Outside institutions models management of adults with mental disorders and the impact on Argentina desinstitutionalization

Abstract

The aim of this work is to characterize and evaluate organizational design and models of deinstitutionalization in developed countries in the West and its impact on surgery in Argentina. It is described the structure, configuration, decentralization and liaison positions of Mental Health organizations. Service networks was observed with varying degrees of regional autonomy and decentralization. In Argentina was described a multiplicity of approaches and treatments implemented in an irregularly and discontinuously way. Existing projects pose a dichotomy between two health care systems: hospital work and work in the community, which prevented a common work, that would enhance the actions between hospitals and conducted in society. Results are not measured in terms of actual product of professional work (health status of patients) but in terms of nominal product (services provided). A common feature observed in the models analyzed was the timeliness of the different experiences subject to political vicissitudes, low budget allocations for grant programs, systems failure in ex-post evaluation and disadvantageous competition with other groups for the allocation of housing, employment and social security.