Department of Psychiatry and Mental Health Service, Félix Bulnes Clinical Hospital, Santiago, Chile.
Int Rev Psychiatry. 2010;22(4):394-400. doi: 10.3109/09540261.2010.500876.
The practices and systems of mental health in Latin America and the Caribbean are heterogeneous and are connected to dissociation between national macro systems and the complex quotidian that occurs in the daily attention of mental pathologies. The health care experiences in mental health are diverse and go back to the 1960s; these took a boost with the Caracas Declaration of 1990. The Health Care Reform has had several stages, lately focused in the strength that derives from a growing psychiatric epidemiology "base". In addition, it notes that the majority of countries have a National Plan of Mental Health, but they do not seem purposely deployed in local developmental plans or in other sectors. It is proposed the existence of a willing to discuss psychiatry, critical and bold; trans and intrasectoral face to the national and communal developments. Governments need to prioritize strategies in mental health as an integral part of another national project with regard for quality of life and productivity of citizens. The communication poses challenges for the next 15 years, with what is complete the first quarter of this century, proposing a series of measures even basic, but valid for this part of the continent.
拉丁美洲和加勒比地区的心理健康实践和体系具有异质性，并与国家宏观体系与日常关注精神病理学的复杂情况之间的脱节有关。心理健康方面的医疗保健经验多种多样，可以追溯到 20 世纪 60 年代；随着 1990 年《加拉加斯宣言》的发布，这些经验得到了推动。医疗保健改革经历了几个阶段，最近的重点是越来越多的精神疾病流行病学“基础”所带来的力量。此外，它还指出，大多数国家都有国家心理健康计划，但这些计划似乎并没有专门纳入地方发展计划或其他部门。有人提出愿意讨论精神病学，提出批判性和大胆的观点；在国家和社区发展方面进行跨部门和部门内的讨论。政府需要将精神卫生战略作为另一个国家项目的一个组成部分加以优先考虑，以关注公民的生活质量和生产力。未来 15 年，沟通将面临挑战，本世纪的第一个四分之一已经过去了，为该大陆的这一部分提出了一系列甚至是基本的措施，但这些措施是有效的。
