Involvement and the Language Skills of Preschool Children.

When they enter primary school children already vary significantly in their language skills, depending at least in part on their family’s social background. In particular, the home learning environment plays a significant role in children’s development. For that reason, early intervention programs have been developed to obviate learning difficulties and to promote health, children’s development, and educational equality. The family support program Chancenreich aims to encourage the interaction and relationship between parents and children through two different course formats. The present study examines the longitudinal effects of attending the Chancenreich program and different course formats on (a) parents attending further educational services for children after completing the program, (b) children’s vocabulary and level of grammar development at the age of 5 and (c) the children’s vocabulary development between the ages of 3 and 5. Furthermore, we examine the relationship between family characteristics and the attendance rates of different course formats of the Chancenreich program at the first and second point of measurement. The study follows a longitudinal design with two points of measurements (T1: Mage = 41 months, T2: Mage = 68 months), and a sample size of 121 parents and their children at T2 in the intervention group and 41 parents and their children in the comparison group. Findings indicate that attendance of the Chancenreich program’s courses is related to child and family characteristics and to later patterns of course participation after completing the program. Further, both children’s level of vocabulary skills (PPVT) at the age of 5 and their development between the ages of 3 and 5 benefit from the parental participation in parenting skills training at the age of 3. Implications and future research on the effectiveness of family support programs are discussed.

Family Club Denmark #strongertogether - a volunteer intervention for disadvantaged families: study protocol for a quasi-experimental trial

BackgroundNeed-oriented family support programs are examples of voluntary-based interventions increasingly recognized by the public sector as an important contribution to health and social care provision. Voluntary interventions are attractive because of their focus on activism, inclusion, and participation, but also their low cost and easy accessibility. There is an increasing demand for documentation of the effectiveness of family support programs. Methodologically sound studies are, however, limited and findings are generally inconsistent. This trial aims to assess the effectiveness of the volunteer-based intervention Family Club Denmark on parental stress, mental health, development and well-being of parents and children and to get insight into the experiences of both volunteers and families.MethodsThis is a prospective quasi-experimental trial with two conditions: (1) intervention group participating in Family Club Denmark and (2) wait-list control group. Participants are families with children aged 2–12 years who wish to participate in the program. Participants are allocated to intervention primarily after a first-come-first-serve principle, and further families will join the wait-list and be offered participation after around 6 months. Quantitative data are collected through web surveys at three time-points: at baseline, post-intervention (6 months after baseline), and follow-up (12 months after baseline). The primary outcome is mental health. Secondary outcomes include parenting behavior, parenting stress, self-efficacy and self-worth, family routines and child well-being. Qualitative data are collected through observations, focus groups, and interviews.DiscussionThis trial is among the first experimental studies of a group-based third sector need-oriented family support program offered to a wide array of families. The trial will provide important knowledge on the effectiveness of a volunteer-based family intervention on important outcomes such as mental health, self-efficacy, family routines. Furthermore, the trial will provide knowledge on volunteer, parent, and child experiences with participating in the intervention and knowledge on how to conduct experimental trails in a complex volunteer environment.Trial registrationClinicalTrials.govNCT03657888 (registered 29.08.2018).

Peer support services in family reunification process in child welfare: perceptions of parents and family coaches

ABSTRACT Despite the fact that family reunification remains the foremost permanency-planning goal for children in the child welfare system, reunification is not always successful and reentry into foster care after reunification is hardly a rare event due to parental unaddressed needs, stress, and lack of supports. This study explored a peer-delivered pre- and post-reunification support program for child welfare-involved families. Using qualitative focus groups and interviews, experiences of parents with the peer support services were examined. The findings suggested that the presence of a family coach with a shared experience remained a critical source of support for many parents, providing emotional, informational, instructional, and advocacy supports while cultivating the special feelings of connection, comfort, trust, and guidance. The efforts to ensure sustainable permanency outcomes should seriously consider the important role that family coaches play as supporters, guides, and trusted confidantes to a vulnerable population of parents in need of more comprehensive emotional and concrete services.

Congenital Zika Syndrome-Assessing the Need for a Family Support Programme in Brazil.

The Zika outbreak in Brazil caused congenital impairments and developmental delays, or Congenital Zika Syndrome (CZS). We sought to ascertain whether a family support programme was needed and, if so, could be adapted from the Getting to Know Cerebral Palsy programme (GTKCP) designed for children with cerebral palsy (CP). We conducted a systematic review of the needs of families of children with CZS or CP in low- and middle-income countries and reviewed the findings of the Social and Economic Impact of Zika study. We undertook a scoping visit to three facilities offering services to children with CZS in Brazil to understand potential utility and adaptability of GTKCP. The literature review showed that caregivers of children with CZS experience challenges in mental health, healthcare access, and quality of life, consistent with the CP literature. The scoping visits demonstrated that most support provided to families was medically orientated and while informal support networks were established, these lacked structure. Caregivers and practitioners expressed an eagerness for more structure community-based family support programmes. A support programme for families of children with CZS in Brazil appeared relevant and needed, and may fill an important gap in the Zika response.

특수교육대상영유아 가족지원 프로그램에 대한 장애아전문어린이집 부모와 교사의 인식

특수교육대상영유아 가족지원 프로그램에 대한 장애아전문어린이집 부모와 교사의 인식

Economic crisis, unemployment and illegal drug consumption in Spain

Purpose The purpose of this paper is to analyse the association between drug consumption and unemployment. This paper also studies the differential association between these variables in both the pre- and current-crisis periods. The results are compared in an attempt to verify that the population of users is more vulnerable in terms of how likely they are to get and hold down a job in the labour market. Design/methodology/approach Matching methods and microdata from the Survey on Alcohol and Drugs in Spain, EDADES are used. The use of these methods on the estimates carried out prove to be particularly effective in reducing treatment-selection bias. The authors’ interest is also to analyse the differential association between the interest variables in both the pre- and current-crisis periods. For this purpose, the authors also use the differences-in-differences (DID) estimation method between the two periods to check if the impact of drug use on unemployment depends on the economic context. The estimations are compared in an attempt to verify that the population of users is less likely to attain and hold down a job in the labour market than non-drug users. Findings The results obtained in the current study are consistent with the hypothesis that drug use decreases an individual’s capacity and availability when he or she is trying to enter the labour market. In both 2007 and 2013, drug users were more likely to be unemployed, regardless of the type of drug. Differences in the probability of being unemployed intensify during an economic crisis. In light of these results, it is possible to conclude that the negative effect of drug consumption on an individual’s employability is increased during periods of economic recession. Research limitations/implications The study presented here has some limitations. Firstly, cross-sectional data were used to examine the causal relationship between consumption and employment. In this sense, the results are susceptible to bias. The unavailability of longitudinal data on the same individual made it impossible for the researchers to consider periods of abstinence, the duration of periods of consumption and how this consumption affected an individual’s productivity and his or her working situation. Another limitation is that certain relevant unemployment variables may have been omitted. Among the variables that affect an individual’s labour participation is the existence of sources of income as an alternative to market salaries. With state subsidies, income from illegal activities and money sent by family or friends, an individual may decide not to work. This problem could be mitigated if omitted variables operate in a similar way throughout both of the periods examined. Social implications Given the results obtained in this paper, the authors believe that public policy conclusions should be mainly concerned with the importance of implementing proactive employment policies, along with family support programmes and a greater role for primary care among the people with the highest risks of exclusion. Health treatment should go jointly with measures that make it easier for individuals to enter the workforce. These steps would only be possible with an improved level of education and more complete professional profiles, to increase motivation when individuals seek employment. Originality/value This study could make various contributions to the existing body of evidence. In the authors’ knowledge, this is the first attempt to document the effect of the economic crisis on the employability of the drug-using population in contrast with the general population. Moreover, a methodology is presented that provides an alternative to those used in earlier studies, in terms of reducing treatment-selection bias. At the same time, the use of a DID estimation method between pre- and current-crisis periods allow us to check if the impact of drugs consumption on unemployment depends on the economic context.

Qualitative Study of NAMI Homefront Family Support Program.

The National Alliance on Mental Illness's Homefront program is a 6-week peer-taught program for family members of veterans and active duty soldiers. Homefront is associated with increased empowerment, coping, and knowledge, but little is known about member experiences. This study used telephone interviews to identify program components that are helpful or need improvement, and to compare the online and in-person program formats. Seventeen participants (7 online) and 17 instructors (3 online) were interviewed and qualitative data analysis suggested that the most helpful components were group discussion, lessons on veteran-specific issues, and coping skills workshops. Some suggested expanding Homefront to 8 or 10weeks. The online program was convenient for those unable to attend otherwise, but participants cited some dissatisfaction with the discussion format. Instructors described teaching the program as rewarding and noted learning from the curriculum. Understanding the experiences of participants may inform the development of future psychoeducation programs.

Maternity (family) Capital as a Support Program for Families with Children: Implementation Results and Development Prospects (Part One)

Maternity (family) capital (hereinafter referred to as M(F)C) is a certain amount of funds allocated to families with children from the state budget with the goal of creating conditions providing families with children with a decent life. M(F)C as an additional measure of support for families at the birth of a second child was introduced in 2007 for the period until 12/31/2016. The right to M(F)C in the amount of 250 thousand rubles was obtained by women who gave birth (adopted) a second child after January 1, 2007, as well as a third or subsequent child, if they had not previously exercised their right to M(F)C. The law initially allowed the use of M(F)C to improve housing conditions, to receive education by children, and to form the funded part of the mother’s labor pension. The article analyzes the theoretical and practical issues of the development of the M(F)C program, the statistics of Rosstat, the Ministry of Labor and the Pension Fund of the Russian Federation, characterizing M(F)C. The article is divided into two parts due to its large volume. The first part of the article explores the conceptual and applied aspects of the origin and development of the M(F)C program. The genesis of the idea of maternal capital and the path from idea to bill is considered. The baseline parameters, such as the size of the capital, the period of action, the directions of use and the conditions governing access to funds M(F)C are analyzed. The second part shows how the initial parameters were adjusted: the extension of the period of action, the reduction of the period preceding the possibility of use, improving the conditions of use by adding new directions. The statistics of M(F)C, changes in the direction of its use and expenditures on these areas are analyzed. Proposals are presented to develop the M(F)C programme, to expand its use to better support families with children.

Potential cost savings for selected non-pharmacological treatment strategies for patients with Alzheimer's disease in Finland.

To compare the costs and monetary benefits of non-pharmacological interventions for patients with Alzheimer's disease in real-world settings. A systematic review was performed to determine the most effective treatment strategies for being able to stay at home for patients with Alzheimer's disease. Care-management, family support, and multidisciplinary rehabilitation were identified as effective interventions applicable in the Finnish healthcare setting. Data on medical and social service costs, and the costs of residential care for all patients newly diagnosed with Alzheimer's disease in 2 major cities in Finland were analysed in a 4-year follow-up study. The potential cost savings of the different treatment strategies were assessed. The annual cost increased from €9,481 to €28,400 (mean per patient) during the 4-year follow-up. Cost savings were achieved in care-management, family support programmes, and rehabil-itative cognitive and social activation if the patients' transition to long-term care was delayed by 2.8, 1.8 and 43.0 days, respectively. Care-management and informal caregiver support for patients with Alzheimer's disease may benefit patients and result in concurrent cost savings. Delaying the decline in cognitive and social functioning through rehabilitation is indicated for more severe phases of Alzheimer's disease, and the costs appear to be compensated by savings in the cost of long-term care.

THE EDUCATIONAL INSTITUTIONS AND THE IMPORTANCE OF FAMILY FOR THE SOCIETY THAT THINKS, AND PRODUCES SOLUTIONS

While determining the educational goals of our children during the school period, it is not possible to think of the child alone, the child is a whole with its family. As an educator, if we aim for successful school education, we have to create goals that involve parents, include family education and give it importance. To participate in pre-school education, parents should be informed about the program by the school which should be provided in written form. To provide a beneficial education, first, it is necessary to establish positive communication with the families. Positive communication with families does not happen all at once but can take place at different times in each family. Informing parents through family support programs, providing new skills and counseling for their problems improves the relationship dynamics within the family, and accelerates the development of the child. Pre-school education, is an educational process which is planned and programmed. If the education is aimed to continue at home, while preparing the pre-school education program, not only the child but  the family should be considered within the program as well. For this reason, it was stated that ensuring school-family cooperation is important in terms of developing desired behaviors of the child. To ensure the continued active participation of families in planning and practice, it was also emphasized that families should be constantly informed about what is being done at school. Keywords: preschool, school, family involvement, education.

Multidisciplinary health care in cases of childhood suicidal ideation: operational and organizational limits.

to know the health care process performed by the multidisciplinary team in cases of suicidal ideation for children and adolescents in Primary and Secondary Care. a descriptive study with a qualitative approach carried out with 12 professionals from ESFs, EACS and CAPS II in the city of Santarém. The software IRAMUTEQ 0.7 alpha 2 was used to build the similarity tree and analyze speech content. the word "no" is present prominently in the interviewees' speeches about experiences and strategies for coping with suicide, revealing an absence of individual preparation and structure in the segments of SUS Primary and Secondary Care. Final considerations: health team assistance finds operational and organizational limits during the implantation of intervention strategies and coping with the factors that trigger child and youth suicide. It is important to make specific resources feasible, to organize reference protocols and support programs for patients and families.