Proposta de acolhimento diferenciado a pais de crianças com queixas de alterações de linguagem

• Ano de defesa: 2011
• Autor(a) principal: Ribeiro, Marcia Generoso
• Orientador(a): Friedman, Silvia
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Fonoaudiologia
• Departamento: Fonoaudiologia
• País: BR
• Palavras-chave em Português: Acolhimento; Família; Criança; Saúde pública; desenvolvimento de linguagem
• Palavras-chave em Inglês: Care; Family; Child; Public health; Language Development
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA
• Link de acesso: https://tede2.pucsp.br/handle/handle/11912

INTRODUCTION: It has been increasing in private or public Speech-Language and Hearing clinics demands for care to children with complains like: do not talk ; speaks little ; speaks wrong or presents unintelligible productions . The possibility to accept that demand in the National Health System is a relevant issue in accordance with public health policies based on the concepts of promotion, prevention and care. GOAL: Check the efficacy of a differentiated care procedure, with preventive purposes, to parents of children with language alterations complaints waiting for speech therapy in the National Health System. METHOD: Quantitative and qualitative research with participation of six families waiting for speech therapy in a Health Unit in São Paulo. Five instruments were used: 1- Initial Interview with parents; 2- Language Evaluation; 3- Communicative Abilities and Difficulties Questionnaire for Parents; 4- Communicative Attitudes Observation Protocol for Parents filled in from the filming of a play activity between parents and their son) and an instrument that guided the construction of the differentiated care; 5- Favorable and Unfavorable Actions to Communication, Play and Oral Habits. After 3 months the 2, 3 and 4 instruments were re-applied, to check whether there have been changes. RESULTS: After the differentiated care all families reported a better understanding of their children speech. A general increase in favorable attitudes like: discourse reformulations, continuity enunciations, requests for clarification was observed, and also a decrease in unfavorable attitudes. That showed a positive impact on the dialogism, on the resulting interactions and communicative skills of the children. CONCLUSION: The results show that the proposed differentiated care was effective as a Speech-Language and Hearing clinical device in public health and may establish new care practices family-centered and centered in the commitments of co-responsibility between health professionals and the public