Uso de psicofármacos por crianças e adolescentes no Capsi Crescer de Anápolis, Goiás

Abstract

The Psychosocial Care Center (CAPS) was created to replace the asylum model, and is a reference for the treatment of people with mental disorders, psychoses, severe neuroses, among other pathological conditions that require treatment and medical monitoring, being offered by the System Unified Health System (SUS). CAPSi Crescer is specialized in the care of children and adolescents with severe and persistent psychic suffering, avoiding hospitalizations, so that their actions can help them in their social, cultural and family reintegration. The objective of this study was to analyze the use of psychoactive drugs by children and adolescents who are cared for in CAPSi Crescer. A total of 120 patients were evaluated, 6,66% were between 3 and 6 years old, 46,66% were between 7 and 12 years old, and 46,66% were between 13 and 18 years old, with a predominance of males (55%). Regarding the diagnostic profile, boys presented a school complaint as the main reason, followed by neuromotor injuries or disorders. The girls presented as main reason mental retardation, anxiety and isolation. Regarding the profile of patients with mental disorders in relation to the level of schooling, 94% said they attend regular school, regardless of their diagnosis. Most patients have incomplete high school education (67%). They live with their parents (76%) and receive up to three minimum wages (68%). Regarding access / demand, 38% had access through the Tutelary Council and Schools, 33% through the Basic Health Unit and 29% through spontaneous demand. The main therapeutic classes used were: antipsychotics, antiepileptics, antidepressants, benzodiazepines and psychostimulants. The most commonly used medication was methylphenidate hydrochloride - Ritalin ® (31%), followed by the antidepressant Fluoxetine hydrochloride (9%). The adoption of pharmaceutical care as an essential resource in the unit was much approached in the research, and the role of this professional is fundamental in the analysis of prescriptions, guidelines for patients and monitoring of drug therapy.