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Updated: Feb 4, 2026

Proper Care and Cleaning of the Microscope
Published on: August 11, 2008
[Childhood Mental Health Problems in Primary Care]
Daniel Fatori1, Alexandra Brentani2, Sandra Josefina Ferraz Ellero Grisi2
1Departamento de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo (USP). R. Dr. Ovídio Pires de Campos 785, Cerqueira César. 05403-010 São Paulo SP Brasil. daniel.fatori@gmail.com.
Abstract:
The present population study aimed at identifying the prevalence of mental health problems (MHP) and describing health services use in a sample of children attending Primary Healthcare Units (PHU) in the city of Sao Paulo. Caregivers of 825 6-11 years old children were assessed. MHP were assessed with the Strength and Difficulties Questionnaire and health services use with an adapted version of the Client Receipt Inventory Children`s version. Prevalence of internalizing and externalizing MHP was 30.7% and 18.3%, respectively. Pediatricians were the most consulted health professional (56.7%) and psychologists the most consulted mental health professional (7.9%). Only 3 children were under medication treatment for MHP. The high prevalence of MHP among children in the primary care setting and the low rate of treatment constitute a public health problem. Training programs for health professionals are relevant to help identify and refer MHP cases.
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