Conceptual Maps of the Mental Health of Children and Adolescents: A Systematic Review and Meta-cognitive Procedures in the Architecture Information in Northeastern of Brazil

Abstract

Introduction: The Northeast Region is the third largest region of Brazil, with 49 million inhabitants, almost 30% of the population, being the second most populated region in the country, behind only Southeast. Investments related to mental health in the Northeast are increasing by the Federal Government. Despite huge investments directed to care to affective disorders, significant losses still occur. Our goal was to address the peculiarities of the evolutionary process of mental health in Brazil and in the Northeast, focusing on the juvenile age group. Method: Original analyzes were performed on secondary data from the Hospital Information System (SIH) belonging to the Unified Health System (SUS) in Brazil, Primary Care Information System (SIAB) and the Brazilian Institute of Geography and Statistics (IBGE). The original data of juvenile mental health were complemented by through the information mapping (Cmap Tools) in the databases: LILACS, SciELO, VHL, MEDLINE. Results: In the Northeast, the precarious socioeconomic conditions contribute to the involvement of children and adolescents with psychopathology. Between 2008 and August 2011, 470 deaths were recorded in mental health in the Northeast. This shows us that not only just create Center for Psychosocial Care-CAPS to improve instantly the health indicators, is still a need for greater training of health professionals who are involved in treating these patients. Conclusions: Some challenges remain in mental health, such as promoting care network, domain and expansion of diagnostic and therapeutic resources, stimulating the social rehabilitation of psychiatric patients, joint approach to mental and socioeconomic status, training of health professionals and interventions in respect to autonomy and the individuality of the bearer of affective disorder.