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2019, Number 1

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Rev Hum Med 2019; 19 (1)

Health mental services within educational process

Macaya SXC, Bustos NCE, Torres PSS, Vergara–Barra PA, de la Cruz VPB

Language: Spanish
References: 29
Page: 47-64
PDF size: 563.32 Kb.


ABSTRACT

Introduction: Mental health services are scarce within the school context that allow intersectoral integration to overcome the gap in mental health care in the child and adolescent population, being the school where mental health problems are mostly detected.
Objective: to know the use of mental health services in the school environment in relation to mental disorders and subthreshold disorders.
Method: The present secondary study is carried out from the "Study of Community Prevalence of Psychiatric Disorders and Utilization of Services of the Chilean Child-Youth Population". The sample was represented by subjects between 4 and 18 years old (N = 1556). Information on the use of mental health service was collected with a modified version of the Service Assessment Scale for Children and Adolescents (SACA). A logistic regression model was performed to analyze five areas of the use of services in the school environment, which were correlated with diagnoses of mental disorders and subthreshold anxiety, disruptive and depression disorder in the last year.
Results: Schools face great challenges on how to provide effective mental health support for students, who present some type of mental disorder or subthreshold disorder.
Discusion: Educational institutions need to be visualized as an entity that could meet the needs that are urgently noticed in attention, prevention and promotion of mental problems in the child and adolescent population, if it is linked more directly with health services.


REFERENCES

  1. Padilla-Muñoz A, Gómez-Restrepo C, Ramírez M. Percepción de competencia para orientar estudiantes escolares con discapacidad y problemas emocionales Rev. Fac. Med [Internet]. 2015 [citado 5 Dic 2017];63(1):93-100. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-00112015000500012

  2. Organización Panamericana de la Salud. Estrategia y plan de acción sobre salud mental. 49° Consejo Directivo, 61a Sesión Del Comité Regional; 2009 Sep 28- Oct 2; Washington D.C; EUA [Internet]. 2009 [citado 5 Dic 2017]. Disponible en: http://www.who.int/whr/en/

  3. Rodríguez J. Los servicios de salud mental en América Latina y el Caribe: la evolución hacia un modelo comunitario; Rev Psiquiatr Urug [Internet]. 2011 [citado 5 Dic 2018];75(2):86-96. Disponible en: http://www.spu.org.uy/revista/dic2011/03_rodriguez.pdf

  4. Vial T. (Ed.) Informe anual sobre Derechos Humanos en Chile. Centro de Derechos Humanos. Facultad de Derecho. Universidad Diego Portales. Santiago de Chile; Chile: Salesianos Impresores; 2014.

  5. Vicente B, Saldivia S, De la Barra F, Melipillán R, Valdivia M, Kohn R. Salud mental infanto-juvenil en Chile y brechas de atención sanitarias. Rev. Méd. Chile [Internet]. 2015 [citado 15 Dic 2017];140(4):447-457. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000400005

  6. Rossen E, Cowan K. Improving mental health in schools. Phi Delta Kappan [Internet]. 2014 [cited 2017 Dec 15];96(4):8-13. Available from: http://journals.sagepub.com/doi/abs/10.1177/0031721714561438

  7. Bains RM, Diallo AF. Mental Health Services in School-Based Health Centers: Systematic Review. J Sch Nurs [Internet]. 2016 [cited 2017 Dec 15];32(1):8-19. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26141707

  8. Vicente B, Kohn R, Rioseco S, Saldivia S, Levav I, Torres S. Lifetime and 12-month Prevalence of DSM-III-R Disorders in the Chile Psychiatric Prevalence Study. Am J Psychiatry [Internet]. 2006 [cited 2017 Dec 15];163(8):1362-70. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16877648

  9. Canino G, Shrout PE, Alegria M, Rubio-Stipec M, Chávez LM, Ribera JC, et al. Methodological challenges in assessing children’s mental health services utilization. Ment Health Serv Res [Internet]. 2002 [cited 2017 Dec 15];4(2):97-107. Available from: https://www.ncbi.nlm.nih.gov/pubmed/12090311

  10. American Psychiatric Association (APA). Manual Diagnóstico y Estadístico de los Trastornos Mentales DSM-IV-TR. Barcelona, España: Masson; 2002.

  11. Irarrázaval M, Prieto F, Armijo J. Prevención e intervenciones tempranas en salud mental: una perspectiva internacional. Acta Bioethica [Internet] 2016 [citado 15 Dic 2017];22(1):37-50. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S1726-569X2016000100005

  12. Keil G, Keuck L, Hauswald R. Vagueness in Psychiatry: EUA: Editor Oxford University Press; 2017

  13. Lumley T, Scott A. Fitting Regression Models to Survey Data. Statist. Sci [Internet]. 2017 [cited 2017 Dec 15];32(2):265-278. Available from: https://projecteuclid.org/euclid.ss/1494489815

  14. Birdal S, Doğangün B. Behavioural problems in children with enuresis. Turk Pediatri Ars [Internet]. 2016 [cited 2017 Dec 15];51(3):142–147. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047362/

  15. Pires, T, Silva M, Cosme M, Assis S. Ambiente familiar y trastorno por déficit de atención e hiperactividad. Rev.Saúde Pública [Internet]. 2012 [citado 15 Dic 2017];46(4):624-32. Disponible en: http://www.scielo.br/scielo.php?pid=S0034- 89102012000400006&script=sci_abstract&tlng=es

  16. Espín JC, Belloso JJ. Estudio descriptivo de los niños y adolescentes nuevos vistos en un servicio de salud mental en el periodo de un año. Rev. Asoc. Esp. Neuropsiq [Internet]. 2009 [15 Dic 2017];29(2): 329-354. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0211-57352009000200004

  17. Navarro-Pardo E, Meléndez J, Sales A, Sancerni M. Desarrollo infantil y adolescente: trastornos mentales más frecuentes en función de la edad y el género. Psicothema [Internet] 2012 [citado 20 Dic 2017];24(3):377-383. Disponible en: http://www.psicothema.com/psicothema.asp?id=4026

  18. Alarcón D, Bárrig P. Conductas internalizantes y externalizantes en adolescentes. Rev. Liber [Internet]. 2015 [citado 20 Dic 2017];21(2). Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1729-48272015000200008

  19. Páramo M. Factores de Riesgo y Factores de Protección en la Adolescencia: Análisis de Contenido a través de Grupos de Discusión. Rev. Ter Psicol [Internet]. 2011 [20 Dic 2017]; 29(1),85-95. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0718-48082011000100009

  20. De la Barra F, Vicente B, Saldivia S, Melipillan R. Estudio de epidemiología psiquiátrica en niños y adolescentes en Chile. Estado actual. rev. med. clin. condes [Internet]. 2012 [citado 5 Ene 2018];23(5):521-529. Disponible en: https://www.sciencedirect.com/science/article/pii/S0716864012703462

  21. Graham A, Phelps R, Maddison C, Fitzgerald R. Supporting children’s mental health in schools: Teacher views. Teachers and Teaching [Internet]. 2011 [citado 2018 Jan 5];17(4):479–496. Available from: http://www.tandfonline.com/doi/ref/10.1080/13540602.2011.580525?scroll=top

  22. MinSal. Sistema de Salud Mental de Chile. Segundo Informe. Santiago de Chile, Chile: SlideShare [Internet]. 2014 [citado 5 Dic 2017]. Disponible en: https://es.slideshare.net/practicasAPS/oms-aims-2014-informe-sistema-de-saludmental- en-chile

  23. Capp G. Our Community, Our Schools: A Case Study of Program Design for School- Based Mental Health Services. Children and Schools [Internet]. 2015 [cited 2018 Jan 17];37(4):241–248. Available from: https://academic.oup.com/cs/article/37/4/241/487732

  24. Lara M, Piña J, De los Hoyos M, Squicciarini A, Guzmán M. Salud mental en escuelas vulnerables: evaluación del componente promocional de un programa nacional. Revista de Psicología [Internet]. 2012 [citado 17 Ene 2018];21(2):55-81. Disponible en: http://www.redalyc.org/articulo.oa?id=26424861003

  25. Ippolito J. Escuelas Promotoras de la Salud Fortalecimiento de la Iniciativa Regional. Estrategias y Líneas de Acción 2003-2012. Biblioteca Sede OPS, Washington, D.C: OPS; 2003

  26. Benjet C. La salud mental de la niñez y la adolescencia en América Latina y el Caribe. En: Epidemiología de los trastornos mentales en América Latina y el Caribe (Rodríguez JJ, Kohn R, Aguilar S, Eds.). Washington, D.C: Organización Panamericana de la Salud [Internet] 2009 [citado 17 Ene 2018]:234-242. Disponible en: http://www.who.int/mental_health/publications/mental_disorders_LAC/es/

  27. Belfer ML, Rohde LA. Child and adolescent mental health in Latin America and the Caribbean: problems, progress, and policy research. Pan Am J Public Health [Internet]. 2005 [cited 2018 Jan 17];18(4/5):359–365. Available from: https://www.scielosp.org/pdf/rpsp/2005.v18n4-5/359-365/en

  28. Tegethoff M, Stalujanis E, Belardi A, Meinlschmidt G. School Mental Health Services: Signpost for Out-of-School Service Utilization in Adolescents with Mental Disorders? A Nationally Representative United States Cohort. PLoS ONE [Internet]. 2014 [cited 2018 Jan 17]; 9(6). Available from: https://www.ncbi.nlm.nih.gov/pubmed/24911241

  29. Martínez C. Hacia la reforma de los servicios de salud mental de la infancia y adolescencia. En La reforma de los servicios de salud mental: 15 años después de la Declaración de Caracas. (Rodríguez JJ. ed.). Washington, D.C: OPS; 2007; p. 180 -192




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