Citation

Becker AL, de Souza PH, de Oliveira MM, Paraguay NL. Rev. Paul. Pediatr. 2014; 32(3): 247-251.

Vernacular Title

A articulação da rede de proteção à criança e a aplicação intersetorial do círculo de segurança como alternativas à medicalização.

Affiliation

Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil.

Copyright

(Copyright © 2014, Sociedade de Pediatria de São Paulo)

DOI

10.1590/0103-0582201432316

PMID

25479857

PMCID

PMC4227348

Abstract

OBJECTIVES: To describe the clinical history of a child with aggressive behavior and recurring death-theme speech, and report the experience of the team of authors, who proposed an alternative to medication through the establishment of a protection network and the inter-sector implementation of the circle of security concept. CASE DESCRIPTION: A 5-year-old child has a violent and aggressive behavior at the day-care. The child was diagnosed by the healthcare center with depressive disorder and behavioral disorder, and was medicated with sertraline and risperidone. Side effects were observed, and the medications were discontinued. Despite several actions, such as talks, teamwork, psychological and psychiatric follow-up, the child's behavior remained unchanged. REMARKS: A unique therapeutic project was developed by Universidade Estadual de Campinas' Medical School students in order to establish a connection between the entities responsible for the child's care (daycare center, healthcare center, and family). Thus, the team was able to develop a basic care protection network. The implementation of the inter-sector circle of security, as well as the communication and cooperation among the teams, produced very favorable results in this case. This initiative was shown to be a feasible and effective alternative to the use of medication for this child.

Language: pt