‘Your departure was so early’: SUS program provides assistance to mourners – 06/24/2022

Tatiana Soares, 39, lost her mother in April 2021 at Covid-19. She is the only child of divorced parents and never wanted to leave her. They lived in the backyard of the same house. The trauma of the loss was great. “His departure was very quick and very painful, because he was a healthy person who suddenly contracted the disease, was hospitalized, intubated and released,” he reports.

As in many other epidemics, Tatiana at least didn’t get a chance to say goodbye to her mother. “They didn’t call me before intubating. Anyway, I didn’t see her again after she was admitted to the hospital. Only the coffin was closed. After she left, another surprise, I found out I was pregnant.” ۔ “

Not knowing how to deal with the situation, he sought help. They arrived in Proalu, a mourning program for Unifesp’s psychiatric department (Federal University of Sao Paulo) that, as the name implies, provides assistance to mourners. And, in addition, it promotes grief education for both the community and health professionals.

“The program helped me a lot. At first I couldn’t go to her house. During the sessions, my work changed to the home office. Guess where I set up my office? In my mother’s room, and I Also did some sessions. There. For me, it was a step forward. It helped me understand that I was not to blame for leaving, that our history was not limited to recent events, “says Tatiana. ۔

For such stories, psychologist and professor Samantha Moki, head of the Department of Psychotherapy and Medical Psychology at Escola Paulista de Medicina, and Proalu’s coordinator, speaking to the report, made a request: “Disclose Proalu.”

The program, which serves SUS at the Center for Integrated Attention to Mental Health (CAISM) in Villa Mariana, south of Sao Paulo, took shape in 2020 during an epidemic. Psychologists working in the ICU and emergency room of the hospital in Sao Paulo called for a special mourning service. Professionals said mourners had a different feeling than Covid.

Crime

“With Code, and it has already been studied, there is a strong sense of guilt in people who live or survive. Or ‘I wasn’t with him at the last minute.’

The reception was long overdue. Teachers always talked about this topic in their college classes. Parvalo, then, for adults, was formed into two screening meetings and four reception meetings, called Acolhimento Breve ao Luto.

Residents of psychology and psychiatry were trained for this work. So far, a total of 457 bereaved adults have been assisted in 2,742 counseling sessions. The team, which initially consisted of 25 volunteers, now has 45 members. So far, the program has not received any additional funding from the federal government.

Private sector cooperation

Psychologist and Professor Samantha Moki, Head of the Department of Psychotherapy and Medical Psychology at Escola Paulista de Medicina, and Proalu Coordinator

Photo: Personal Archive

Samantha, who describes herself as an idealist, did everything, as she popularly puts it, “in the race.” It bets on the expansion of the project and relies on the help of the private sector. This cooperation is already taking place. Invited by the fabric company to talk to employees about grief, the teacher bargained for her job to help keep the Proalu website online and buy content for the playbox – which includes psychology and teaching. Is a tool.

In addition to those who mourn the loss of cod, Parvalo also suffers from suicide and cancer, which is also linked to epidemics due to the increase in Samantha mental illness and delays in seeking a diagnosis.

This was the case with the Anna Rosa T. Stupa. Her mother was diagnosed with bladder cancer after being hospitalized for a week. Her five-year-old daughter suffered in the absence of her grandmother. In a WhatsApp group at the girl’s school, she found out about Parvalo and her daughter had completed her treatment.

Anna Rosa reveals how the two were helped. “My daughter is able to talk more about this topic and better understand the absence of her beloved grandmother. I, who had not even signed up for the program, was pleasantly surprised to find a wonderful therapist. That helped me to think about what I was hiding. On my own. “

In addition to those in need, suffering from severe social vulnerabilities, according to the professor, the program receives patients who can afford to pay, but Joe Pralo has become a reference, as he seeks out the project without trust. Do

Focus on caring for children and adolescents.

Now, Parvalo’s focus is on accelerating child and adolescent care, a phase that began last year when Samantha realized there was nothing special about this age group. “It had to be through SUS,” he says.

The program is a little different for them. There are two screening meetings and another 16 in grief psychotherapy. Caregivers participate in foster groups and receive guidance from these children and adolescents to talk about the harms.

“Solid grief has many secondary disadvantages. The death of a family member, who is sometimes the main provider or supplier. It has a huge social impact on the child. His father, mother. Or, in addition to losing the caregiver, she had to go. Stay at Grandma’s house, move to another city, change schools, lose friends, “he says.

To date, 22 families, bereaved children and adolescents and their survivors have received care. Registration is open via email at Pequenoenlutados@proalu.com.br

Online platform

With demands from diverse parts of the country, Samantha’s main concern is to meet all the children and teenagers looking for Proalu. Not wanting to leave anyone behind, she decided that in addition to the Villa Mariana Clinic, the care of children and adolescents would be online. With adults, distance work is done through platforms already available in the market.

For young children, however, the program aims to reproduce the hospitable atmosphere that the team can offer at the CAISM in Villa Mariana. The platform is already being developed and should be operational by September. It is being developed by WireAdTech Solutions, which works on educational projects for corporations and schools.

Zero cost for Proalu in a special virtual environment – this is a donation from the company to the project. The expectation is that with the help of technology, attendance can be tripled.

Playful atmosphere

“One of the alternatives, and we are still looking for another partner, is to offer a ‘gamified’ platform (without any competitive aspect), which will have avatars, virtual characters that can be customized. Browse the platform and the site. Content “, says Renato de Amorim Gomes from Wire.

In the same environment, in addition to accessing available material, the patient will have contact with psychologists and psychiatrists working in Parval. In addition to the platform, Wire is redesigning the Proalu brand and customizing the booklets available on the site.

At the company, which has 20 employees, seven people volunteered to participate in the project – all of them volunteered, and there is no extra payment for the time they devote. Regarding the effort, Gomez estimates that if the project is charged, it will cost about R 20,000.

“Every year we choose one or more projects to support, always according to education. It’s good for us as people,” says Gomez. Gomez explains.

Educational

Pravalo has an arm called Professor Samantha Psychology. The program’s website lists books, movies, music, podcasts, and other publications for adults and children that shed light on the subject.

Suggested content, for example, is Gilberto Gil’s song “Não Tem Medo da Morte”, in which the Baha’i musician says: “I’m not afraid of death / but I’m afraid of dying, yes / death and after me “But I am the one who is going to die. My last act. And I have to come.”

From the cinema, the list features productions such as “Ghost”, which approaches death in a more spiritual and romantic way, “Marley and Me”, the friendship and farewell between a family and their pets, and Brazil’s “Elena”, which discusses suicide from various angles.

Types of mourning

Parvalo has dozens of posts on Instagram that clarify questions about grief in its various forms – and anyone who browses the content will have an idea of ​​the many aspects of a topic that is often overlooked. Should be considered.

Such as, for example, the so-called expected grief, which begins when an individual receives a medical diagnosis that will make significant changes in his or her life, such as imminent death.

Another type of mourning that concerns the public is when the feeling can take on a more collective dimension. The example given by Parvalo is that of comedian Paolo Gustavo, who died in May 2021 after falling victim to covid. At the time, the post warned, 7 out of 10 Brazilians knew someone who had died of coyote. And so the actor’s death brought a familiar feeling.

“In the case of Paolo Gustavo, both mother and son identified with him (because of the character Donna Hermione)) we all have estimates. It’s like a man we really knew died,” says Samantha.

She believes that the subject of grief should be brought to schools – an environment in which, inevitably, a child or adolescent will feel part of their grief. Teachers and other peers, with more information on the subject, can then more effectively welcome mourners.

According to Samantha, UNICEF for Provo is already calling for data to be developed for research, which is always important when it comes to public health. With so many demands, the coordinator hopes to be able to accept more of them soon.

The report was developed in partnership with Republica.org, a non-partisan and non-corporate social organization dedicated to helping improve the public service in Brazil in all areas of government.

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