Emergências psiquiátricas infantojuvenis: lacunas na linha de cuidadi em políticas públicas de saúde mental no SUS-DF

Abstract

This dissertation analyzes the care pathway for child and adolescent psychiatric emergencies within the Unified Health System of the Federal District (SUS-DF), based on SES-DF Ordinance No. 185/2012, SES-DF Ordinance No. 536/2018, and the Federal District Mental Health Master Plan (PDSM-DF). It is a qualitative, exploratory, and documentary study grounded in thematic Content Analysis, as proposed by Bardin, complemented by lexical analysis using MAXQDA software. The findings indicate advances in the formal structuring of the care network and in the description of its service components; however, they also reveal persistent normative gaps regarding the definition of child and adolescent psychiatric crisis, the organization of care flows, the allocation of responsibilities across service points, and the specificities of care for children and adolescents. Lexical recurrence analysis reinforced the centrality of terms associated with a hospital-centered logic and the low discursive density of categories related to development, comprehensive protection, and territorialized care. It is concluded that the analyzed care pathway remains marked by operational ambiguities and insufficient normative density to support comprehensive, intersectoral, and territorial responses to child and adolescent psychiatric crises, indicating the need to strengthen public policies and the Psychosocial Care Network (RAPS).