Difusão de Programas Preventivos em Saúde Mental: Notas Teóricas
DOI:
https://doi.org/10.1590/0102.3772e38421.pt%20%20%20Palavras-chave:
Programas de prevenção, Saúde mental, difusão, Práticas baseadas em evidênciaResumo
Transtornos mentais causam incapacidades e mortes prematuras, além de representarem custos psicológico, social e econômico elevados. Embora programas de prevenção e promoção em saúde mental com evidências de efetividade estejam disponíveis, são pouco difundidos mundo afora e, em particular, no Brasil. Este artigo tem o propósito de discutir a difusão de programas de prevenção e promoção em saúde mental, segundo as lentes da Teoria da Difusão de Inovações e os desdobramentos contemporâneos. Ênfase será dada às etapas de disseminação, adoção, implementação e sustentabilidade. Implicações para o ensino, a pesquisa e a gestão são discutidas.
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Referências
Abreu, S., Miranda, A. A. V., & Murta, S. G. (2016). Programas preventivos brasileiros: quem faz e como é feita a prevenção em saúde mental. Psico-USF, 21(1), 163-177. https://doi.org/10.1590/1413-82712016210114
Altafim, E. R. P., & Linhares, M. B. M. (2016). Universal violence and child maltreatment prevention programs for parents: A systematic review. Psychosocial Interventions, 25, 27-38. https://doi.org/10.1016/j.psi.2015.10.003
Backer, T. E., David, S. L., & Soucy, G. (1995). Introduction. In T. E. Backer, S. L. David, & G. Soucy (Eds.), NIDA 155: Reviewing the behavioral science knowledge base on technology transfer (pp. 1-20). National Institute on Drug Abuse.
Bartholomew, L. K., Parcel, G. S., Kok, G., & Gottlieb, N. H. (2011). Planning Health Promotion Programs: An Intervention Mapping Approach (3a ed.). Jossy-Bass.
Barboza, R., Pupo, L. R, & Pirotta, K. C. M. (2014). Orientação sexual na escola: Uma análise da sustentabilidade de políticas intersetoriais de Educação e Saúde no município de São Paulo. Revista Gestão e Políticas Públicas, 4(2), 282-302. https://doi.org/10.11606/issn.2237-1095.v4i2p282-302
Barker, P. M., Reid, A., & Schall, M. W. (2016). A framework for scaling up health interventions: Lessons from large-scale improvement initiatives in Africa. Implementation Science, 11(1), 1-11. https://doi.org/10.1186/s13012-016-0374-x
Bergmark, M., Bejerholm, U., & Markström, U. (2019) Implementation of evidence-based interventions: Analyzing critical components for sustainability in community mental health services. Social Work in Mental Health, 17(2), 129-148. https://doi.org/10.1080/15332985.2018.1511500
Berkel, C., Mauricio, A. M., Schoenfelder, E., & Sandler, I. N. (2011). Putting the pieces together: An integrated model of program implementation. Prevention Science, 12(1), 23-33. https://doi.org/10.1007/s11121-010-0186-1
Ministério da Saúde (2017). Boletim Epidemiológico, perfil epidemiológico das tentativas e óbitos por suicídio no Brasil e a rede de atenção à saúde Boletim epidemiológico, Secretaria de Vigilância em Saúde (ISSN 2358-9450). https://portaldeboaspraticas.iff.fiocruz.br/biblioteca/boletim-epidemiologico-no-30-perfil-epidemiologico/
Connors, E. H., Schiffman, J., Stein, K., LeDoux, S., Landsverk, J., & Hoover, S. (2019). Factors associated with community-partnered school behavioral health clinicians’ adoption and implementation of evidence-based practices. Administration and Policy in Mental Health and Mental Health Services Research, 46(1), 91-104. https://doi.org/10.1007/s10488-018-0897-3
Dearing, J. W. (2009) Applying diffusion of innovation theory to intervention development. Research on Social Work Practice, 19(5), 503-518. https://doi.org/10.1177%2F1049731509335569
Del Campo, A., & Fávero, M. (2020). Effectiveness of programs for the prevention of child sexual abuse: A comprehensive review of evaluation studies. European Psychologist, 25(1), 1-15. https://doi.org/10.1027/1016-9040/a000379
Durlak, J. A., & DuPree, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal Community Psychology, 41(3), 327-350. https://doi.org/10.1007/s10464-008-9165-0
Dusenbury, L., Brannigan, R., Hansen, W. B., Walsh, J., & Falco, M. (2005). Quality of implementation: Developing measures crucial to understanding the diffusion of preventive interventions. Health Education Research, 20(3), 308-313. https://doi.org/10.1093/her/cyg134
Fagan, A. A., Hanson, K., Hawkins, J. D., & Arthur, M. W. (2008). Bridging science to practice: Achieving prevention program implementation fidelity in the community youth development study. American Journal of Community Psychology, 41(3) 235-249. https://doi.org/10.1007/s10464-008-9176-x
Forman-Hoffman, V.L., Middleton, J. K., McKeeman, J. L., Stambaugh, L. F., Christian, R. B., Gaynes, B. N., Kane, H. L., Kahwati, L. C., Lohr, K. N., & Viswanathan, M. (2017). Quality improvement, implementation, and dissemination strategies to improve mental health care for children and adolescents: A systematic review. Implementation Science, 12(1), 1-21. https://doi.org/10.1186/s13012-017-0626-4
Fox, D. P., Gottfredson, D. C., Kumpfer, K. K, & Beatty, P. D. (2004). Challenges in disseminating model programs: A qualitative analysis of the Strengthening Washington DC Families Program. Clinical Child and Family Psychological Review, (3), 165-176. https://doi.org/10.1023/B:CCFP.0000045125.68018.61
Fuentes, J. R. (2018). Salud mental global. In Fuentes, J. R., & Heinze, G. (Eds), Salud Mental e Medicina Psicológica (pp. 1-7). Universidad Nacional Autónoma de México.
Guerra, L. A., Ranja, S., & Roberts, K. J. (2019). The implementation of mental health policies and practices in schools: An examination of school and state factors. Journal of School Health, 89(4), 328-338. https://doi.org/10.1111/josh.12738
Lyon, A. R., & Bruns, E. J. (2019). From evidence to impact: Joining our best school mental health practices with our best implementation strategies. School Mental Health, 11(1) 106-114. https://doi.org/10.1007/s12310-018-09306-w
Markström, U., Svensson, B., Bergmark, M., Hansson, L., & Bejerholm, U. (2018). What influences a sustainable implementation of evidence-based interventions in community mental health services? Development and pilot testing of a tool for mapping core components. Journal of Mental Health, 27(5), 395-401. https://doi.org/10.1080/09638237.2017.1417544
Melo, M. H. S., & Izbicki, S. (2015). Adoção, disseminação e sustentabilidade de programas preventivos e de promoção em saúde mental. In Murta, S.G., Leandro-França, C., Santos, K.B. & Polejack, L. (Eds.), Prevenção e promoção em saúde mental: Fundamentos, planejamento e estratégias de intervenção (pp. 230-248). Sinopsys.
Meyers, D. C., Katz, J., Chien, V., Wandersman, A., Scaccia, J. P., & Wright, A. (2012). Practical implementation science: Developing and piloting the quality implementation tool. American Journal of Community Psychology, 50(3), 481-496. https://doi.org/10.1007/s10464-012-9521-y
Mihalopoulos, C., Vos, T., Pirkis, J., & Carter, R. (2011). The economics analysis of prevention in mental health programs. The Annual Review of Clinical Psychology, 7, 169-201. https://doi.org/10.1146/annurev-clinpsy-032210-104601
Mohammedi, M. M., Poursaberi, R., & Salahshoor, M. R. (2018). Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: A model testing study. Health Promotion Perspectives, 8(1), 25-32. https://dx.doi.org/10.15171%2Fhpp.2018.03
Moullin, J. C., Dickson, K. S., Stadnic, N. A., Rabin, B., & Aarons, G. A. (2019). Systematic review of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Implementation Science, 41(1), 1-16. https://doi.org/10.1186/s13012-018-0842-6
Nelson, G., Caplan, R., MacLeod, T., Macnaughton, E., Cherner, R., Aubry, T., Méthot, C., Latimer, E., Piat, M., Plenert, E., McCullough, S., Zell, S., Patterson, M., Stergiopoulos, V., & Goering, P. (2017). What happens after the demonstration phase? The sustainability of Canada’s at home/Chez soi housing first programs for homeless persons with mental illness. American Journal of Community Psychology, 59(1-2), 144-157. https://doi.org/10.1002/ajcp.12119
Newton, N. C., Champion, K. E., Slade, T., Chapman, C., Stapinski, L., Koning, I., Tonks, Z., & Teesson, M. (2017). A systematic review of combined student-and parent-based programs to prevent alcohol and other drug use among adolescents. Drug and Alcohol Review, 36(3), 337-351. https://doi.org/10.1111/dar.12497
Oliveira, S. R. de A., Potvin, L., & Medina, M. G. (2015). Sustentabilidade de intervenções em promoção da saúde: Uma sistematização do conhecimento produzido. Saúde em Debate, 39(107), 1149-1161. https://doi.org/10.1590/0103-110420161070357
Organização Mundial da Saúde. (2019). The WHO special initiative for mental health (2019-2023): Universal health coverage for mental health
Organização Pan-Americana da Saúde. (2018a). Folha informativa - Suicídio Recuperado (em 18 de outubro de 2020) de Recuperado (em 18 de outubro de 2020) de https://www.paho.org/bra/index.php?option=com_content&view=article&id=5671:folha-informativa-suicidio&Itemid=839
Organização Pan-Americana da Saúde. (2018b) The burden of mental disorders in the region of Americas
Portela, G. Z., & Ribeiro, J. M. (2011). A sustentabilidade econômico-financeira da Estratégia Saúde da Família em municípios de grande porte. Ciência & Saúde Coletiva, 16(3), 1719-1732. https://doi.org/10.1590/S1413-81232011000300009
Purtle, J., Brownson, R. C., & Proctor, E. K. (2017). Infusing science into politics and policy: The importance of legislators as an audience in mental health policy dissemination research. Administration and Policy in Mental Health and Mental Health Services Research, 44(2) 160-163. https://doi.org/10.1007/s10488-016-0752-3
Razzouk, D. (2016). Por que o Brasil deveria priorizar o tratamento da depressão na alocação dos recursos da Saúde? Epidemiologia Serviços de Saúde, 25(4), 845-848. https://doi.org/10.5123/S1679-49742016000400018
Rogers, E. (1995). Diffusion of innovations Free Press.
Rogers, E. (2004). A prospective and retrospective look at the diffusion model. Journal of Health Communication: International Perspectives, 9(S1), 13-19. https://doi.org/10.1080/10810730490271449
Schramm, J. M. A., Paes-Souza, R., & Mendes, L. V. P. (2018). Políticas de austeridade e seus impactos na saúde Centro de Estudos Estratégicos da Fiocruz.
Shediac-Rizkallah, M. C., & Bone, L. R. (1998). Planning for the sustainability of community-based health programs: Conceptual framework and future directions for research, practice and policy. Health Education Research, 13(1), 87-108. https://doi.org/10.1093/her/13.1.87
Spoth, R., Rohrbach, L. A., Greenberg, M., Leaf, P., Brown, C. H., Fagan, A., Catalano, R. F., Pentz, M. A., Zloboda, Z., & Hawkings, J. D. (2013). Addressing core challenges for the next generation of type 2 translation research and systems: The translation science to population impact (TSci Impact) framework. Prevention Science, 14(4), 319-351. https://doi.org/10.1007/s11121-012-0362-6
Stewart, R. E., Marcus, S. C., Hadley, T. R., Hepburn, B. M., & Mandell, D. S. (2018). State adoption of incentives to promote evidence-based practices in behavioral health systems. Psychiatric Services, 69(6), 685-688. https://doi.org/10.1176/appi.ps.201700508
Stirman, S. W., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Chams, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science, 7(1), 1-19. https://doi.org/10.1186/1748-5908-7-17
Sturza, M. L., & Davidson, W. S. (2006). Issues facing the dissemination of prevention program: Three decades of research on the Adolescent Diversion Project. Community Action Research, 32(1-2), 5-24. https://doi.org/10.1300/J005v32n01_02
Werner-Seidler, A., Perry, Y., Calear, A., Newby, J., & Christensen, H. (2017). School-based depression and anxiety prevention programs for young people: A systematic review and meta-analysis.Clinical Psychology Review , 51, 30-47. https://doi.org/10.1016/j.cpr.2016.10.005
Wiecha, J. L., Ayadi, A. M., Fuemmeler, B. F., Carter, J. E., Handler, S., Johnson, S., Strunk, N., Korzec-Ramirez, D., & Gortmaker, S. L. (2004). Diffusion of an integrated health education program in an urban school system: Planet health. Journal of Pediatric Psychology, 29(6), 467-474. https://doi.org/10.1093/jpepsy/jsh050
Zalsman, G., Hawton, K., Wasserman, D., van Heeringen, K., Arensman, E., & Sarchiapone, M., Carli, V., Höschl, C., Barzilay, R., Balazs, J., Purebl, G., Kahn, J.P., Sáiz, P. A., Lipsicas, C. B., Bobes, J., Cozman, D., Hegerl, U., & Zohar, J. (2016). Suicide prevention strategies revisited: 10-year systematic review.The Lancet Psychiatry ,3(7), 646-659. https://doi.org/10.1016/S2215-0366(16)30030-X
Zych, I., Ortega-Ruiz, R., & Del Rey, R. (2015). Systematic review of theoretical studies on bullying and cyberbullying: Facts, knowledge, prevention, and intervention.Aggression and Violent Behavior , 23, 1-21. https://doi.org/10.1016/j.avb.2015.10.001
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