Child and adolescent psychosocial care center service use profile in Brazil: 2008 to 2012
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Artigo
Date
2019
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Revista Brasileira de Psiquiatria
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10
Authors
Ceballos G.Y.
Paula C.S.
Ribeiro E.L.
Santos D.N.
Paula C.S.
Ribeiro E.L.
Santos D.N.
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Abstract
© 2019, Associacao Brasileira de Psiquiatria. All rights reserved.Objective: To describe the service use profile of Child and Adolescent Psychosocial Care Centers (Centro de Atencão Psicossocial Infanto-Juvenil [CAPSi]) in Brazil regarding diagnostic categories, sociodemographic aspects, and care modalities between 2008 and 2012. Methods: A descriptive, ecological study was performed using data from the Unified Health System regarding high-complexity procedure authorizations (Autorizac¸ão de Procedimentos de Alta Complexidade [APAC]) for the period from 2008-2012. The variables sex, age, diagnosis (F00-F99 of ICD-10), and type of care provided were examined. The data were processed using TabWin and STATA version 12. Results: A total of 837,068 records were examined, each representing one visit to CAPSi. Most visits were by male users (68.8%). The most common diagnoses were hyperkinetic disorders (13%), pervasive developmental disorders (12.4%), and conduct disorders (8.4%). Conclusions: Behavioral and emotional disorders that usually appear during childhood or adolescence and psychological development disorders were frequent, with more than 50% of the latter comprising autism spectrum disorders. Regional differences were observed, with a higher presence of this diagnosis in the Southeast, while the North and Northeast had a high percentage of visits due to mental retardation.
Description
Keywords
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Adolescent , Adolescent Health Services , Age Distribution , Brazil , Child , Child Health Services , Child, Preschool , Diagnosis-Related Groups , Female , Humans , Infant , Male , Mental Disorders , Mental Health Services , Socioeconomic Factors , Young Adult