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Published on: February 16, 2011

[Mental health in primary care: ways to reach an integral care]

Oswaldo Yoshimi Tanaka1, Edith Lauridsen Ribeiro

  • 1Faculdade de Saúde Publica, USP, São Paulo SP. oytanaka@usp.br

Ciencia & Saude Coletiva
|February 7, 2009
PubMed

Insights

Pediatricians in primary care settings struggle to identify childhood mental health issues due to training gaps. Enhancing primary care with mental health support is crucial for addressing violence and improving child well-being.

Area of Science:

  • Pediatrics
  • Primary Health Care
  • Child Mental Health

Context:

  • The Family Health Program faces challenges integrating violence and mental health care.
  • Primary care units serve a vital role in child health surveillance.
  • São Paulo's primary care system serves a large pediatric population.

Purpose:

  • To assess pediatricians' capacity in recognizing mental health problems in children aged 5-11.
  • To identify barriers in pediatricians' training and intervention strategies for child mental health.
  • To propose improvements for primary care to better manage psychosocial issues and violence.

Summary:

  • A study of 411 children in São Paulo revealed pediatricians have limited ability to detect mental health problems.
  • Deficiencies in training and intervention tools hinder pediatricians' effectiveness.
  • The Child Behavior Checklist (CBCL) was used for symptom comparison.

Impact:

  • Primary care needs enhanced mental health support and humanized approaches.
  • Integrating psychosocial aspects broadens the health concept in primary care.
  • Improved primary care can lead to better integrated approaches for child violence and health within the Brazilian Health System.

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