Forgotten stories of the Brazilian Psychiatric Reform

2021 ◽  
Author(s):  
Breno Cunha ◽  
Flávia Teixeia
Keyword(s):  
Psychiatric Reform

2. Psychopathology and social performance in a cohort of patients with schizophrenic psychoses. A seven-year follow-up study

1991 ◽  
Vol 19 ◽  
pp. 17-26 ◽  
Author(s):  
G. Mignolli ◽  
C. Faccincani ◽  
S. Platt
Keyword(s):  
Social Performance ◽  
Psychiatric Reform ◽  
Quantitative Evidence ◽  
Follow Up Study ◽  
The World

The Italian psychiatric reform has attracted much interest and controversy around the world. While quantitative evidence on its implementation has already been provided (Tansella et al. 1987; de Girolamo, 1989), studies of the effects of the reform on patients are lacking.

Riforma psichiatrica e psicoterapia sistemica. Continuitŕ, sviluppi, problemi aperti

PSICOBIETTIVO ◽  
2009 ◽  
pp. 47-64
Author(s):  
Luigi Onnis
Keyword(s):  
Public Services ◽  
Health Workers ◽  
Psychiatric Hospitals ◽  
Mental Health Workers ◽  
Basic Principles ◽  
Psychiatric Reform ◽  
The Public ◽  
Italian Law ◽  
New Interpretation ◽  
Systemic Psychotherapy

- The Author, in this paper, first of all reconstructs the essential historical phases of the theoretical and practical renewal process which preceded and accompanied the 180 law approval, that established the psychiatric hospitals closing. He then describes the Italian psychiatric reform characteristics, underlining how it produces the emerging of needs of new interpretation and intervention methods about psychic sufference: in this perspective psychotherapy has a crucial role and the italian law in psychotherapeutic training regulation is a further support. Particularly systemic psychotherapy proposes common basic principles with regard to the psychiatric reform and can represent an useful instrument for developping innovative concepts and practices. Finally the Authors put critically in evidence the problems still unresolved, not only concerning the need of a full application of the reform law, with the creation of territorial services and structures where they are still lacking or insufficient, but, over all, promoting the diffusion into the public services of a psychotherapeutic culture and practice.Key Words: Italian Psychiatric Reform, Law 180, Systemic Psychotherapy, Psychotherapeutic Culture, Public Services, Mental Health Workers Formation.Parole chiave: riforma psichiatrica italiana, legge 180, psicoterapia sistemica, cultura psicoterapeutica, servizi pubblici, formazione degli operatori.

scholarly journals Is psychiatric reform a strategy for reducing the mental health budget? The case of Brazil

2007 ◽  
Vol 29 (1) ◽  
pp. 43-46 ◽  
Author(s):  
Sérgio Baxter Andreoli ◽  
Naomar Almeida-Filho ◽  
Denise Martin ◽  
Mário Dinis M L Mateus ◽  
Jair de Jesus Mari
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Public Investment ◽  
Community Services ◽  
Free Access ◽  
Psychiatric Reform ◽  
Psychiatric Admissions ◽  
Reducing Costs ◽  
New Community ◽  
Psychiatric Beds

OBJECTIVE: To investigate trends in the provision of mental health services and financing in Brazil. METHOD: Data from DATASUS (the Brazilian Unified Health Computerized System) with free access in the web were collected regarding the number of beds, the development of new community centers, the number of mental health professionals, and costs involved from 1995 to 2005. RESULTS: In ten years, the number of psychiatric beds decreased 41% (5.4 to 3.2 per 10,000 inhabitants) while community services have increased nine-fold (0.004 to 0.037 per 10,000 inhabitants). Psychologists and social workers have accounted for three and two-fold, respectively, as much hirings as psychiatrists. Psychiatric admissions accounted for 95.5% of the budget in 1995 and 49% in 2005, and the expenses with community services and medication have increased 15% each. As a whole, the expenses in mental health decreased by 26.7% (2.66 to 1.95 US$ per capita). CONCLUSION: There has been a clear switch from hospital to community psychiatric care in Brazil, where the system can now provide a diversity of treatments and free access to psychotropics. However, the coverage of community services is precarious, and the reform was not accompanied by an increased public investment in mental health. The psychiatric reform is not a strategy for reducing costs; it necessarily implies increasing investments if countries decide to have a better care of those more disadvantaged.

scholarly journals PARADIGMS OF CARE AND STIGMA OF THE MENTAL DISORDER IN BRAZILIAN PSYCHIATRIC REFORM

2017 ◽  
Vol 18 (3) ◽  
pp. 640-656
Author(s):  
César Augusto Trinta Weber ◽  
Mario Francisco Juruena
Keyword(s):  
Mental Disorder ◽  
Psychiatric Reform

‘Visions of another world’

2020 ◽  
pp. 227-244
Author(s):  
Chantal Marazia ◽  
Heiner Fangerau ◽  
Thomas Becker ◽  
Felicitas Söhner
Keyword(s):  
Mutual Influence ◽  
Phenomenological Tradition ◽  
Psychiatric Reform ◽  
Medical Establishment ◽  
The Social ◽  
1960S And 1970S ◽  
The 1960S

This chapter explores Franco Basaglia’s relation with German psychiatry, from his early infatuation with the anthropo-phenomenological tradition to the disputes with the social psychiatric movement during the 1960s and 1970s. After an overview of Basaglia’s criticism of German psychiatric schools and institutions, the chapter focuses on his personal links, most notably with progressive psychiatrists and with the anti-psychiatric movement SPK (Sozialistisches Patientenkollektiv). Finally, it analyses Basaglia’s reception, by both the medical establishment and the actors of psychiatric reform. Contrary to the current narrative of a mutual influence, the chapter argues that Basaglia can hardly be regarded as a genuine inspiration for German psychiatric reform, and was retrospectively refashioned as such.

Spain

2020 ◽  
pp. 147-160
Author(s):  
Victor Aparicio Basauri
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Psychiatric Hospitals ◽  
Psychiatric Reform ◽  
The Relationship ◽  
Critical Movement

This chapter analyses the influence of Franco Basaglia and the organization ‘Psichiatria Democrática’ on the Spanish critical movements. These movements appeared in 1971 and were organized through a clandestine group known as the ‘Psychiatric Coordinator’. This organization linked professionals (mainly young psychiatrists) who had initiated innovative experiences in various psychiatric hospitals. These developments generated conflict when opposing the norms of the dictatorship. From 1975, and especially after the approval of the 1978 Constitution, the critical movement was a force for change in mental health structures in Spain, through the established organization, the Spanish Association of Neuropsychiatry. This effort made it possible to generate the psychiatric reform in 1985 that advocated community mental health and deinstitutionalization policies. Franco Basaglia began his contacts with the Spanish critical professionals in 1970, and the relationship was maintained periodically until 1980, the year of his death.

Sign in / Sign up

Export Citation Format

Share Document