葡萄牙的社区精神病学：批判性综述。

Frias Pedro, Pinto da Costa Mariana

Hospital de Magalhães Lemos.

Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto.

Consort Psychiatr. 2020 Sep 2;1(1):49-59. doi: 10.17650/2712-7672-2020-1-1-49-59.

The mental health system in Portugal evolved from an institutional-centred system to a community-based system,a process which began in 1998 and has gathered pace since 2006. The approval and implementation of the Portuguese Mental Health Law and the Portuguese NationalMental Health Care Plan has contributed to the implementation of institutions and regulations aimed at decentralized, local and less restrictive models of care. The implementation and evolution process has been steady and gradual, introducing many of the envisioned changes whilst adapting existing mental health institutions and services. The current article describes this transition process, attempting to identify the strengths and weaknessesof the Portuguese Mental Health System from a community-centred perspective.

葡萄牙的心理健康系统已从以机构为中心的系统演变为基于社区的系统，这一过程始于1998年，自2006年以来加速推进。《葡萄牙心理健康法》和《葡萄牙国家心理健康护理计划》的批准与实施，推动了旨在实现分散化、地方化且限制较少的护理模式的机构与法规的实施。实施和演变过程一直稳定且渐进，在引入许多预想中的变革的同时，对现有的心理健康机构和服务进行了调整。本文描述了这一转变过程，试图从以社区为中心的视角识别葡萄牙心理健康系统的优势与不足。