{"id":4169,"date":"2021-11-12T13:55:49","date_gmt":"2021-11-12T13:55:49","guid":{"rendered":"https:\/\/dementes.programate.pe\/?p=4169"},"modified":"2026-07-09T19:34:00","modified_gmt":"2026-07-09T19:34:00","slug":"minsa-el-sistema-de-salud-mental-aun-es-insuficiente-necesita-crecer-en-cantidad-y-calidad","status":"publish","type":"post","link":"https:\/\/staging.dementes.org.pe\/en\/2021\/11\/12\/minsa-el-sistema-de-salud-mental-aun-es-insuficiente-necesita-crecer-en-cantidad-y-calidad\/","title":{"rendered":"MINSA: \"The mental health system remains inadequate and needs to expand in both scale and quality.\""},"content":{"rendered":"

Just a few days ago, Prime Minister Mirtha V\u00e1squez stated in her address to the Congress of the Republic that this government\u2019s proposal is for \u201c100% of the country\u2019s provinces to have community mental health services integrated into the healthcare network\u201d<\/span><\/strong>. She also mentioned that 300 new community mental health centers would be implemented, and that existing ones would be strengthened.<\/p>\n

What do community mental health services consist of? We interviewed Carlos Bromley Coloma, a psychiatrist from the Mental Health Directorate of the Ministry of Health<\/span><\/strong>, who shared more about this care model, as well as the mental health challenges and gaps that our country must address following the COVID-19 pandemic.<\/p>\n

What do the main changes implemented in the mental health care model in our country over the past few years consist of?<\/strong><\/span><\/p>\n

The Mental Health Reform has enabled a shift in the care model, moving from an institutional psychiatric model to a community-based model that respects human rights<\/strong><\/span>, relocating the care of people with mental health conditions from psychiatric hospitals to mental health services within the community. This has also involved a shift away from the biomedical care model<\/span><\/strong> \u2014 focused on medical care and psychopharmacological treatment \u2014 toward a comprehensive care model<\/strong><\/span>, with interdisciplinary teams that address the psychosocial causes of mental health problems.<\/p>\n

What progress has been made to date regarding the implementation of Community Mental Health Centers (CMHCs) nationwide?<\/strong><\/span><\/p>\n

CSMC have been progressively implemented throughout the country, with a current total of 206 centers nationwide<\/span><\/strong>. These centers provide care for people with mental health conditions and operate with interdisciplinary teams<\/span><\/strong> made up of at least 20 members from different professional backgrounds. These teams include mental health professionals such as psychiatrists, psychologists, family physicians, and nurses, as well as social workers, medical technologists specialized in speech and occupational therapies, pharmaceutical chemists, pharmacy technicians, nursing technicians, statistical staff, and administrative and cleaning personnel.<\/p>\n

\"\"<\/p>\n

Photo: MINSA<\/p>\n

What does a person need in order to receive care at their nearest community mental health center? Is it necessary to have any type of state health insurance?<\/strong><\/span>?<\/p>\n

If a person is experiencing an emergency, they only need to go to the center and request care, which will be provided<\/span><\/strong>. If they have Comprehensive Health Insurance (SIS), they will receive care through this system. If they do not have it, they will still receive care, as well as the necessary guidance and support to complete their enrollment.<\/p>\n

How is the increased demand for mental health care in our country as a result of the pandemic estimated? Is our mental health system prepared to address this increase?<\/strong><\/span><\/p>\n

The COVID-19 pandemic has increased mental health problems among the population<\/span><\/strong>, to the extent that those who were already experiencing them have seen their conditions worsen, while those who had not previously experienced them have begun to develop them. Anxiety, depression, and child abuse syndrome affecting children and adolescents have increased. Violence in all its forms and across all settings has also increased.<\/p>\n

The healthcare system in general, and the mental health system in particular, are still insufficient to address mental health problems<\/strong><\/span>; they need to grow both in quantity and quality. To achieve this, it is necessary to increase the national mental health budget and, consequently, per capita investment in this area, in order to fulfill what was stated by the President of the Council of Ministers regarding the implementation of new community mental health centers.<\/p>\n

In your opinion, what gaps do we still need to address in order to achieve universal and accessible mental health care for everyone in our country?<\/span><\/strong><\/p>\n

It is necessary to work on the prevention of mental health problems through interventions in schools<\/span><\/strong> aimed at children and adolescents, in order to contribute to the development of healthy mental health that leads to a functional life with well-being and happiness. Likewise, it is necessary to include the community-based mental health care model in undergraduate and postgraduate training across all professional fields \u2014 particularly in health and social science careers.<\/p>\n

It is also very important to work on improving the social determinants that affect the mental health<\/span><\/strong> of the population, such as poverty, for example. Finally, it is essential to expand access to mental health care by implementing more and new community-based mental health services<\/strong><\/span>, as well as allocating the necessary budget to make this possible.<\/p>\n

#EveryoneForMentalHealth<\/span><\/p>","protected":false},"excerpt":{"rendered":"

Entrevistamos a Carlos Bromley, m\u00e9dico de la Direcci\u00f3n de Salud Mental del Ministerio de Salud, quien nos cont\u00f3 m\u00e1s sobre el modelo de atenci\u00f3n comunitaria, as\u00ed como sobre los retos y brechas en salud mental que nuestro pa\u00eds debe enfrentar tras la pandemia del COVID-19. <\/p>","protected":false},"author":4,"featured_media":4170,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[8,10],"tags":[23],"class_list":["post-4169","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-novedades","category-opinion","tag-articulos-noticias"],"acf":[],"_links":{"self":[{"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/posts\/4169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/comments?post=4169"}],"version-history":[{"count":7,"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/posts\/4169\/revisions"}],"predecessor-version":[{"id":6405,"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/posts\/4169\/revisions\/6405"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/media\/4170"}],"wp:attachment":[{"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/media?parent=4169"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/categories?post=4169"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/staging.dementes.org.pe\/en\/wp-json\/wp\/v2\/tags?post=4169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}