Título On the roller coaster: An abridged history of mental health planning in Spain. The SESPAS 2002 Report
Autores Salvador-Carulla L. , ALMEDA MARTÍNEZ, NEREA MARÍA, Álvarez-Gálvez J. , GARCÍA ALONSO, CARLOS
Publicación externa No
Medio Gac Sanit
Alcance Review
Naturaleza Científica
Cuartil JCR 3
Cuartil SJR 3
Impacto JCR 2.13900
Impacto SJR 0.44400
Web https://www.scopus.com/inward/record.uri?eid=2-s2.0-85089729286&doi=10.1016%2fj.gaceta.2020.06.009&partnerID=40&md5=6db0deaba3b2abec2701111ed07f314a
Fecha de publicacion 22/08/2020
ISI 000585906400002
Scopus Id 2-s2.0-85089729286
DOI 10.1016/j.gaceta.2020.06.009
Abstract Effective mental health change in Spain started in 1985 with the Report of the Ministerial Commission for the Psychiatric Reform that recommended integrating psychiatric care into the general health system, providing care in the patient\'s context and for specific diagnoses. The SESPAS 2002 Report carried out an analysis of this reform and recommended the creation of a permanent ministerial commission, the design of a national map of socio-sanitary mental health services, the creation of a coordination and promotion agency for and carrying out a financial analysis of resource provision and research. Since 2004, the Technical Committee for the Mental Health Strategy boosted the elaboration of a theoretical and normative framework that unfortunately did not lead to a road map for the improvement of the system. After 2011, during the financial crisis, the Ministry of Health lost the opportunity to lead a second phase of change of the mental health care, which was evidence-based: no key technical reports were published nor was an action plan based on data developed. Currently, the 1985 community mental health model is still the general framework of mental health care with the addition of aspects related to the recovery model and the balance of care model. Significant progress has been made in developing care systems assessment methods and data-based models that could advance mental health planning. The gap between general health attention and mental health care has increased and the expected reform of the mental health system will not take place in the near future. © 2020 SESPAS
Palabras clave adult; attention; community mental health; human; mental health service; review; Spain; theoretical study
Miembros de la Universidad Loyola

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