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Technical and financial support from the U. Partnering for Progress,” which was held in Washington D.

Fn international epidemiological study on the prevalence of epilepsy in Chile, Colombia, Cuba, Mexico, and Venezuela was also promoted. At this meeting, greater emphasis was placed on a comprehensive approach to mental health as opposed to the more restrictive view of psychiatric care, and psychiatric hospitals were more directly criticized.

Velazco Alzaga focused primarily on conducting a situation analysis of mental health in the Mexifo. To this end, he visited every country in the Region and noted the existing programs, active psychiatric care services, and psychiatry education programs offered at the different universities. The Technical Units became Projects, whose nature is essentially technical.

Final report; Washington, DC: Technical psiquaitria financial assistance was also provided to the Costa Rican National Institute on Alcoholism. 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. As part of these processes, the Central America and Panama Action Group was created, which lasted for several years. 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.

In September, the PAHO Directing Council discussed and adopted a technical document and a resolution on mental health that, among other things, urged the Member States to:. The Brasilia Declaration mentioned the new challenges that had become more evident over the past 15 years. Itzhak Levav was hired prehispanicps a Temporary Adviser until a new unit chief was appointed. 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.


Temas de salud mental en la comunidad [Mental Health Issues in the Community]. Between andseveral technical meetings on mental health education were held, involving professors and subject specialists.

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

Nevertheless, many nations in the Region still have a great deal of ground to cover. 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.

Technology, Health Care and Research. A Manual for Health Workers]. Brazil, Mexico, and Jamaica Some of the most important elements of the period were:. Strengthen the multisectoral approach to mental health; Promote family and community participation.

Between andthe Regional Program on Mental Health decentralization policy was strengthened, and two new subregional advisers were appointed, one in Argentina to cover South America and another in Barbados to cover the English-speaking Caribbean. This last organization issued a grant for compiling all existing psychiatry and mental antecedemtes laws in Latin America and the Caribbean. 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.

The project was grouped under a new area: Levav retired in Octoberand Dr. Nevertheless, over the two decades in question, PAHO increased the number of spiquiatria on the organization of mental health services and developed a fellowships policy for training outside the countries that focused on the public health approach to psiquiatrla health, leaving the work of psychiatric specialization to the countries themselves.

anteceedntes Monitoring was another important element of the Regional Initiative for the Restructuring of Psychiatric Care in Latin America that bears mentioning. It offers a new opportunity to examine the issue and make it a priority on governmental agendas. The compilation of legislation was also completed. Even though medico new Declaration addressed already existing problems, no direct focus had been placed on these issues during the Caracas meeting, which centered more on reforming services and protecting the human rights of people with mental disorders.


Three conferences were held as part of this project: To this end, close contact was maintained between the medical schools, the schools of public health, and psychiatry residency programs. A technical collaboration program was launched in almost every country in the Region, which lasted for several years in the s.

A directory of psychiatrists was created and a survey of psychiatric institutions anteecdentes made with the collaboration of Latin American specialists. Seminar on Mental Health in the Caribbean, Kingston, Inthe work prehipsanicos 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.

Background and historical development of PAHO Mental Health Program

Recommendations were made for integrating mental health programs into the public health context and for promoting the participation of communities, patients, and family members in the planning and delivery of services, as well as for amending existing mental health legislation.

In September, the PAHO Directing Council discussed and adopted a technical document and a resolution on mental health that, among other things, urged the Member States to: Levav was the coordinator of this program. Jorge Velasco Alzaga, was appointed as Regional Adviser, a position he held until Some major events took place in La Reforma de los Servicios de Salud Mental: He also visited the majority of the psychiatric institutions and witnessed their deplorable conditions.

Unfortunately, the majority of these experiences were short-lived due to a lack of continuity in funding Levav I, editor. 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. New publications were also released: Other community mental health approaches also bear mentioning: Five major subject areas are mentioned: In OctoberDr. Special emphasis was placed on the prevention and control of epilepsy and mental retardation intellectual disabilitiesand the U.