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The project was grouped under a new area: Monitoring was another important element of the Regional Initiative for the Restructuring of Psychiatric Care in Latin America prehispahicos bears mentioning. Levav was the coordinator of this program. Inthe name of the technical unit was changed to the Mental Health, Substance Abuse, and Rehabilitation Unit to indicate the subject areas in which it worked.

Final report; Washington, DC: Prehisanicos Health in the New Millennium Dr. A consensus was reached during this forum on the need to shift away from the classic insane asylum model and to put an end to custodial practices. Technical and financial support from the U. Temas de salud mental en la comunidad [Mental Health Issues in pwiquiatria Community].

National Institutes of Health provided cooperation in this area.

PAHO/WHO | Background and historical development of PAHO Mental Health Program

A Manual for Health Workers]. These emerging issues, which had a tremendous social and heath impact, required appropriate responses from the health sector—and still do. Antecedenttes issue of alcohol and substance abuse was separated from mental health so it could be included in the Tobacco, Alcohol, and Substance Abuse Project, under the Sustainable Development and Environmental Health Area.

Administration of Mental Health Services]. The launch of the Regional Initiative for the Restructuring of Psychiatric Care in Latin America during the Caracas Conference in Venezuela, held between 11 and 14 Novemberwas an historic event in this period.

Strengthen the multisectoral approach to mental health; Promote family and community participation. Some of the most important elements of the period were: Five major subject areas are mentioned:.

Over the course of these two decades, training for mental health professionals at the undergraduate and specialty levels was a priority in the PAHO mental health technical cooperation program.


He also visited the majority of the psychiatric institutions and witnessed their deplorable conditions.

This last organization issued a grant for compiling all existing psychiatry and mental health laws in Latin America and the Caribbean. Velazco Alzaga focused primarily on conducting a situation analysis of mental health in the Region. Some of the most important elements of the period were:. Support was also provided for two subregional mental health seminars, which were attended by representatives from the mental health departments and programs of the countries in the Region.

Indeed, one of the noteworthy final recommendations urged that no more psychiatric hospitals be created and that alternative services to treat mental illness be offered as part of public health programs.

The Brasilia Declaration mentioned the new challenges that had become more evident over the past 15 years. Dissemination of the Brasilia Principlesa programming document marking a major adjustment in the approach to restructuring mental health programs and services in the Region; Evaluation of the countries’ mental health systems using the methodology of the World Health Organization’s Assessment Instrument for Mental Health Systems WHO-AIMS ; Emphasis on technical support for countries so that they can meet appropriate achievement levels in the implementation of their National Mental Health Plans; Strengthening technical cooperation in child and adolescent mental health.

The Technical Units became Projects, whose nature is essentially technical. Three conferences were held as part of this project: A technical collaboration program was launched in almost every country in the Region, which lasted for several years in the s.

A project known as “Mental Health, Disabilities and Rehabilitation” was created, which, in addition to mental health, included the component of physical and mental disability. Unfortunately, the majority of these experiences were short-lived due to a lack of continuity in funding Levav I, editor. Nevertheless, many nations in the Region still have a great deal of ground to cover.

The compilation of legislation was also completed. Develop National Mental Health Programs; Refocus mental health services from institutional to community settings ; Implement measures to control emotional disorders, epilepsies, and psychoses; Strengthen activities to promote the mental health and psychosocial development of children; Increase funding for mental health training programs; Improve legislation and regulations to protect human rights.


At both subregional meetings, hospitalization in psychiatric institutions was criticized for the first time, and it was recommended that psychiatric care be included in public health systems and activities.

Based in Panama, a consultant was appointed to advise the Central American countries, Mexico, and the Latin Caribbean. Reports on the three subregional seminars mentioned above served as the basis for developing national mental health programs under the ministries of health in several countries.

Background and historical development of PAHO Mental Health Program

As part of these processes, the Central America and Panama Action Group was created, which antecedentea for several years. Five major subject areas are mentioned: During the s and s, the prevention and control of alcoholism and drug dependency were major components of the PAHO Mental Health Program, meaning that a regional adviser was permanently available for collaboration on this topic.

Using the available information, which focused primarily on the availability of beds in psychiatric hospitals, psiquiayria of mortality associated with mental disorders, and institutional admissions, an initial quantitative analysis of problems related to psychiatric care in the Region was conducted. Brazil, Mexico, and Jamaica Inthe World Health Organization WHO decided to launch a series of initiatives to put mental health on the global policy agenda and make it more visible throughout the world, and developed a set of extremely useful instruments and programs.

In ,exico, the work “Temas de Salud Mental en la Comunidad” [Mental Health Issues in the Community] was published and widely disseminated throughout the Hemisphere, particularly in universities and technical health schools.

Nevertheless, over the two decades in question, PAHO increased the number of consultancies on the organization of mental health services and developed a fellowships policy for training outside the countries that focused on the public pdehispanicos approach to mental health, leaving psiquiatriaa work of psychiatric specialization to the countries themselves.

A meeting was later held with the countries of the English-speaking Caribbean, in which a declaration similar to the Caracas Declaration was adopted first in Devon, Barbados, and later at an expanded meeting that included Martinique.