Estudo sobre demandas relacionadas a um centro de atenção psicossocial infantojuvenil: o que dizem os responsáveis pelas crianças e adolescentes?

Abstract

The present work consists of an exploratory research in the area of Mental Health of children and adolescents, having as field a Child and Adolescent Psychosocial Care Center (CAPSi) of a medium size city. The objectives of this research are: 1) to identify the complaints, problems, or other questions that involved the search for CAPSi; 2) investigate the paths taken by caregivers in the search for treatment to the children and adolescents they care for until their arrival at CAPSi and know the elements that favor or make difficult the ties of those responsible with the CAPSi. The theoretical discussion came with brief presentations on Brazilian public politics aimed at children and adolescents until the emergence of the current model of care, going through a discussion about the concepts of demand and health needs, as well as a punctual discussion about the concepts of territory and network. After this approach, we also present the productions of articles from the last decade on the demands of public health services for children and adolescents, especially those that have as CAPSi as field. Based on the qualitative methodology, the production of the empirical material was carried in six group interviews with the participation of a total of nineteen persons caregivers for children and adolescents who are accompanied on CAPSi. A thematic analysis was done, from which two main axes of analysis were created: Processes that triggered the search for CAPSi and Experiences related to CAPSi. Each of these included three thematic categories, totaling six: Perceptions and ways of dealing with the problems of children and adolescents; Demand and Access; Modes of naming / apprehending of problems; The arrival at CAPSi; Why they continued to go to CAPSi; The CAPSi in the vision of the users: contributions and difficulties of the institution. In general, the results pointed to the need of collaborative work between CAPSi and other social entities, especially the schools, for the importance of an effective reception process for the subjects, and also for the need of spaces that contribute with caregivers in their elaboration process of the questions related to the problems of the children. The results still pointed out the need to use problem identification models that consider the ways in which those caregivers formulate and express their demands, breaking with the biomedical logic.