Revista Española de Salud Pública
Print version ISSN 1135-5727
DESVIAT, Manuel. Psychiatric reform 25 years after the General Law of Health. Rev. Esp. Salud Publica [online]. 2011, vol.85, n.5, pp. 427-436. ISSN 1135-5727. http://dx.doi.org/10.1590/S1135-57272011000500002.
The paper analyzes the situation of the psychiatric reform 25 years of the General Health Law. The author wonders what has been done and what has been left undone, on the degree of implementation of the Community model that adopts the law and its future sustainability. It highlights, among the strengths, the loss of hegemony of the psychiatric hospital and the great development of alternative resources, and seeks to explain the reason for the inadequacies of care, policy and training, as well as threats: the changes in the management of social and health services, increased privatization of services, the theoretical impoverishment and changing demands of the population.
Keywords : Heatlh care reform; Legislation; Public health care; Mental Health; Community Psichaitry; Biological Psychiatry; Public policy; Spain.