pdf Innovative mental health programs in Latin America and the Caribbean (2.96 MB)

Editors: José Miguel Caldas de Almeida and Alex Cohen


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Despite the conceptual wealth of reforms developed in this part of the world and the enormous creativity demonstrated in implementing new models, these reforms are little known internationally. Even at the regional and national levels, surprisingly little is known about them.

This publication is an attempt to help to change that, conveying to interested readers some of the more innovative experiences implemented in Latin America and the Caribbean. Granted, it is only a first step, but one I hope will be followed by other initiatives that assess the impact and publish the results of reforms undertaken in the Region.

Each experience described here has its own history, as can be seen in each one of the chapters. Yet, all of them are part of a single reform process with shared historical roots and influences. Because a general context is important in order to understand essential aspects of the reforms, this introduction will briefly summarize the historical evolution of the mental health reform process in Latin America and the Caribbean, describing its most influential factors and its main achievements


Introduction, José Miguel Caldas de Almeida

Argentina: Waving the Mental Health Revolution Banner―Psychiatric Reform and Community Mental Health in the Province of Río Negro, Pamela Y. Collins

Brazil: Two Experiences with Psychiatric Deinstitutionalization,Campinas and Sobral, Cassis Henry

Chile: Reforms in National Mental Health Policy, Carrie M. Farmer

Cuba: Mental Health Care and Community Participation, Victor Aparicio Basauri

Jamaica: Community Mental Health Services, Kwame McKenzie

Mexico: The Hidalgo Experience―A New Approach to Mental Health Care, Miguel Xavier