TELEHEALTH PSYCHOLOGISTS OF SLEEP: A SUS (Brazilian Public Health System) TELECONSULTATION SYSTEM FOR SLEEP AND MENTAL HEALTH FOR THE BRAZILIAN POPULATION
teleconsultation, telehealth, SUS, sleep, mental health, sleep disorders.
The Telessaúde Brasil Redes Program is a national initiative that seeks to improve the quality of care and primary healthcare in the Unified Health System (SUS), integrating teaching and service through information technology tools that provide conditions to promote Teleassistance and Tele-education. It emerged during the COVID-19 pandemic context as a way to provide, through information and communication technologies, closer relationships between healthcare professionals and patients, ensuring continuity of care that was interrupted by social distancing and/or social confinement imposed as a form of health protection (prevention or promotion). The COVID-19 pandemic had brought, at that time, on a global scale, significant and immediate negative biopsychosocial impacts for individuals in the general population, healthcare professionals, and patients who tested positive for this disease, in addition to an unprecedented economic, political, social, psychological, cultural, and health management crisis, mainly due to characteristics of unpredictability, uncertainties, limited information on disease control, including survival. A silent and worrying parallel pandemic then began, including increased sleep disorders, mental disorders, and psychological trauma caused directly by the infection or its secondary consequences, or the worsening of pre-existing disorders. Driven by the objective of providing care (assessment and treatment) for sleep disorders and mental disorders directed at healthcare professionals on the front lines, a technological development and innovation project was developed to create and build a telecare platform titled Psicólog@s do Sono. The platform, part of the Telessaúde Brasil Redes program, was designed to end its activities along with the end of the pandemic. However, even after the end of the Public Health Emergency of International Concern (PHEIC) regarding COVID-19, declared on May 5th of the current year, the demand for teleconsultation by various population strata and from some Brazilian regions intensified, leading to the decision to continue receiving requests, especially due to: (1) Scientific research continuing to demonstrate that mental health and sleep were severely affected and untreated, to the point that PAHO (Pan American Health Organization) and WHO (World Health Organization) launched, on June 9th of the current year, a report to place mental health at the top of political agendas and integrate it into all sectors, in order to address the worsening of mental health conditions due to the COVID-19 pandemic; (2) The well-established bidirectional relationship between sleep and mental health; (3) Sleep disorders being underdiagnosed and undertreated, with much research pointing to symptoms but without characterization of types of sleep disorders; (4) Few professionals trained in sleep psychology in our country to provide care; (5) High demand for this care; (6) Geographic distance, preventing individuals from accessing the scarce in-person services that are usually located in large centers. Based on this scenario, the project proposes opening telecare to the entire population, focusing efforts on identifying types and prevalence of sleep disorders, in addition to assessing and/or confirming psychosocial factors related to sleep alterations in different population strata (students, professionals from various areas and different work shifts, retirees) and by regions, in the post-pandemic period, analyzing whether telecare will reduce such symptomatology and contribute to quality of life. In the end, a database will be available to help with sleep and mental health interventions for the Brazilian population, considered as support for the post-pandemic moment.