‘Health Action for Children and Youth at Risk’ & ‘Health Action for Gender, Violence and Lifecycle’ – Portugal

The Health Action for Children and Youth at Risk was created in 2008, by order of no.31292/2008, and supported by the National Program for the prevention of violence in Lifecycle. Its main goal was the creation of a structured response for the promotion of children’s rights and the prevention of abuse and maltreatment in the National Health Service. The practice incorporates both primary health care and hospital with paediatric care settings orchestrated through the “National Network of Support Centres for Children and Youth at Risk”. The model was developed with specific guidelines from health professionals and disseminated using manuals, flowcharts, register systems, which allow the standardised working process throughout the NHS. 295 support teams are working in the NHS, including multidisciplinary teams of medical doctors, nurses, psychologists and social workers. These teams are responsible for raising awareness among community and health professionals, training HCPs and partners in addition to providing consulting for HCPs regarding child maltreatment. In very complex situations, these teams can directly intervene which leads to the situation being flagged in the health service. Families are assessed using risk indicators regarding the child, the family, and the socio-economic context. Additionally, there is close collaboration between health professionals, police, child protection services, educational, judicial and social protection systems. This network enables early intervention, appropriate tracking of violent situations and health surveillance of children and youths at risk to promote the well-being of children and their families. Between 2008 and 2019, 80,000 children have been monitored. 80% of these children did not need judicial intervention and were supported at the first level of intervention with their families allowing their best interests to be met. The lessons learnt from this practice include: 1) optimum results of intervention are obtained by connecting both primary care and hospitals, 2) early detection of risk factors by HCPs are key to success, 3) Intersectional communication and articulation to the community are important, 4) it is necessary to improve human resources and time allocation for HCPs to work on the intervention.

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