• Manuel Desviat - Desviat, M. - Servicio de Salud mental do Hospital universitario la Paz. Comunidad de Madrid. - <desviatm@gmail.com> +
Área Temática:
Avaliação de Serviços de Saúde
Resumo:
Los problemas de salud mental aumentan su incidencia en todo el mundo mientras la psiquiatría atraviesa una crisis que afecta a su propia identidad y a la delimitación del objeto de su trabajo. Después de más de medio siglo de una política desinstitucionalizadora y comunitaria, la globalización neoliberal está llevando a cambios que socavan la atención pública en salud mental, en especial de los trastornos que demandan mayor atención social. Cambios en la responsabilidad del Estado y cambios en el tipo de demanda y en la forma de entender la enfermedad y su tratamiento. Al tiempo, frente a la medicalización de la sociedad que mediatiza la expresión de las necesidades en salud, empiezan a surgir movimientos de usuarios que reclaman autonomía, plena ciudadanía, empoderamiento, recuperación y “abogacía”
Palavras-chave:
Salud mental en el mundo
reforma psiquiátrica
salud mental comunitaria
gestión de los servicios
demanda
Abstract:
Mental health problems increased incidence around the world while the psychiatry is going through a crisis that concerns his own identity and the definition of the object of its work. After more than half a century of deinstitutionalized and community policies, neoliberal globalization is leading to changes that undermine public attention on mental health, particularly of the disorders that require greater social attention. Changes in the responsibility of state and changes in the type of demand and in the way of understanding the disease and its treatment. At the time, compared to the medicalization of society that mediates the expression of needs in health, users movements begin to emerge demanding autonomy, full citizenship, empowerment, recovery and advocacy.
Keywords:
Mental health in the world
psychiatric reform
community mental health
service management
demand
Mental health problems increased incidence around the world while the psychiatry is going through a crisis that concerns his own identity and the definition of the object of its work. After more than half a century of deinstitutionalized and community policies, neoliberal globalization is leading to changes that undermine public attention on mental health, particularly of the disorders that require greater social attention. Changes in the responsibility of state and changes in the type of demand and in the way of understanding the disease and its treatment. At the time, compared to the medicalization of society that mediates the expression of needs in health, users movements begin to emerge demanding autonomy, full citizenship, empowerment, recovery and advocacy.
Palavras-chave (keywords):
Mental health in the world
psychiatric reform
community mental health
service management
demand
Desviat, M.. Panorama internacional de la reforma psiquiátrica. Cien Saude Colet [periódico na internet] (2011/set). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/panorama-internacional-de-la-reforma-psiquiatrica/8687?id=8687
