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Author Spotlight: Capturing Infant-Caregiver Interactions Through Synchronized Multimodal Data Collection
Published on: May 31, 2024
[Family odysseys: the search for infant mental health care]
Patricia Santos de Souza Delfini1, Isabella Teixeira Bastos1, Alberto Olavo Advincula Reis1
1Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.
Insights
Families navigating mental health care for children face challenges but find progress in psychosocial care. Relational technologies are key to building effective support networks for children's well-being.
Area of Science:
- Child and Adolescent Mental Health
- Psychosocial Care
- Healthcare Networks
Background:
- Families of children with psychological distress often struggle to find adequate mental health care.
- Understanding the family's journey is crucial for evaluating and improving care systems.
Purpose of the Study:
- To analyze the journey of families seeking mental health care for children at a psychosocial care center.
- To assess the strengths and weaknesses in the care network from the family's perspective.
Main Methods:
- Qualitative study utilizing participant observation and focus groups with families.
- Institutional analysis as the theoretical and methodological framework.
Main Results:
- Families' search reveals insights into their understanding of mental health issues and treatments.
- Contradictory forces exist between provider-driven transformation and user-centered maintenance.
- A shift from a disease-centered model towards a holistic, integrated psychosocial care model is evident.
Conclusions:
- Despite complexities, advancements in psychosocial care are being made, anchored in relational technologies.
- Building trust, accountability, and strong relationships are vital for effective child mental health services.
- The study highlights the need to challenge fragmented, disease-focused healthcare models.
Abstract:
The aim was to analyze the peregrination of families of children treated in a Center for Psychosocial Care for Children and Adolescents in their search for mental health care. The study included participant observations at the clinic and focus groups with the children's families. The qualitative study used institutional analysis as the theoretical and methodological reference, and the material was discussed in light of the approach to psychosocial care. The families' search in the face of the child's psychological distress is a prime indicator for assessing strengths and weaknesses in building the network of care, and for revealing the families' understanding of their children's mental health problems and treatments. The study found contradictory forces at play in daily care, demonstrating both the provider's transformative force and occasionally the user's crystallization and maintenance. In this sense, the hegemonic model - disease-centered, fragmenting patients and their care - has been challenged by the instituting force that proposes to reposition the patient and incorporate psychological distress as part of overall health, linking services and actions in a model of care. Despite the tangled maze that families face in their peregrination for care, strides have been made in psychosocial care, while highlighting challenges. Such progress has been anchored in relational technologies (shelter, bonding, trust, and accountability) with the various actors involved in the care.
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