Mental health of children who work on the streets in Brazil after enrollment in a psychosocial program

Mental health of children who work on the streets in Brazil after enrollment in a psychosocial program

Author Hoffmann, Elis Viviane Autor UNIFESP Google Scholar
Duarte, Cristiane Seixas Google Scholar
Fossaluza, Victor Google Scholar
Milani, Ana Carolina Coelho Autor UNIFESP Google Scholar
Maciel, Mariana Rangel Autor UNIFESP Google Scholar
Mello, Marcelo Feijó de Autor UNIFESP Google Scholar
Mello, Andrea Feijó Autor UNIFESP Google Scholar
Abstract To evaluate the mental health status of children working on the streets in Sao Paulo City, Brazil, two years after their participation in a psychosocial program, and to identify factors associated with their mental health status. From a total sample of 126 children working on the streets, 107 (85%) were re-evaluated two years after the initiation of a psychosocial program which aimed to cease their work on the streets. The focus was the presence of mental health problems, defined based on a screening instrument (Strengths and Difficulties Questionnaire). Logistic regression models tested factors related to the probability that a child would not present mental health problems at follow-up. The likelihood of a child presenting mental health problems was higher at baseline compared to the two-year follow-up (67.5 and 56.1%, respectively). Absence of mental health problems two years after a psychosocial intervention was significantly correlated with the following baseline factors: lower level of caregiver's psychiatric symptoms as measured by the SRQ (Self-Report Questionnaire) (AOR = 0.84, p = 0.0065), absence of child physical neglect (AOR = 0.38, p = 0.0705) and parental Protestant religion affiliation, compared to other religions (AOR = 4.06

p = 0.0107). Different factors are related to the absence of mental health problems of children working on the streets after enrollment in a two-year psychosocial program. Our findings suggest that interventions that aim to improve child mental health should consider the detection of psychiatric symptoms in caregivers, provide treatment when it is needed, and also assess other problems such as neglect in the family setting.
Keywords Street children
Children on the streets
Mental health problems
xmlui.dri2xhtml.METS-1.0.item-coverage Heidelberg
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Grant number CNPq: 575114/2008-8
CAPES: PDSE 10533/14-1
CAPES: PNPD 02772/09-4
Date 2017
Published in Social Psychiatry And Psychiatric Epidemiology. Heidelberg, v. 52, n. 1, p. 55-63, 2017.
ISSN 0933-7954 (Sherpa/Romeo, impact factor)
Publisher Springer Heidelberg
Extent 55-63
Access rights Closed access
Type Article
Web of Science ID WOS:000392312600007

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