Os novos caminhos para as melhores práticas do acesso aos serviços de saúde mental infanto-juvenil: a importância do e-Health na era digital

Abstract

More than 75% of mental health problems begin in youth and early adulthood, however the access to child and youth mental health services is unsatisfactory and therefore has become a public health priority. Most barriers are structural, including costs, transportation, or time constraints. There are barriers that are worrying, such as social stigma and lack of information about what to do and where to get help / care. Today, however, the internet has become an important medium for young people search information about health and health services, since 94% of young people who use the Internet search for health on search engines like Google or similar search engines. Studies have proven that the use of technologies such as e-Mental Health are effective for the prevention, promotion and treatment in children's health metal. Therefore, the main objective of this thesis was to develop a website based on scientific evidence to promote better access to the Child and Youth Psychosocial Care Center of the city of Pelotas, RS, using the three dimensions of access, according to the concepts of Boyle, MCIntyre and the World Health Organization (WHO). The research used a qualitative methodological approach through an exploratory, research-action study using Knowledge Translation (KT) and the Digital Mirroring Methodology (developed in this thesis for the iCanguru website interview). This thesis was divided into 3 studies. Study 1 aimed to evaluate the quality of content transparency and ethics of Child and Adolescent mental health websites in Canada, the United States, the United Kingdom, New Zealand, and Australia. Study 2 aimed to promote better access to mental health for children and adolescents through the creation of a website for the Child and Youth Psychosocial Care Center - CAPSi Canguru, a public place of the Unified Health System (SUS) of the city of Pelotas-RS-Brazil and study 3 aimed to evaluate the website developed. This thesis has demonstrated how much our country needs to advance on the technological innovations in children and youth mental health, since the use of practices in e-Mental Health are still low. However, this thesis has also demonstrated that the iCanguru website can be an excellent strategy to overcome some of the barriers to access and be a gateway to CAPSi, since in the evaluation of users, family members, professionals and coordinators of CAPSi, the website 15 iCanguru has demonstrated its potential as an excellent gateway to the service and also a support for access since it offers the possibility to find relevant information about the service, as well as reducing the stigma of the first access to the psychosocial care center; has the potential to shorten the distances between the target audience and the Mental Health Center and quickly connect stakeholders to promote mental health; still promotes early intervention; shares information on mental health and well-being; disseminates information about local events in mental health, and there are many other possibilities for improving access through the implementation of other e-Mental Health practices in the iCanguru website. However, it will require the active involvement and sustained commitment of stakeholders at all levels to collaborate with the implementation of the iCanguru website, since many studies were necessary to build a website with scientific quality and allied to a pleasant environment and impersonal, providing the user with the comfort and reliability necessary for him to seek care. We can conclude that the goals proposed by the thesis were achieved and through the use of e-Mental Health it was possible to innovate in health by developing the iCanguru website as a propeller of access to the services of mental health.