A saúde mental do adolescente entre duas políticas públicas: o Programa Saúde do Adolescente (PROSAD) e a política de saúde mental

• Autor(a) principal: Castro, Dulce Maria Fausto de
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/4110
• topic: Adolescent; Mental health; Health public policy; PROSAD; Child-youth mental health policy; Primary care; Adolescente; Saúde mental; Políticas públicas de saúde; PROSAD; Política de saúde mental infanto-juvenil; Atenção básica; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

This study aims at discussing adolescent s mental health after the creation of the Adolescent s Health Program (PROSAD) and the Mental Health Policy, in order to understand the "discussions on themes related to adolescence, especially those associated with mental health care, identifying conceptions and interpretations present in the view of those who worked in the process of implementing those policies from 1989 to 2005. For this purpose, we analyzed documents and speeches and interviewed coordinators, professionals in charge of both programs whom we considered important subjects involved in their elaboration and implementation. We highlight that, although there were possibilities such as the National Policies at that time characterized by important changes in the country, such as the institution of the Unified Health System they adopted intervention models and outlined their subject differently in separate situations. This results in mismatches and gaps that are somehow related to the way it is included in the process of change in health. When the analysis turns to the apparent impact of those policies in respect to the adolescent s mental health, we notice that within the perspective of responding to the adolescent s health care needs in the country, most of the situations related to mental health are neither in one and nor in the other of those two policies but in a place between both. This between , as a constructed political place, indicates the existence of a reality which is more complex than the cutouts worked by the policies. This doesn t mean that the Public Policies analyzed don t have matching points, but these matching points or the established partnership take place only in some moments, when focused in some actions or specific projects. However, it is possible to observe approximation between mental health and primary care in the sense of offering care to the adolescent, showing the way for wider mental health care, which includes the different faces of suffering, guided by the notion of integrality.