National Policy in the field of mental health: between skepticisms and expectation

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Since the end of last year, the country and specially the mental health professionals can now relay on a new National Policy in the Field of Mental Health, which, besides offering a valuable and novel framework for the thinking and acting on the problems affecting the Colombian people, has taken into account the developments made during more than 40 years in this fi eld. Its purpose has been to mobilize certain mentalities and practices, but never, as is usual, to start from zero. This effort, promoted by the Ministry of Social Protection together with the Colombian Psychiatric Society, has generated expectation in some and skepticism in others. Expectations due to the challenges it poses, ambitious but necessary: to expand the understanding and intervention of mental health in public policies, beyond the disease; to articulate this widened concept with the exercise, restitution and reparation of citizens’ rights and to establish a link between these two fi elds and the development of global capital. Within this framework, and for its due development, the positioning of this policy is expected to be promoted at suprasectorial level, maintaining stable principles, but at the same time being open to the contributions, discussions and needs as they emerge, recovering the institutional, social and collective memory, that has faded over time. Furthermore, presenting and carrying out a political management strategy plan for this Policy, and offering tools for participation and joint work. But there is also skepticism: this due to the destiny former attempts to establish a mental health policy in the country have suffered: they were not acknowledged, fell into oblivion, and had scarce or nil impact on the transformation of those situations considered as problematic; the vulneration of rights in general and of those concerning the right to mental health and, in particular, those limiting the assistance to people with a mental illness; the well-known impermeability to change and the fear of small interest groups to loose power. In the midst of this panorama, the individual and at the same time collective question for the medical-psychiatric profession, and those who form it, is whether, whenfaced with the country’s challenges and the possibilities that our new proposal may offer, our answer will be another 40 years of complaints, another 40 years of indifference, another 40 years of stigma, or will it be assuming an opportunity in the appropriation of the Policy, which necessarily starts with its knowledge and discussion. It is clear to everybody that a policy is not the same as a political document: that a policy becomes alive in the actions of those who day-bay-day work within the fi eld of mental health in the country, and in those who have a clear notion about their role as social actors in the development of a State-nation. We invite you then to form part of this project by accessing the document through the association’s web site: www.psiquiatria.org.co. Policy Committee of Asociación Colombiana de Psiquiatría

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2008-11-21   |   1,165 visitas   |   Evalua este artículo 0 valoraciones

Vol. 37 Núm.3. Septiembre 2008 Pags. Rev Col Psiqui 2008; XXXVII(3)