Child Psychiatry Takes to the Streets: A Developmental Partnership between a University Institute and Children and Adolescents from the Streets of Sao Paulo, Brazil

Autor/inn/en	Scivoletto, Sandra; da Silva, Thiago Fernando; Rosenheck, Robert Alan
Titel	Child Psychiatry Takes to the Streets: A Developmental Partnership between a University Institute and Children and Adolescents from the Streets of Sao Paulo, Brazil
Quelle	In: Child Abuse & Neglect: The International Journal, 35 (2011) 2, S.89-95 (7 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0145-2134
DOI	10.1016/j.chiabu.2010.11.003
Schlagwörter	Family Violence; Sexual Abuse; Mental Disorders; Drug Use; Psychiatry; Adolescents; Patients; Law Enforcement; Foreign Countries; City Government; Social Integration; Program Descriptions; Alienation; Correlation; Homeless People; Risk; Child Neglect; Social Services; Child Abuse; Program Development; Public Agencies; Emergency Shelters; Clinical Diagnosis; Program Effectiveness; Brazil + Suchen Sie Ihr Suchwort? Sexueller Missbrauch; Mental illness; Geisteskrankheit; Drug consumption; Substance abuse; Drogenkonsum; Psychiatrie; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Patient; Gesetzesvollzug; Ausland; Soziale Integration; Entfremdung; Korrelation; Homeless person; Homeless persons; Obdachloser; Risiko; Kindesvernachlässigung; Social service; Soziale Dienstleistung; Soziale Dienste; Abuse of children; Abuse; Child; Children; Kindesmissbrauch; Missbrauch; Kind; Kinder; Programmplanung; Öffentliche Einrichtung; Notunterkunft; Brasilien
Abstract	Objective: High levels of domestic violence, mental illness, and alienation from authorities are associated with high incidence of children/adolescents living on the streets in low and middle income countries. The Equilibrium Project (Programa Equilibrio) was created to facilitate social reintegration through a virtual partnership between an academic psychiatric institute and highly vulnerable children and adolescents living on the streets, in group shelter with supervision, and in other high risk situations. Methods: Descriptive presentation of qualitative data and analysis of preliminary empirical data collected over a 24-month period. Results: Dialogue between academic professionals, street children, and city officials shaped The Equilibrium Project over the last 2 years. The program has progressively moved from a professional clinic setting to a community-based but protected activity center with recreational and professional services and an emphasis on linkage with social service agencies, city government and law enforcement officials in an academic research context. A total of 351 patients have been served of whom virtually all were neglected by their parents, 58.4% report physical or sexual abuse, 88.89% have been diagnosed with a psychiatric disorder, 40.4% drug use. After 2 years of operation, 63.5% (n=223) successfully completed or continue in treatment and 34.8% (n=122) were reunited with their families. Conclusions and Practice implications: Program development guided by consumer input led to a successful program offering professional services in a protected community setting that facilitates social reintegration by providing "go between" services integrating relationships between alienated consumers and formal psychiatric, pediatric, social service, and criminal justice systems. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10