Um modelo de implementação para o check-up familiar em ambientes de saúde mental comunitários
DOI:
https://doi.org/10.7179/PSRI_2025.46.03Palavras-chave:
Psicologia infantil, saúde mental, profissionais de saúde mental, comportamento infantilResumo
Introdução: O Family Check-Up (FCU) é um programa de tratamento baseado em evidências que foi desenvolvido em mais de 25 anos de rigorosa investigaçãoes clínica. A FCU está associada a resultados a longo prazo, incluindo a melhoria da saúde mental que conduz a um ajustamento ao longo da vida e foi implementada em vários países, incluindo os Estados Unidos, Suécia, Canadá e Holanda.
Método: Neste artigo, nos revemos o modelo teórico que orientou a nossa investigação, o modelo clínico para a prestação de serviços, e o modelo de implementação que orienta nossa disseminação da FCU em diversos ambientes de serviços nos Estados Unidos. A FCU está baseado num modelo ecológico de desenvolvimento em que os estressores contextuais predizem as competências parentais e as relações familiares, que são os principais mediadores e alvos de la intervenção. O programa FCU ministrado pessoalmente inclui três sessões e envolve uma avaliação focada nos pontos fortes de la familia que culmina numa sessão de “feedback”, que leva então a um apoio parental individualizado para as famílias. Nosso modelo de implementação ocorre em 4 fases que incluem exploração das necessidades da comunidade, consulta, treinamento e suporte contínuo para sustentação. Uma combinação de treinamentos virtuais, consulta e certificação de treinadores, e treinamento de supervisores está incluída no modelo de implementação.
Resultados: Os resultados em todos os estudos demonstraram melhorias na autoeficácia parental, stress, regulação emocional, ansiedade, depressão, e comportamentos parentais (parentalidade positiva e proativa, estabelecimento de limites) e reduções na parentalidade negativa, conflitos familiares e problemas emocionais de crianças.
Conclusão: Nosso objetivo é expandir o alcance da prevenção de saúde mental em todo o mundo, aumentando a disseminação da FCU em ambientes comunitários por meio de um processo colaborativo e engajado com a comunidade, e integrando nosso novo programa de saúde digital numa série de ambientes de serviços de saúde mental.
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