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Velasco Alzaga and finishing the execution of the aforementioned grant from the National Institute of Mental Health. Monitoring was another important element of the Regional Initiative for the Restructuring of Psychiatric Care in Latin America that bears mentioning. Special emphasis was placed on the prevention and control of epilepsy and mental retardation intellectual disabilitiesand the U. The project was grouped under a new area: Five major subject areas are mentioned: La Reforma de los Servicios de Salud Mental: During his tenure, Dr.

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: Even though the 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.

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

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 lrehispanicos 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.

It offers a new opportunity to examine the issue and make it a priority on governmental agendas. These emerging issues, which had a tremendous social and heath impact, required appropriate responses from the health sector—and still do. 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.


Some of the most important elements of the period were:. From December and OctoberDr. Using the available information, which focused primarily on the availability of beds in psychiatric hospitals, rates of mortality associated with mental disorders, and institutional admissions, an initial quantitative analysis of problems related to psychiatric care in prrhispanicos Region was conducted.

Unfortunately, the majority of these experiences were short-lived due to a lack of continuity in funding Levav I, editor.

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.

Between July antecedentds OctoberDr. Over the course of this meeting, a large group of experts and guests discussed the lessons learned and future challenges. Velazco Alzaga focused primarily on conducting a situation analysis of mental health in the Region.

A directory of psychiatrists was created and a survey of psychiatric institutions was made with the collaboration of Latin American specialists. New publications were also released: If we were to evaluate the historical medico of mental health services in Latin America and the Caribbean, psiquiatriaa the Caracas Declaration as a point of reference, marked progress would clearly be observed in the majority of countries.

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 compilation of legislation was also completed. 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:.

Background and historical development of PAHO Mental Health Program

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.

Technology, Health Care and Research. Another notable element in was a major project financed by the U. Jorge Velasco Alzaga, was appointed as Regional Adviser, a position he held until Levav retired in Octoberand Dr.

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.

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 Antecedentea.


Strengthen the multisectoral approach to mental health; Promote family and community participation. The main objective of the meeting was to reach an agreement on the changes needed to modernize psychiatric care and promote broader, more comprehensive mental health activities.

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 health approach to mental health, leaving the work of psychiatric specialization to the countries themselves. Some major events took place in The Pan American Health Organization PAHO joined WHO in these efforts and has been working diligently to develop policies, plans, and services and to update legislation on mental health and the promotion of human rights.

As part of these processes, the Central America and Panama Action Group was created, which lasted for several years. Mental Health in the New Millennium Dr.

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. The idea that promoting changes in psychiatric care was convenient and necessary was gradually gaining ground, even though the time had yet not come for this to translate into specific stances or regional programs.

Temas de salud mental en la comunidad [Mental Health Issues in the Community]. Nevertheless, many nations in the Region still have a great deal of ground to cover. Partnering for Progress,” which was held in Washington D.

A project known as “Mental Health, Disabilities and Rehabilitation” was created, which, in addition to mental health, included the component of physical preuispanicos mental disability. 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.

National Institutes of Health provided cooperation in this area. Inthe 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.