[Challenges for dealing with cases of domestic violence against children and adolescents through the Family Health Program in a medium-sized city in Rio de Janeiro state, Brazil]. / Desafios da atenção à violência doméstica contra crianças e adolescentes no Programa Saúde da Família em cidade de médio porte do estado do Rio de Janeiro, Brasil.

This qualitative case study aimed to analyze the challenges faced by the Family Health Program (FHP) teams in dealing with domestic violence against children and adolescents in Teresópolis, Rio de Janeiro State, Brazil. The sample consisted of 25 professionals from three family health teams. Data were collected through face-to-face semi-structured thematic interviews and submitted to content analysis. Findings included the health professionals' detection of cases of domestic violence among families enrolled in the program, often associated with drug use and drug dealing, alcoholism, family breakdown, and poverty. Collaboration with the community and difficulty in inter-sector actions were identified as challenges for detecting, reporting, and monitoring cases. Most professionals felt insecure in dealing with such cases, due to lack of appropriate knowledge and skills. The study concludes that it is essential to managers, staff and community discuss the problem and means to approach it in the context of the territories.

Desafios da atenção à violência doméstica contra crianças e adolescentes no Programa Saúde da Família em cidade de médio porte do estado do Rio de Janeiro, Brasil / Challenges for dealing with cases of domestic violence against children and adolescents through the Family Health Program in a medium-sized city in Rio de Janeiro state, Brazil

O artigo analisa os desafios encontrados na abordagem da violência doméstica contra crianças e adolescentes por profissionais do Programa Saúde da Família (PSF). Trata-se de estudo de caso qualitativo realizado em Teresópolis, Rio de Janeiro, Brasil. A amostra compreendeu 25 profissionais de três equipes de PSF. Os dados foram colhidos por meio de entrevistas individuais, com utilização de roteiro temático semiestruturado e analisados por meio da Análise de Conteúdo. Dentre os resultados, destaca-se a percepção dos profissionais de que há casos de violência doméstica nas famílias adscritas, frequentemente associada ao uso e tráfico de drogas, alcoolismo, desestruturação da família e pobreza. O vínculo com a comunidade e a dificuldade para ações intersetoriais foram identificados como desafios para detecção, notificação e acompanhamento dos casos. Em sua maioria, os profissionais sentem-se inseguros pela falta de conhecimentos e habilidades para o manejo dos casos. Conclui-se que é fundamental unir gestores, equipe e comunidade na discussão do problema e dos meios de abordá-lo no contento dos territórios.

This qualitative case study aimed to analyze the challenges faced by the Family Health Program (FHP) teams in dealing with domestic violence against children and adolescents in Teresópolis, Rio de Janeiro State, Brazil. The sample consisted of 25 professionals from three family health teams. Data were collected through face-to-face semi-structured thematic interviews and submitted to content analysis. Findings included the health professionals' detection of cases of domestic violence among families enrolled in the program, often associated with drug use and drug dealing, alcoholism, family breakdown, and poverty. Collaboration with the community and difficulty in inter-sector actions were identified as challenges for detecting, reporting, and monitoring cases. Most professionals felt insecure in dealing with such cases, due to lack of appropriate knowledge and skills. The study concludes that it is essential to managers, staff and community discuss the problem and means to approach it in the context of the territories.