title: [Child protection network and the intersector implementation of the circle of security as alternatives to medication].
abstract: OBJECTIVE
  To describe the clinical history of a child with aggressive behavior and recurring death-theme speech, and report the experience of the team of authors, who proposed an alternative to medication through the establishment of a protection network and the inter-sector implementation of the circle of security concept.
  
  
  METHODS
  A 5-year-old child has a violent and aggressive behavior at the day-care. The child was diagnosed by the healthcare center with depressive disorder and behavioral disorder, and was medicated with sertraline and risperidone. Side effects were observed, and the medications were discontinued. Despite several actions, such as talks, teamwork, psychological and psychiatric follow-up, the child's behavior remained unchanged.
  
  
  CONCLUSIONS
  A unique therapeutic project was developed by Universidade Estadual de Campinas' Medical School students in order to establish a connection between the entities responsible for the child's care (daycare center, healthcare center, and family). Thus, the team was able to develop a basic care protection network. The implementation of the inter-sector circle of security, as well as the communication and cooperation among the teams, produced very favorable results in this case. This initiative was shown to be a feasible and effective alternative to the use of medication for this child.
authors.affiliation: Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil. Electronic address: analaurambecker@gmail.com.
authors.forename: Ana Laura Martins M M
authors.initials: AL
authors.lastname: Becker
authors.affiliation: Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil.
authors.forename: Paulo Haddad
authors.initials: PH
authors.lastname: de Souza
authors.affiliation: Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil.
authors.forename: Mônica Martins
authors.initials: MM
authors.lastname: de Oliveira
authors.affiliation: Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brasil.
authors.forename: Nestor Luiz Bruzzi B
authors.initials: NL
authors.lastname: Paraguay
mesh_terms: D000374:Aggression; D002653:Child Behavior Disorders / Q000628:therapy*; D002662:Child Health Services; D002675:Child, Preschool; D003156:Community Mental Health Services; D006801:Humans; D008297:Male; D014754:Violence
keywords: Atenção primária à saúde; Child; Criança; Medicalização; Medication; Primary healthcare; Psicoterapia; Psychotherapy