Evaluación de la restrictividad de dispositivos residenciales para personas con un diagnóstico psiquiátrico en el modelo de Salud Mental Comunitaria en Chile

Grandón, Pamela; Bustos, Claudio; Cárdenas, Carolina Tapia; Solar, Félix Cova

doi:10.11144/javeriana.upsy14-4.erdr

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Although the number of beds in psychiatric hospitals has decreased, especially at the cost of fewer hospital beds for long-term care, there are indicators of human rights violations based on involuntary admission procedures, mechanical containment measures, confinement in isolation wards, overmedication, maltreatment, punishment, physical and sexual abuse. Also described is the lack of information regarding the number of people admitted and the reasons why they remain in a situation of abandonment and exclusion, as well as the absence of mechanisms to safeguard rights in these facilities (INDH, 2017).…”

Section: Mental Health System and Community Model In Chilementioning

confidence: 99%

“…Thirdly, with regard to respect for the rights of users of outpatient psychiatric services, the right to an independent life and to be included in the community are described as having a low level of compliance at the national level (Minoletti et al, 2015). It is also noted that residential support devices (homes and residential facilities) have restrictive rules that limit the ability of residents to make decisions in basic areas of their lives (Grandón Fernández et al, 2015). In this regard, it has been suggested that protected homes and houses, although they have played a central role in the implementation of the community model, reproduce asylum practices because they are highly regulated places with continuous staff supervision.…”

Section: Mental Health System and Community Model In Chilementioning

confidence: 99%

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Gasto público en prestaciones hospitalarias y extrahospitalarias en el modelo de salud mental comunitaria en Chile

Madrid

2020

Saude soc.

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Resumen El presente trabajo analiza el gasto público en salud mental en el marco de la implementación del modelo comunitario en Chile. Para ello, examina el mecanismo de financiamiento y la asignación de recursos financieros en salud mental considerando los recursos ejecutados en prestaciones hospitalarias y extrahospitalarias en el sistema público de salud en el período 2014-2018. En general, se observa un aumento del número de prestaciones hospitalarias y extrahospitalarias, así como en el gasto derivado de las mismas. Los mayores incrementos de inversión monetaria refieren a la aplicación de electroshock, programas de rehabilitación tipo 2, día cama integral psiquiátrico diurno y día cama hospitalización integral corta estadía. Se concluye que la vigencia del modelo asilar, el predominio biomédico y la excesiva medicalización de la salud mental sustentan una inequidad en la valoración de las prestaciones, así como una desigual distribución de los recursos públicos, siendo necesario reorientar el gasto estatal hacia servicios comunitarios que garanticen derechos de ciudadanía y la promoción del bienestar.

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Section: Mental Health System and Community Model In Chilementioning

confidence: 99%

Section: Mental Health System and Community Model In Chilementioning

confidence: 99%

Gasto público en prestaciones hospitalarias y extrahospitalarias en el modelo de salud mental comunitaria en Chile

Madrid

2020

Saude soc.

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Community model of mental health: an analysis of its implementation in two psychosocial rehabilitation devices in mental health

A¹

2020

IJFCM

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Accordingly, various initiatives in the country have sought to reverse the asilar model and traditional stigma and exclusion of people with mental disorders. Experiences from the framework of community psychiatry in the late fifties and early sixties are the first attempts to advance this line helping to build a community mental health model. 8 The community mental health model recognizes and intends to address the needs of this population with a comprehensive approach recognizing the impact that has mental illness severe and persistent in the person, his family and environment as well as considering how this environment contributes to rehabilitation and inclusion providing conditions conducive to the full exercise of rights and welfare socioemotional. 9 In line with the challenges posed by mental health model community, the National Mental Health Plan 2017-2025 seeks to implement improvements in mental health. Proposes a reorganization of integrated services to the general health system ordered levels, with specialized resources, diversified, decentralized and regionalised. It recognizes the need for complex connections with non-health structures for the comprehensive and satisfactory care for people with mental disorders by MINSAL.Although this plan promotes the community mental health model in the different devices that collaborate in its implementation, it has been documented that difficulties persist in Chile that hinder the implementation of community approaches in the field of psychosocial intervention and rehabilitation. [10][11][12] In order to inquire about the implementation of psychosocial rehabilitation programs that operate under the framework of the community mental health model and to study whether these effectively incorporate its approaches and operationalizations, this research seeks to characterize the implementation of the community mental health care model of two psychosocial rehabilitation programs in southern Chile. Mental health community in Chile, trajectories and tensions

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Ética del cuidado y atención pública en salud mental: un estudio de caso en Barcelona

Flores¹,

Llombart²,

Mora³

2021

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El presente artículo tiene como objetivo analizar, desde la perspectiva de género, los servicios de atención pública en salud mental en la ciudad de Barcelona, a través de un estudio de caso: el servicio de salud mental de personas adultas en el contexto de la última reforma en salud mental de orientación comunitaria y transdisciplinaria. Desde un abordaje cualitativo, estudiamos los diferentes discursos que las y los profesionales en salud mental elaboran sobre cómo abordan la relación terapéutica entre profesional y persona usuaria y, de forma específica, la vulnerabilidad y las propuestas de respuesta. Entre noviembre de 2018 y abril de 2019, se realizaron tres grupos de discusión con profesionales y un grupo conformado por mujeres usuarias. Sobre los datos obtenidos se realizó análisis de contenido categorial. Los resultados muestran una tendencia a entender y abordar la vulnerabilidad desde la ética del cuidado a partir de un modelo de atención comunitaria, que diferencia los discursos entre los hombres y las mujeres que han participado en la investigación. Concluimos que el modelo comunitario, al basarse en la interdependencia, promueve la recuperación de la ciudadanía de las personas usuarias, contraponiéndose al modelo hospitalario.

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Evaluación de la restrictividad de dispositivos residenciales para personas con un diagnóstico psiquiátrico en el modelo de Salud Mental Comunitaria en Chile

Cited by 3 publications

References 17 publications

Gasto público en prestaciones hospitalarias y extrahospitalarias en el modelo de salud mental comunitaria en Chile

Gasto público en prestaciones hospitalarias y extrahospitalarias en el modelo de salud mental comunitaria en Chile

Community model of mental health: an analysis of its implementation in two psychosocial rehabilitation devices in mental health

Ética del cuidado y atención pública en salud mental: un estudio de caso en Barcelona

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