Collective development of a flow of care for children and teenagers exposed to work: using the double stimulation method

Construcao colaborativa de um fluxo de atendimento a criancas e adolescentes expostos ao trabalho

Abstract

DONATELLI, SandraVILELA, Rodolfo Andrade de GouveiaQUEROL, Marco Antonio Pereira  and GEMMA, Sandra Francisca Bezerra. Collective development of a flow of care for children and teenagers exposed to work: using the double stimulation method. Interface (Botucatu) [online]. 2020, vol.24, e190798.  Epub 04-Dez-2020. ISSN 1807-5762.  http://dx.doi.org/10.1590/interface.190798.

In Limeira, a city in the state of São Paulo, Brazil, child labour in the production of costume jewellery was recognized as a public health issue. One of the actions taken by civil society and government departments was to create a Committee for eradication of child labour (COMETIL), and to coordinate integrated care services for children and teenagers. This article aims to show how integrated solutions were built, using as a starting point the double stimulation method in a formative intervention (Change Laboratory) at the COMETIL. Data for analysis and identification of agentive actions and expansive learning came from transcripts of a case discussion, of accidental ingestion of acid by a child. Results show that the double stimulation method helped actors to see the flaws in services provided by the town’s network and to design a new flow of care.

Keywords : Accident with acid; Double stimulation; Expansive learning; Transformative agency

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