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A Ministry of Health document released this week gives the go-ahead for the purchase of electroconvulsive devices (ECTs) for the unified health system (UAS) and reinforces the hospitalization opportunity of patients. children in psychiatric hospitals. The text still preaches abstinence for the treatment of drug addicts, says the O journal Estado de S. Paulo .
With 32 pages, the text on changes in mental health, alcohol and other drug policies continues to play the leading role in harm reduction, adopted for at least 30 years in the country. The strategy provides for the general care of drug addicts and aims primarily to improve their condition.
In the newspaper, the Minister of Health, Luiz Henrique Mandetta, said that he did not know the document. "[Il ne fait aucun doute que les mesures] are controversial."
"This is an unprecedented setback and an example of the preference for authoritarian interventions in this area," says Andrea Gallbadi, a professor at the university. from Brasilia (UnB). "
Although indicated as a resource for the treatment of patients with severe depression, electroconvulsive therapy has been badociated with torture and abuse
The General Coordinator from the Ministry of Health's mental health, alcohol and other drugs, Quirino Cordeiro – who signed the technical note – defended the focus on treatment. "The idea, according to him, is to guide SUS officials on mental health policy, which involves dealing with the use of electroconvulsive therapy.The same reasoning applies to the hospitalization of children and adolescents in psychiatric hospitals
The coordinator estimates that there are not enough beds in the country for mental health care He says children and adolescents can be hospitalized, but this is rarely done for lack of space . "Let's make a special mention."
The direction of mental health policy in the country has changed in recent years. After intense efforts to reduce the number of hospitalizations of patients with mental disorders, the policy is now reversed, with some sectors being pushed to increase the number of hospitalizations.
In the document, the file criticizes the closure of beds in psychiatry. and highlights, among the necessary measures, the treatment of drug addicts in therapeutic communities. Members of the dehospitalization movement criticize this measure, arguing that such institutions are poorly audited and do not respect rights. "There is an oversight and abuse can be committed in any institution," Cordeiro said.
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