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01 - SAÚDE MENTAL INFANTOJUVENIL NO SISTEMA ÚNICO DE SAÚDE: DESAFIOS CONTEMPORÂNEOS E ESTRATÉGIAS DE CUIDADO

Doi: 10.47094/978-65-284-0598-5/19-36

PALAVRAS CHAVE: Saúde Mental. Criança. Adolescente. Sistema Único de Saúde. Atenção Psicossocial.

KEYWORDS: Mental Health. Child. Adolescent. Unified Health System. Psychosocial Care.

ABSTRACT:
Introduction: Child and adolescent mental health poses a significant challenge for health systems, given the rising incidence of anxiety, depression, self-harm, suicidal behavior, violence, bullying, cyberbullying, and other forms of psychological distress that impact the development, family relationships, academic performance, and social participation of children and adolescents. Objective: To analyze contemporary challenges in child and adolescent mental health within the context of the Unified Health System (SUS), discussing the organization of psychosocial care and key strategies for promotion, prevention, and treatment. Method: This is a narrative literature review employing a qualitative approach and a descriptive-analytical nature. The search covered publications from January 2020 to August 2026 in the MEDLINE/PubMed, LILACS, SciELO, and Scopus databases, as well as normative documents and public policies relevant to the organization of child and adolescent psychosocial care in Brazil. Findings were analyzed interpretatively and organized by thematic affinity. Results: The study revealed that psychological distress among children and adolescents is multifactorial in nature, linked to social and territorial inequalities, violence, fragile social bonds, academic and family difficulties, and new vulnerabilities associated with digital environments. Challenges persist regarding access, care fragmentation, the coordination of the Psychosocial Care Network, and professional training. Primary Health Care plays a strategic role in mental health promotion, early identification, and longitudinal follow-up, while Child and Adolescent Psychosocial Care Centers are essential for managing more complex cases. The need for coordination among the health, education, and social assistance sectors, as well as families and the community, was also highlighted. Conclusion: Strengthening child and adolescent mental health within the SUS requires a territorial, integrated, and intersectoral network capable of coordinating prevention, early identification, continuous care, and specialized attention, thereby ensuring comprehensive, humanized care tailored to the unique needs of children and adolescents.

Autores

  • Andréa Lima Cavalcante

  • Anna Lúcia Martins Viana

  • Catarina Elias de Siqueira

  • Daniela Lima Santiago

  • Francisca Paiva Paulino

  • José Gilberto Ribeiro

  • Maria Liduina Galdino Duarte

  • Michelle da Silva Sales

  • Nadêdja Bandeira Garcia

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