Mental health and public policies implemented in the Northeast of Brazil: A systematic review with meta-analysis

Januário, Sonilde Saraiva; Peixoto, Florido Sampaio das Neves; Lima, Nádia Nara Rolim; Nascimento, Vânia Barbosa do; Sousa, Danilo Ferreira de; Luz, Dayse Christina Rodrigues Pereira; Silva, Cláudio Gleidiston Lima da; Neto, Modesto Leite Rolim

doi:10.1177/0020764016677557

Cited by 7 publications

(7 citation statements)

References 26 publications

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Section: Brazilmentioning

confidence: 99%

“…Children and adolescents comprise approximately 37% of the population of the Northeast of Brazil (Januário et al, 2017). The prevalence of child and adolescent mental disorders were similar to global estimates (10-20%) with 3-4% of children and adolescents classed with serious, chronic mental illnesses (Januário et al, 2017). Mental health indicators started to be part of the group of national basic health-care indicators after 2005 when Brazil increased their ambulatory care centers.…”

Section: Brazilmentioning

confidence: 99%

“…In Bahia State, CAPS increased from 14 in 2002 to 89 by 2011; Pernambuco State almost tripled its number of CAPS facilities within the last 4 years. More importantly, Brazil formally recognized child and adolescent mental health as a significant public health issue, which should be integrated into the larger Brazilian mental health system, not just limited to educational and social support systems (Januário et al, 2017).…”

Section: Brazilmentioning

confidence: 99%

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Global Services, Systems, and Policy

Hanson

Levin

2019

Foundations of Behavioral Health

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Public policymaking begins with an official acknowledgment of an identified issue or concern (Hanson, 2014). This begins a series of practical actions to resolve the issue; an issue is identified and a multilayered process begins to seek a solution that attempts to address problems at an individual (micro)level as well as at the mesoand macro-levels. The policymaking process includes the selection of a "working group" (i.e., an individual, a group of individuals, or an institution to examine the problem and to generate recommendations). To do so, the working group requests one or more policy analyses, depending upon the complexity of the problem and the scope of its mandate.These policy analyses review the identified problems from numerous perspectives, including economic, political, or social, to define and describe the problem and recommend possible solutions. Social, statistical, and epidemiologic data regarding behavioral health are gathered, as is the evidence on best practices. After the recommendations, an external agency or the executive, judicial, or legislative branch of a state or federal government then takes over to initiate the designated actions. This process, or variants of the process, occurs daily across the world as we seek to find best solutions to address behavioral disorders, improve quality of life and outcomes for persons with these disorders, and to improve population health (Hanson, 2014).

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Section: Brazilmentioning

confidence: 99%

Section: Brazilmentioning

confidence: 99%

Section: Brazilmentioning

confidence: 99%

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Global Services, Systems, and Policy

Hanson

Levin

2019

Foundations of Behavioral Health

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“…Concern about the use of drugs and other substances, with the increasing medicalization of life, exposes punitive and institutionalizing solutions, reinforcing the importance of public policies, curbing the excesses of this process and strengthening the role of health agencies 29 . The worse the social conditions, the higher the number of intercurrences and psychiatric hospitalizations reported, challenging public policies to show the best way to intervene with these adolescents, observing their particularities and overcoming the limited availability of resources 30 .…”

Section: Mental Healthmentioning

confidence: 99%

Políticas de Saúde de adolescentes e jovens no contexto luso-brasileiro: especificidades e aproximações

Schaefer

Barbiani

Nora

et al. 2018

Ciênc. saúde coletiva

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Resumo O objetivo deste artigo é caracterizar a produção científica sobre políticas e programas de saúde de adolescentes no Brasil e em Portugal no período 2010-2017. Estudo de revisão da literatura, baseado no método de “Scoping Review”. A questão de investigação: como se caracteriza a produção científica sobre políticas e programas de saúde de adolescentes do Brasil e de Portugal? As buscas foram realizadas no mês de outubro de 2017, nas plataformas BVS, EBSCO e Google Acadêmico. Foram selecionados 22 estudos, 17 brasileiros e 5 portugueses. Foram identificadas sete categorias temáticas transversais: avaliação de políticas e programas; promoção e educação para a saúde; saúde mental; saúde sexual e reprodutiva; violência; saúde bucal e saúde nutricional. Conclui-se que, embora em contextos sociais distintos, as temáticas refletem áreas tradicionais de intervenção das políticas e programas, com exceção daquelas decorrentes do fenômeno da violência estrutural, marcadamente presente na realidade brasileira. Ainda, ausência de temáticas emergentes como identidades de gênero, fluxos migratórios e morbimortalidade por causas externas, revelando possível vazio assistencial das políticas e programas e um campo necessário a ser explorado.

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“…Although the study used a subjective measure of evaluation, based on the reports of parents, the results highlight the need to expand access to prevention, diagnosis and early intervention for ID, associated or not to other disabilities (Malta et al, 2016). Brazil does not fully meet mental health needs in early childhood, through failure to implement public policies (Tomaz et al, 2016;Januário et al, 2017;Tafla, 2019).…”

Section: Introductionmentioning

confidence: 99%

DIagnosys: An Analytical Framework for the Identification of Elementary School Students with Intellectual Disability

et al. 2021

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The identification of mild Intellectual Disability (ID) usually occurs late when the demands intrinsic to literacy reveal the typical signs to the educators. The study had two phases. The first phase aimed at developing a computation system (framework), named DIagnosys, an instrument designed to help educators identify students with characteristics compatible with ID, and to describe the operational, tactical, and strategic levels. The second phase verified the framework predictive sensitivity, using an artificial intelligence algorithm. For that purpose, the framework was applied in 51 teachers and their 1,758 students of 2nd and 4th grade, and their respective parents. We collected data using a checklist of signs compatible with ID, the Brief Problem Monitor (teacher and parent versions), the Wechsler Abbreviated Scale of Intelligence, and medical evaluation. The statistical analysis using a Confusion Matrix showed an accuracy of 82 and 95% for teacher and parent checklists, respectively. The decision-making model showed high indexes of sensitivity, providing evidence that teachers can be protagonists of the teaching-learning process mobilizing the parents to use the health care services.

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Mental health and public policies implemented in the Northeast of Brazil: A systematic review with meta-analysis

Abstract: A combined analysis of all strategies mentioned in the analyzed studies shows efficacy of using strategies to elaborate institutional apparatus in mental health.

Cited by 7 publications

References 26 publications

Global Services, Systems, and Policy

Global Services, Systems, and Policy

Políticas de Saúde de adolescentes e jovens no contexto luso-brasileiro: especificidades e aproximações

DIagnosys: An Analytical Framework for the Identification of Elementary School Students with Intellectual Disability

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