de Almeida José Miguel Caldas
Unidad de Salud Mental y Programas Especializados, Organización Panamericana de la Salud, NW, Washington, DC 20037, USA.
Rev Panam Salud Publica. 2005 Oct-Nov;18(4-5):314-26. doi: 10.1590/s1020-49892005000900012.
The beginning of the new millennium coincided with the start of a new phase in the reform of mental health services in Latin America and the Caribbean. This new phase has imposed new priorities and prompted new technical cooperation strategies at the international level. This piece points out the main characteristics of the first phases in the reform of mental health services in Latin America and the Caribbean, discusses the factors that led to the phase that started in 2001, and describes the strategies and the technical cooperation activities of the Pan American Health Organization to deal with the challenges that have arisen in the current stage of reform. The piece also considers the prospects for international cooperation in this field, as well as the advantages of establishing a program for the reform of mental health services in the Americas that would contribute to the combined efforts of governments and international organizations in an action plan with defined objectives. The piece recommends taking advantage of the celebration of the 15th anniversary of the Declaration of Caracas in order to launch an action plan that gives new impetus to mental health services reform in the Americas.
新千年的开端恰逢拉丁美洲和加勒比地区精神卫生服务改革进入新阶段。这一新阶段带来了新的优先事项，并促使国际层面采取新的技术合作战略。本文指出了拉丁美洲和加勒比地区精神卫生服务改革第一阶段的主要特点，探讨了导致2001年开始的这一阶段的因素，并描述了泛美卫生组织应对改革当前阶段出现的挑战的战略和技术合作活动。本文还考虑了该领域国际合作的前景，以及建立美洲精神卫生服务改革计划的优势，这将有助于政府和国际组织在一个有明确目标的行动计划中共同努力。本文建议利用《加拉加斯宣言》发表十五周年纪念活动的契机，启动一项行动计划，为美洲精神卫生服务改革注入新动力。
