Prevalence of mental health problems in children and adolescents from the outskirts of Sao Paulo City: treatment needs and service capacity evaluation
Título del documento: Prevalence of mental health problems in children and adolescents from the outskirts of Sao Paulo City: treatment needs and service capacity evaluation
Revista: Revista brasileira de psiquiatria
Base de datos: PERIÓDICA
Número de sistema: 000280511
ISSN: 1516-4446
Autores: 1
2
Instituciones: 1Universidade Federal de Sao Paulo, Departamento de Psiquiatria, Sao Paulo. Brasil
2Columbia University, Division of Child Psychiatry, Nueva York. Estados Unidos de América
Año:
Periodo: Mar
Volumen: 29
Número: 1
Paginación: 11-17
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Aplicado
Resumen en inglés OBJECTIVE: To estimate the prevalence of mental health problems in children and adolescents, with or without considering global impairment, within a low-income urban community; to estimate the public service delivery capacity in terms of mental healthcare; and to determine the relationship between delivery capacity and treatment demand. METHOD: Cross-sectional study. Probabilistic sample of clusters including all eligible households (low-income community - Embu, Southeastern Brazil). Participants: 479 children and adolescents (aged 6-17 years; attrition rate: 18.8%). Measurement: 1) Clinical mental health problems in children and adolescents using the Child Behavior Checklist and/or Youth Self-Report total problem scales; 2) Global impairment: Positive score in the Brief Impairment Scale (total score > 15.5); 3) Service capacity: total number of cases seen annually by psychologists/psychiatrists in the health, education, juvenile justice, and child welfare sectors. RESULTS: Prevalence of mental health problems in children and adolescents: 24.6% (20.7-28.5) without considering global impairment; 7.3% (5.0-9.6) with global impairment (cases in need of treatment). CONCLUSIONS: Mental health problems in children and adolescents are frequent in the studied community, and the current structure of the community's public service system is not prepared to treat impaired cases in an adequate timeframe
Resumen en portugués está preparada para atender em tempo hábil os casos que necessitam tratamento
Disciplinas: Medicina
Palabras clave: Psiquiatría,
Salud pública,
Prevalencia,
Niños,
Adolescentes,
Salud mental,
Servicios de salud,
Nivel socioeconómico
Keyword: Medicine,
Psychiatry,
Public health,
Prevalence,
Children,
Adolescents,
Mental health,
Health services,
Socioeconomic level
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