Sobre formas e não degraus do ser: a relação do ambulatório de saúde mental infanto-juvenil com a rede escolar de um município do Recôncavo da Bahia

Abstract

Public health agencies have warned about the significant number of children and adolescents of school age who are medicalized. Understanding the importance of studying the repercussions of child medicalization in a regionalized manner, the objective of this study was to understand the relationship of the child and adolescent mental health outpatient clinic with the school network of a municipality in the recôncavo da Bahia, between the years 2018 and 2019. The document analysis method was used. 201 active medical records of children and adolescents seen by the outpatient clinic were analyzed. 96% of the attendances were made by psychiatry, 80.5% were diagnosed and 9% were referred by the school. Of the children referred by the school, 94.5% had a prescription for medication. The discussion followed two lines of analysis: 1) Ambulatory mode, logic of offering care focused on the disease and on the individualization of suffering; and 2) Medicamentalization of the school complaint, present in practices that conform to the individualizing logic and its immanent relationship with the medicamentalization of school inadequacies. It was concluded that the relationship between the mental health outpatient clinic and the school network is based on an individualizing, disease-centered, and medicalizing logic, indicating the need for practices that are in line with the psychosocial care policy.