Lygia Maria Pereira da Silva

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.

Judiciary as the last resort to protect children and adolescents: intersectoral actions, investment in human resources, and structuring of services

O objetivo deste estudo foi identificar o trabalho desenvolvido pelo Poder Judiciario para prevenir a violencia sexual intrafamiliar contra criancas e adolescentes. Recorreu-se a abordagem das representacoes sociais numa perspectiva cultural. O campo de estudo consistiu na 1a e na 2a Vara dos Crimes contra a Crianca e o Adolescente, no Tribunal de Justica de Pernambuco, Brasil. Observacao participante, entrevistas semiestruturadas e grupo focal com 17 sujeitos foram as tecnicas para coleta de dados, analisados por meio da interpretacao dos sentidos, que possibilitou a identificacao da categoria O Judiciario como ultimo patamar e as seguintes subcategorias: As politicas publicas para prevencao da violencia e A estrutura e a dinâmica das Varas. Este estudo permitiu visualizar limitacoes do Poder Judiciario em relacao a protecao integral e a prioridade absoluta, visualizando-se, tambem, que a atuacao junto as vitimas demanda investimentos nao so estruturais como, ainda, aqueles que dizem respeito aos recursos humanos.

NETWORK ACTION FOR THE CARE OF ADOLESCENT VICTIMS OF VIOLENCE: CHALLENGES AND POSSIBILITIES

The aim of the present study was to investigate the perception of health care service managers about the network action for the care of adolescent victims of...The aim of the present study was to investigate the perception of health care service managers about the network action for the care of adolescent victims of violence. A qualitative, exploratory, descriptive study conducted from May to July of 2013. The subjects were 15 managers of a hospital that is a referral center for cases of violence in the Brazilian State of Pernambuco. Data were collected through semi-structured interviews and explored using content analysis. The results indicate that social work plays an aggregating and interconnecting role as required by the network action. The health care network is appreciated, but regarded as providing insufficient actions, with lack of standardization of care and service flow. We conclude that the subjects show a positive perception of the role of the studied service, but they point out a lack of specific technical standards in the health care sector aimed at high quality care for adolescents.

O Poder Judiciário como última instância de proteção às crianças e aos adolescentes: ações intersetoriais, investimento em recursos humanos e estruturação dos serviços

O objetivo deste estudo foi identificar o trabalho desenvolvido pelo Poder Judiciario para prevenir a violencia sexual intrafamiliar contra criancas e adolescentes. Recorreu-se a abordagem das representacoes sociais numa perspectiva cultural. O campo de estudo consistiu na 1a e na 2a Vara dos Crimes contra a Crianca e o Adolescente, no Tribunal de Justica de Pernambuco, Brasil. Observacao participante, entrevistas semiestruturadas e grupo focal com 17 sujeitos foram as tecnicas para coleta de dados, analisados por meio da interpretacao dos sentidos, que possibilitou a identificacao da categoria O Judiciario como ultimo patamar e as seguintes subcategorias: As politicas publicas para prevencao da violencia e A estrutura e a dinâmica das Varas. Este estudo permitiu visualizar limitacoes do Poder Judiciario em relacao a protecao integral e a prioridade absoluta, visualizando-se, tambem, que a atuacao junto as vitimas demanda investimentos nao so estruturais como, ainda, aqueles que dizem respeito aos recursos humanos.

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.

Prevalência de Violência no Namoro entre Adolescentes de Escolas Públicas de Recife/Pe – Brasil

Theoretical framework: Dating violence is a serious and avoidable public health issue worldwide, which may have negative consequences in adolescents’ health....

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.

Completitude das notificações de violência perpetrada contra adolescentes em Pernambuco, Brasil

Resumo O objetivo deste trabalho foi analisar a tendencia da completitude dos dados de violencia perpetrada contra adolescentes registrados em Pernambuco, em 2009-2012. Estudo transversal, com 5.259 adolescentes vitimas de violencia notificadas no SINAN-VIVA da Secretaria Estadual de Saude de Pernambuco. Utilizou regressao linear simples para investigar a tendencia de completitude das variaveis. Os percentuais de completitude foram considerados como variaveis dependentes (Y) e os anos da serie, como independentes (X). Os resultados mostram um incremento significativo de 204% no numero de notificacoes. Porem, das 34 variaveis analisadas, 27 (79,4%) apresentaram tendencia Estacionaria, 6 (17,6%) Decrescente e apenas uma (2,9%) Crescente. A completitude foi considerada ‘Muito Ruim’ para as variaveis: Escolaridade (47,3%), Complemento (21,3%), Hora da Ocorrencia (38,0%) e Uso de Alcool Pelo Agressor (47,0%). Portanto, apesar do grande incremento no numero de notificacoes, a qualidade dos dados permaneceu comprometida, dificultando uma analise mais realista neste grupo.

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.