Resumo

ESPINO, Antonio. An analisis of the current state of psychiatric reform: weakness and strengths: Treaths and opportunities. Rev. Asoc. Esp. Neuropsiq. [online]. 2002, n.81, pp.39-61. ISSN 2340-2733.

The changes ocurring in the mental health sector in the last 20 years have been extraordinary. The first socialist legislature, with Ernest Lluchat the head of the Ministry of Health, reflected the generalized sentiment of ample groups of professionals and laid down the groundwork for change in mental health in Spain: the Report by the Ministerial Committee for Psychiatric Reform (1985) and the General Law of Health (1986) that pushed for the universalization of the right to healthcare. Some years later, the April Report(1991) echoed a new desire to introduce (albeit with difficulty) greater rigor in the organization and management of the public healt care system. The report would later be subject to and interested rereading of a conservative nature by the first government under the Partido Popular through the creation of a Parliamentary Subcommittee for the consolidation and modernization of the health care system (1997). Its dripdown effects have revealed a progressive stagnation of both the development of health care services and the intellectual debate on the emerging needs and demands of our citizens. It is thus necessary to revive the debate on the current situation of mental health policy and its new possibilities within the framework of economic and social change seen in recent years. To this end a functionalist analysis has been followed based on techniques employed in the busines sector for the development of strategic analyses prior to introducing changes in the management of these organizations.

Palavras-chave : Public policy and mental health; Legislative change and psychiatric care; Strategic analysis and changes in the organization of mental health.

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