Perfil epidemiológico de pessoas atendidas por um serviço de atenção psicossocial infantil mato-grossense

Abstract

The study is documentary, quantitative, cross-sectional 100% cases treated at the Children's Institute, Sinop-MT, between May 10, 2012 and December 31, 2014, in 31 months. A questionnaire was developed for the study of closed questions that address the research objectives. The objective was to profile the subject attended the Children's Institute of the municipality of Sinop-MT, featuring age, gender, race / ethnicity, school or service that referred you, school level, area of residence in Sinop, family income, family composition, forwarding reason, team diagnostics, medical diagnostic hypotheses, destination of these users (discharge, death, abandonment, shutdown, referral). Data were tabulated in charts and tables described in absolute and relative frequencies and statistically analyzed. It was found a sample of 278 subjects, which is equivalent to the population (N), the majority (201 / 72.3%) of the male users, from 9 (38 / 13.7%) and 11 (43 / 15.5%), in elementary school (207 / 74.5%). It was noticed that the amount of unknown information, that is not included in medical records is often greater than the quantified information, making it difficult to analyze the data (color / race, religion, institutionalization history (orphanage, home shelter, home recall or other). Most (89 / 32.0%) live with father, mother and others in homes with 3, 4 and 5 residents (17.3%, 24.1% and 15.5%, respectively ), including the patient. Most reside in the peripheral region (236 / 84.9%) of the municipality, which matches the location of schools (226 / 81.3%) and nursery schools (35 / 12.6%) municipal, that most of the time (261 / 93.9%) are responsible for referral of students to attend the Children's Institute. Most routing justifications corresponds learning deficit (175 / 47.7%), followed by verbal dysfunction , auditory and visual (46 / 12.5%). The mental disorder was in third place (28 / 7.6%). Two hundred and nineteen patients (71.57%) have no medical report. The multidisciplinary team (educational psychologist, psychologist, speech therapist, social worker and educator) promotes specific diagnostic area of expertise. Diagnoses and evaluations carried out by them and described in multiple tables, given the specificity of the areas were quantified. Most (71 / 25.5%) of patients are ineligible treatment at the Children's Institute, 68 (24.46%) continue to follow-up, 53 (19.06%) dropped out of care, 46 (16.55%) were off for the service. Therefore this study highlights the lack of psychosocial care resources in the region and underscores the lack of medical child psychiatrist at the site of research and points to the need for standardization of data in the service. Still points to better communication between services that route and the Children's Institute to optimize the resources. It discusses the vulnerability of children and adolescents.