Diene Monique Carlos

Social support from the perspective of adolescent victims of domestic violence

OBJECTIVE Assess the understanding of adolescents regarding the social support received in situations of domestic violence. METHOD A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. RESULTS Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. CONCLUSION The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.Objective: Assess the understanding of adolescents regarding the social support received in situations of domestic violence. Method: A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. Results: Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. Conclusion: The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.

Institutional shelter to protect adolescent victims of domestic violence: theory or practice?

OBJETIVO: conhecer e analisar, sob a otica de adolescentes vitimas de violencia domestica e acolhidos institucionalmente em Campinas, SP, os fatores de protecao aos quais estao submetidos e/ou ao qual tem acesso. METODO: pesquisa qualitativa, sendo a coleta de dados realizada com grupos focais, compostos por 17 adolescentes e entrevistas semiestruturadas com sete deles; a analise dos dados se deu a partir da analise de conteudo, modalidade tematica. RESULTADOS: emergiram dois nucleos tematicos intitulados Quatro Paredes e Confianca. Discutiram-se o contexto do acolhimento institucional que, apesar dos esforcos realizados contemporaneamente, ainda mantem ambiente autoritario; a importância do vinculo e confianca estabelecidos com alguns funcionarios, atuando como fatores de protecao para os adolescentes e o aspecto protetivo da religiosidade. CONCLUSOES: entende-se que essas consideracoes devem ser valorizadas e reforcadas pelos servicos de atencao a infância e adolescencia, pois contribuem para a promocao da saude fisica e mental dessa populacao.OBJECTIVE To understand and analyze, from the perspective of adolescent victims of domestic violence who were cared for in an institution in Campinas-SP, the protective factors to which they are submitted and / or have access. METHOD This was qualitative research, with data collection occurring through focus groups with 17 adolescents, and semistructured interviews with seven of them; the data analysis was based on content analysis, using a thematic modality. RESULTS Two themes emerged, entitled Four Walls and Trust. We discuss the context of institutional care, that despite the efforts made contemporaneously, still maintains an authoritarian environment; the importance of the bond and trust established with some employees, acting as protective factors for the adolescents and the protective aspect of religiosity. CONCLUSIONS It is understood that these considerations should be valued and reinforced through the healthcare services provided to children and adolescents, as they contribute to the promotion of the physical and mental health of this population.

The care network of the families involved in violence against children and adolescents: the Primary Health Care perspective

AIMS AND OBJECTIVES To contribute the understanding of the network care provided to families involved in family violence against children and adolescents (FVACA), from the Primary Health Care (PHC) perspective. BACKGROUND Children and adolescents figure among the main victims of violence around the world, which occurs predominantly in the family context. PHC-guided network care has emerged as a new process that contrasts with traditional approaches, which rely on fragmented, punctual and compensatory actions and produce simplified and segmented interventions in response to complex phenomena like violence. The Paradigm of Complexity interacts with the network care approach and, by articulating the multiple dimensions of the research phenomenon, contributes to its understanding. DESIGN Qualitative research, based on the Paradigm of Complexity. METHODS Data were collected through minimal maps of the external institutional social network, focus groups and semi-structured interviews held with 41 PHC professionals in Brazil. The notions of comprehension and contextualisation as well as dialogical, recursive and holographic principles from complexity theory guided the data analysis. RESULTS The two thematic categories that emerged revealed reduced institutional networks, with low-density and homogeneous bonds, which resulted in fragmented care in all stages of the care process. CONCLUSIONS Although the network organisation of care for the families involved in FVACA is fundamental, the construction of these networks still represents a great challenge, as it requires the joint work of a multiprofessional team. RELEVANCE TO CLINICAL PRACTICE For nursing to respond to the contemporary care demands in a contemplative and pertinent manner, a perspective and a reference framework need to be developed, leading to broader and more contextualised actions, with a multidimensional approach to the families and communities of which child and adolescent victims of violence are a part.

Family violence against children and adolescents in context: How the territories of care are imbricated in the picture.

ABSTRACT Objective: to understand the context of care addressed to the families involved in family violence against children and adolescents (IVCA), as produced in the context of the Primary Health Care (PHC), from the vantage point of the practitioners of a municipality in the State of Sao Paulo. Methods: qualitative research of the social-strategic type, based on the Complexity Paradigm. The participants were 41 health practitioners in five health units of the municipality under study, pertaining to the five districts of the municipality. Data collection was done through 5 focus groups and 10 semi-structured interviews from April 24th 2013 to December 12th 2013. Data analysis was oriented by the comprehension and contextualization mindset and based on the dialogic, recursive and hologramatic principles. Results: two main issues regarding the care provided by the Health of the Family team were identified: the context of this violence (the domestic space) and the power relations that prevail in the territory where this violence surfaces. The community health workers are the targets of specific attention because they experience the live/work dialogic in this same area. Conclusion: paying attention to the territory, and considering the complexity of contexts and dimensions is inherently linked to the design of care to families involved in IVCA in the PHC environment.Objetivo: comprender el contexto de cuidado dirigido hacia las familias involucradas en violencia familiar contra ninos y adolescentes (VICNA) que resulta de la Atencion Primaria de la Salud (PHC) desde la optica de los profesionales de un municipio del interior de Sao Paulo. Metodo: investigacion cualitativa del tipo social-estrategica, fundamentada en el Paradigma de la Complejidad. Participaron en el estudio 41 profesionales de salud de cinco unidades del municipio en estudio, cada una perteneciente a uno de los cinco Distritos Sanitarios. La recoleccion de datos se realizo por medio de cinco grupos focales y 10 entrevistas semi-estructuradas en el periodo entre 24/04/2013 y 17/12/2013. Las nociones de comprension y contextualizacion y los principios dialogicos, recursivo y hologramatico guiaron el analisis de los datos. Resultados: se identificaron dos cuestiones cruciales para el cuidado desarrollado por el equipo de salud de las familias: el contexto en ocurre esta violencia (El espacio domestico) y las relaciones de poder que existen en la emergencia de ese cuidado en el territorio. Los trabajadores comunitarios merecen una atencion especial ya que viven la dialogica de trabajar/habitar en la misma area. Conclusion: la mirada sobre el territorio, considerando la complejidad de contextos y dimensiones, se presenta como inherente al diseno del cuidado de las familias involucradas en la VICNA en el ambito de la APS.

O apoio social sob a ótica de adolescentes vítimas de violência doméstica

OBJECTIVE Assess the understanding of adolescents regarding the social support received in situations of domestic violence. METHOD A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. RESULTS Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. CONCLUSION The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.Objective: Assess the understanding of adolescents regarding the social support received in situations of domestic violence. Method: A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. Results: Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. Conclusion: The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.

O acolhimento institucional como proteção a adolescentes vítimas de violência doméstica: teoria ou prática?

OBJETIVO: conhecer e analisar, sob a otica de adolescentes vitimas de violencia domestica e acolhidos institucionalmente em Campinas, SP, os fatores de protecao aos quais estao submetidos e/ou ao qual tem acesso. METODO: pesquisa qualitativa, sendo a coleta de dados realizada com grupos focais, compostos por 17 adolescentes e entrevistas semiestruturadas com sete deles; a analise dos dados se deu a partir da analise de conteudo, modalidade tematica. RESULTADOS: emergiram dois nucleos tematicos intitulados Quatro Paredes e Confianca. Discutiram-se o contexto do acolhimento institucional que, apesar dos esforcos realizados contemporaneamente, ainda mantem ambiente autoritario; a importância do vinculo e confianca estabelecidos com alguns funcionarios, atuando como fatores de protecao para os adolescentes e o aspecto protetivo da religiosidade. CONCLUSOES: entende-se que essas consideracoes devem ser valorizadas e reforcadas pelos servicos de atencao a infância e adolescencia, pois contribuem para a promocao da saude fisica e mental dessa populacao.OBJECTIVE To understand and analyze, from the perspective of adolescent victims of domestic violence who were cared for in an institution in Campinas-SP, the protective factors to which they are submitted and / or have access. METHOD This was qualitative research, with data collection occurring through focus groups with 17 adolescents, and semistructured interviews with seven of them; the data analysis was based on content analysis, using a thematic modality. RESULTS Two themes emerged, entitled Four Walls and Trust. We discuss the context of institutional care, that despite the efforts made contemporaneously, still maintains an authoritarian environment; the importance of the bond and trust established with some employees, acting as protective factors for the adolescents and the protective aspect of religiosity. CONCLUSIONS It is understood that these considerations should be valued and reinforced through the healthcare services provided to children and adolescents, as they contribute to the promotion of the physical and mental health of this population.

School-based interventions for teen dating violence prevention: integrative literature review

Background: Intimate partner violence (IPV) in adolescence is a more serious problem because it negatively impacts the healthy development and is a precursor to domestic and family violence. Objectives: To identify the types of primary IPV prevention interventions that have been implemented in school settings. Methodology: Integrative literature review in the following databases: PubMed, CINAHL, Lilacs, and SciELO virtual library. Results: Twelve studies were included in this review. Interventions were identified based on 3 categories: Multicomponent interventions; Skill-building interventions; and Theater/role-playing interventions. Similar results were found in all studies. Population and approach specificities were discussed. Conclusion: In this review, important contributions to IPV prevention interventions were presented, such as the need for theoretical background, life-context approach, and intervention towards bystanders.

Fatores de Proteção sob o Olhar de Adolescentes Vitimizados e Institucionalizados

Theoretical framework: Violence is present throughout society and has a major impact on the health of the population. It is the leading cause of death among ...

Sistemas de justiça e a vitimização secundária de crianças e ou adolescentes acometidas de violência sexual intrafamiliar

Este artigo aponta resultados de pesquisa realizada junto aos juizes de direito, sobre a inquiricao de criancas e/ou adolescentes, vitimas de violencia sexual, no sistema de justica. Referencial teorico centrado na visao do contexto ecologico do desenvolvimento humano. O metodo foi de natureza qualitativa, com entrevista semiestruturada e observacao livre, em Comarcas do Judiciario Brasileiro. O tratamento dos dados deu-se a partir da tecnica de analise de conteudo tematica, que aponta “Impotencias e Limites” e “Violencia Secundaria”. Na primeira, o juiz, desprovido de preparo, socorre-se a hora da inquiricao da vitima, de modelo cujas bases estao na pratica, experiencia de vida, sem apropriar-se das estruturas necessarias ao procedimento. A didatica utilizada e de senso comum. “Violencia Secundaria” evidencia que os modos de intervencao do lugar do judiciario podem ser vistos como aspectos de revitimizacao de criancas e adolescentes, quando apenas ouve tais pessoas em sucessivos momentos para obtencao de materialidade da prova para incriminacao do agressor, em discordância entre a prioridade imediata e a absoluta assegurada legalmente pela Constituicao Federal Brasileira. O Sistema Judicial nao demonstra estar organizado para priorizar questoes envolvendo criancas e adolescentes. Seja como suporte para lidar com as possiveis implicacoes da inquiricao, seja na discussao para se formular abordagens que evitem a violencia secundaria de vitimas de violencia sexual. O campo da saude podera trazer contribuicoes para a area judiciaria desde que o problema seja visto a partir de uma dimensao interdisciplinar, ainda que caiba ao judiciario a palavra final para a sua solucao.

A escuta de crianças e adolescentes nos processos de crimes sexuais

Investiga-se o consumo de substâncias psicoativas entre policiais civis e militares da cidade do Rio de Janeiro. Os dados provem de dois estudos seccionais sobre condicoes de trabalho e saude que aplicaram questionario a amostra representativa das duas corporacoes. Os resultados mostram maiores frequencias de consumo regular de tabaco (23,3% dos civis versus 19,1% dos militares), de uso diario de bebida alcoolica (12% dos civis versus 11% dos militares) e de tranquilizantes no ultimo ano (13,3% dos civis e 10,1% dos militares). O consumo de maconha envolveu 0,1% dos policiais civis e 1,1% dos militares, e o uso de cocaina entre os militares foi de 1,1%. O consumo de alcool apresentou-se intenso e acarretando problemas no trabalho e nas relacoes sociais e familiares destes policiais. Ressalta-se a necessidade de politicas publicas preventivas as adiccoes e a possivel subestimacao das informacoes sobre as substâncias ilicitas.This paper addresses the perception of members of the judiciary regarding the introductory deposition. The concept of comprehensive protection was used as a theoretical benchmark. It involves qualitative research, in which the semi-structured interview enabled the production of data, organized according to the content analysis technique, resulting in the following themes: production of evidence; protection; and challenges/needs. A positive perception of the interview was expressed in all themes. It became clear, however, that the culture observed in the judiciary arises as an obstacle to conducting the introductory deposition, since it is necessary to adapt the institution in order to apply the methodology. The enhancement of the physical infrastructure and training of the judiciary clerks are challenges to be overcome for the implementation of the interview as one of the court case procedures involving children and adolescents who are the victims or witnesses of violence.