Análisis crítico del plan estratégico de atención de salud mental vigente en el ecuador, bajo la visión del modelo de salud mental comunitaria

Abstract

Mental health in Ecuador has become more relevant in these recent years, a proof of this was the development of the National Strategic Plan for Mental Health in 2014, where the central purpose was the implementation of guidelines aimed at changing the mental health care system in the country however, the limited technique reception was evidenced in relation to the recommendations for inserting the Mental Health services with a community-based approach provided by the World Health Organization (WHO). The objective of this study was to analyse the implementation guidelines of the Strategic Plan in relation to the elements proposed by the World Health Organization for the development of recommendations to create new strategies of execution that will serve to the transformation of the mental health system in Ecuador. It is a qualitative study based on documentary review and data analysis. The main results indicate that the guidelines presented in the plan include an entirety recommendations given by the community perspective additionally it was also possible to corroborate that despite having this normative body in favour to establishing a system of care based on a community and right perspective is still maintained in the country a hospital-centric mental health system with small community care centres with little state investment in favour of strengthening primary care services as well as for the prevention and promotion of mental health in the community, which can limit the implementation, given a series of actions was recommended by guideline that benefits the process of developing operational planning taking into account the country's indicators making it possible to overcome current obstacles.