On November 14, 1990, the “Conference for the Restructuring of Psychiatric Care in
What is the background? On the one hand, there were technical aspects, such as the insufficiency of care when provided only in mental hospitals, alongside successful experiences supporting the viability of community-based care in
Who participated? The call for participation by PAHO and many regional and international professional associations was wide and included: professionals, health authorities, lawmakers, judges, politicians, international experts, users, and the media.
What does the Caracas Declaration say? Simply, that mental health care should be provided in the community and that all actions should be performed within the framework of human rights.
What has happened since then? The Declaration was supported by the Directing Council of PAHO in 1997 and 2000. The strategy to restructure psychiatric services in Latin America was extended to the English-speaking
Twenty years after the Caracas Declaration, all countries, in all sectors, should reflect on the changes still needed in mental health care, strengthen what has been accomplished, and engage without delay in what has not yet been achieved.