Wednesday , June 7 2023

Concerns and doubts about the results of the first mental health census: there is a person hospitalized 90 years ago


The results of the first were announced this week National census of people interned for mental health reasons, a study provided for by law 26657, sanctioned in 2010 and regulated in 2013. The census was performed by Ministry of Health Government Ministry of Health and Pan-American Health Organization between 2018 and 2019

Last month Infobae published the history of Stella Maurig, the mom who pointed to the law. "They didn't let me put my son in and he shot himself", said David's mother, twice ill, addicted and also suffering from two mental illnesses. His case – beyond the specific fact – returned the case debate of the Mental Health Act 2010, for which the first numbers are just known.

Against the background of these positions, the first official publications were published among associations, professionals, human rights organizations, psychiatrists, psychologists and other healthcare professionals, who were both equally in support of and against the law. PFor many, the numbers would be a serious problem, but for others, it would not reflect the reality of the situation,

Among those that have had the greatest impact, for example, is the long stay of hospitalized patients.

According to the document, 162 monovalent institutions what's in Argentina 12 035 people have been accepted because of mental health. on 52% resides in public places and on 48% alone The average time spent in these centers is 8.2 years, a number that increases to 12.5 In the public sector. Of the total people, 1 in 4 takes between 11 and 90 years boarding school

The latest data corresponds to a person accepted in the country because of mental health problems which She was admitted when she was only 6 years old and today she is 96 years old, His identity is not disclosed, as is the place of the country in which he is located, as in the other categories, to preserve patients.

"The average cost of hospitalization is very high. It is very much taken into account that, by law, hospitalizations take place when there is a risk of a particular or imminent danger," he explained to Infobae, Celeste Fernandez, Disability and Human Rights Coordinator Civic Association for Equality and Justice (ACIJ), an entity that makes a public pronouncement on the matter.

Parallel with Association of Psychiatrists of Argentina (APSA), criticizes the study and is vigorous when it manifests itself, for example, in relation to the high average hospitalization time: "We reject this claim of false and false. The average hospitalization in most specialized hospitals in the country shall not exceed thirty days"Everyone who has been hospitalized at a monovalent hospital for years is a state abandoned: not there for medical or psychological reasons, but for social, economic and political reasons."

In the meantime, the government also conducted the census in dialogue with the state agency Telam , National Director of Mental Health and Addiction, Luciano Grasso, highlighted the work of 751 people participated in the study in 21 jurisdictions in Argentina that have institutions specializing in mental health.

"With this information you can change things. The main purpose is to switch from monovalent hospitals to a system of institutions polyvalent", said the Secretary for Health Promotion, Prevention and Risk Control of the nation, Mario Calera,

It is worth remembering that the envisaged 2010 text census every two years, that is, in 2019, when official statistics were to be known for the fourth time, on the basis of which they were to be based on mental health policies, the first figures had just been published.

In this order Fernandez noted that although ACIJ encourage full compliance with the law, this will have a large pending account regarding its implementation.

"It is true that it is not properly implemented. People have been hospitalized for a long time. Mechanisms considered abusive by human rights organizations are still being used, among other things. It is true that the law does not apply, but those who do. they criticize you for debating whether it is right or not. what is necessary is to obey the law"She framed.

Among the other points that has attracted attention is the least 37.2% of people are accommodated in these centers by social or life reasonsa. "There is everything. There are people who need a little support and don't have a home, and others who need help but don't find it in their homes," said Fernandez, who is a lawyer, on one of the issues that even came up to the courts. ACIJ states that these numbers reflect the lack of community deviceswhich have had to be implemented over the last 10 years.

The situation was verified by the justice of the case "SAF v Nation State and Others s / amparo" (2015), in which the then Ministry of Health of the nation and that of the Autonomous City of Buenos Aires were condemned to create a network of community-based devices for all people admitted to hospital in a discharged state. At three-and-a-half years, the sentence was still pending, which determined the imposition of fines on the Nation State and the city.

However, for the ACIJ Disability and Human Rights Coordinator, however, the census is a good symptom of improving the situation in the country: "We really appreciate that the census is done, obviously we will continue to insist that it remains in the data and nothing more. There is a need for public policy, a plan that can change this in a structured way. "

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