From the analysis of studies on mental health in adolescence can be considered as a relevant issue, because this age group, and establish itself as a large portion of people who need and do not seek care, is identified as a vulnerable age group and risk. So, do you need to think of more effective forms of intervention, considering the family context, cultural and social these individuals. The purpose of this study was to investigate conceptions of adolescents and their caregivers about health and mental illness, including stereotypes and accessibility to mental health services offered in the city of Belém-PA, as well as major networks of support and care strategies used by adolescents. The study included 60 adolescents of both sexes, and their caregivers. The teenagers were aged between 12 and 17 years, 30 students from public school located in a suburb, and 30 private school located in a neighborhood considered noble in Belem-Para The caregivers were female, with aged 25 to 57 years. Of the total sample of 60 adolescents were interviewed families of diverse family configuration through home visits. The instruments were used: field diary, interview script familiar script of an interview with the coordinators of the schools and self-reported questionnaires on health and mental illness. The questionnaire results were analyzed preferably by Chi-Square and G test for independent samples. All statistical processing was carried out in BioEstat software version 5.2. For the field diary and interview scripts used the content analysis. The results showed these two instruments and socioeconomic risk factors and protection of teenagers in the family. The questionnaire results showed that perceptions of public school students about mental health were associated with not be as sensitive / fragile and think positive, be optimistic. While in private school was associated with balanced feel and be very important. As the conceptions of mental illness in the public school was related to when the body is not good and professional advise when a treatment in the private school was injured and have feelings is not something you notice right away. Regarding the origin of ideas there was no real difference between the groups. Regarding religion, there was disagreement only with respect to cure mental illness. As a coping strategy was associated in the public school to speak to someone about the problem while in the private school did not seek help. The mother was identified as the principal for help in public school, private school in the main reference was the family doctor. The main barrier to public school students access to mental health service was not knowing what the psychologist / psychiatrist will do with it, and in the private school was not wanting to be taken / mocked. In both groups the main problems were reported mental health problems in school and behavior. The private school adolescents responded that they only sometimes feel alone and happy, while in the public schools have always been in good spirits and satisfied with life.
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