{"id":15754,"date":"2024-10-08T11:30:49","date_gmt":"2024-10-08T09:30:49","guid":{"rendered":"https:\/?p=15754"},"modified":"2026-09-07T11:41:09","modified_gmt":"2026-09-07T09:41:09","slug":"comunicat-dia-mundial-de-la-salut-mental-el-pacte-nacional-de-la-salut-mental-oportunitats-i-reptes","status":"publish","type":"post","link":"https:\/\/fccsm.net\/en\/noticies\/manifestos-i-comunicats\/comunicat-dia-mundial-de-la-salut-mental-el-pacte-nacional-de-la-salut-mental-oportunitats-i-reptes\/","title":{"rendered":"The National Mental Health Pact: opportunities and challenges"},"content":{"rendered":"<p align=\"justify\"><span style=\"font-size: medium;\">The pandemic crisis only accentuated and aggravated the suffering and distress of the population, as well as the shortcomings of the care system itself, primarily structured around the public healthcare system. Thus, the increase in so-called mental pathologies and disorders, along with alarming figures on suicides, among other issues, put the Government on alert. The Government subsequently launched a specific initiative to confront a reality that affects an increasing number of people and sectors of the population in Catalonia. <\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: medium;\">The National Mental Health Pact (PN) was therefore born (DOC of November 21, 2021) expressing the intention to make a medium and long-term approach that would consolidate the implementation of actions to be carried out in the field in question. It was, at a first and broad moment, about <\/span><strong><span style=\"font-size: medium;\">a survey of the state of the art<\/span><\/strong><span style=\"font-size: medium;\">, an extensive X-ray of all the information involved, from cold quantitative data and results, to a presence and dialogue with the services and agents involved. <\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: medium;\">This procedure, likely the most thorough carried out in the country, brought fresh air to both professionals, who believed they could channel management and resource issues, and users, who saw it as an opportunity to assert their voices and rights, which had been violated for decades. The Plan's management met with almost all stakeholders involved, regardless of their approach, attending inaugurations or closing ceremonies of conferences and other events.<\/span><span style=\"font-size: medium;\"><i>. <\/i><\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: medium;\">This included not only health devices but also others related to the tasks of promoting and consolidating mental health in our country (education, social services, justice, work...). <\/span><strong><span style=\"font-size: medium;\">The purpose of this extensive and meticulous vision was, ultimately, to present reasoned proposals with a hierarchy of priorities to the legislature.<\/span><\/strong><span style=\"font-size: medium;\">, so that the Parliament of Catalonia would approve and consolidate concrete proposals to the Government, for the benefit of the population's mental health. This work included a training agreement for <\/span><span style=\"font-size: medium;\"><i>Quality Rights<\/i><\/span><span style=\"font-size: medium;\"> (QR) -following the guidelines of the UN Special Rapporteurs' reports regarding patient rights and the corresponding restructuring of service organization- with the provider entities. A first-rate outreach task that will have served, at the very least, to make the field of patient rights part of the reality to be addressed by services and professionals themselves. It was in the part of the PN's conclusion drafting that <\/span><strong><span style=\"font-size: medium;\">I have observed with concern and astonishment how some of the main service providers <\/span><\/strong><span style=\"font-size: medium;\">(responsible for and agents of the lack of progress in the unmitigated application of patients' rights and the structural care reforms that this entails - in accordance with the aforementioned UN QR guidelines)<\/span><strong><span style=\"font-size: medium;\"> they have been at the same time who have had<\/span> <span style=\"font-size: medium;\">significant prominence in its preparation<\/span><\/strong><span style=\"font-size: medium;\">. <\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: medium;\">For all these reasons, it is necessary, once again, to remember and keep in mind that <\/span><strong><span style=\"font-size: medium;\">the incorporation of<\/span><\/strong><span style=\"font-size: medium;\"><strong>Patients' rights are non-negotiable.<\/strong><b>,<\/b><\/span><span style=\"font-size: medium;\"> There is no valid justification for failing to comply with the necessary guidelines to preserve its priority. <\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: medium;\">Finally, a first draft of these conclusions has seen the light of day; a long, detailed, and laborious text, with some significant initial measures, but which overlooks, or perhaps substitutes, undertaking direct and clear actions regarding points that have been widely detailed for too many years. <\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: medium;\">The <strong>Ethics Committee<\/strong> subscribed to <strong>Catalan Congress of Mental Health Foundation<\/strong>, on the occasion of World Mental Health Day, wants to recall, once again, that there are major structural issues that will determine the actions to be taken \u201cin a cascade,\u201d and without which it is too easy to fall into not addressing \u2013 a smokescreen \u2013 burning issues that require clear and immediate improvement. These include:<\/span><\/p>\n<ul>\n<li>\n<p align=\"justify\"><strong><span style=\"font-size: medium;\">Place patient rights (people!) at the center of any intervention aimed at improving their health status<\/span><\/strong><span style=\"font-size: medium;\">eliminate or progressively but inevitably reduce to negligible percentages mechanical restraints, non-consensual or unconsented isolation, involuntary admissions, forced treatments).<\/span><\/p>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<p align=\"justify\"><span style=\"font-size: medium;\">Normalize the <\/span><strong><span style=\"font-size: medium;\">Disclosure and implementation of alternative therapies to the biomedical model.<\/span><\/strong><span style=\"font-size: medium;\"> of common use, according to the UN rapporteur's report, facilitating it.<\/span><strong><span style=\"font-size: medium;\"> free choice<\/span><\/strong><span style=\"font-size: medium;\"> according to the will of the person being cared for.<\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: medium;\">Consequently, increase and adapt support resources to the corresponding community-based approach. <\/span><strong><span style=\"font-size: medium;\">Gradually de-medicalize mental disorder care in favor of validated alternative therapies.<\/span><\/strong><span style=\"font-size: medium;\"> from the WHO itself (<\/span><span style=\"font-size: medium;\"><i>Open Dialogue<\/i><\/span><span style=\"font-size: medium;\"> and others...). <\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: medium;\">Ensure the <\/span><strong><span style=\"font-size: medium;\">active participation of those affected and their families<\/span><\/strong><span style=\"font-size: medium;\"> both in treatments, as well as in the organization and management of mental health care services.<\/span><\/p>\n<\/li>\n<li>\n<p align=\"justify\"><span style=\"font-size: medium;\">Validate i <\/span><span style=\"font-size: medium;\"><strong>generalize the implementation of advance directives for affected individuals, without specific mental health difficulties leading to a reduction<\/strong>.<\/span><\/p>\n<\/li>\n<\/ul>\n<p align=\"justify\"><span style=\"font-size: medium;\">The goals are indeed ambitious, but let's remember that Spain signed the UN Convention on the Rights of Persons with Disabilities in 2006. Furthermore, on several occasions, UN\/WHO Rapporteurs have given unequivocal guidance on the matter. Therefore, we have been <\/span><strong><span style=\"font-size: medium;\">Too many years of delay, too much suffering resulting from sustained reliance on ineffective approaches.<\/span> <span style=\"font-size: medium;\">I am obsolete<\/span><\/strong><span style=\"font-size: medium;\"> in addition to the suffering inherent in mental health disorders, and which constitutes a failure to meet acquired commitments. <\/span><\/p>\n<p align=\"justify\"><strong><span style=\"font-size: medium;\">There is a shared and proportional responsibility<\/span><\/strong><span style=\"font-size: medium;\">service providers can no longer afford to overlook the <\/span><strong><span style=\"font-size: medium;\">paradigm shift according to UN guidelines<\/span><\/strong><span style=\"font-size: medium;\">, and for their part, <\/span><strong><span style=\"font-size: medium;\">the governments<\/span><\/strong><span style=\"font-size: medium;\">, The color doesn't matter, they also shouldn't refuse to agree on terms with service providers for <\/span><span style=\"font-size: medium;\"><strong>implement concrete actions that will make the desired and expected change effective<\/strong> <\/span><span style=\"font-size: medium;\">it improves mental health care in our country. <\/span><\/p>\n<p align=\"justify\"><span style=\"font-size: medium;\">October 10, 2024 <\/span><\/p>\n<p><strong>Ethics Committee<\/strong>:<br \/>\nJoan Badia, Esther Francisco, Montserrat Hierro, Jordi Marf\u00e0, Judith Martin, Asunci\u00f3n Pi\u00e9, Alicia Roig, Mercedes Serrano, Silvia Ventura, Fernando Vidal and Edgar Vinyals.<\/p>\n<p>Download the <a href=\"http:\/\/la.fccsm.net\/wp-content\/uploads\/2024\/10\/dia-mundial-salut-mental24.pdf\"><strong>communication<\/strong><\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>La crisi de la pand\u00e8mia no va fer m\u00e9s que accentuar i agreujar els patiments i malestars de la poblaci\u00f3 i tamb\u00e9 les car\u00e8ncies del propi sistema d\u2019atenci\u00f3, vertebrat principalment pel sistema sanitari p\u00fablic. Aix\u00ed, l\u2019increment de les anomenades patologies i trastorns mentals i les xifres alarmants recollides sobre els su\u00efcidis, entre d\u2019altres, va posar  [&#8230;]<\/p>\n","protected":false},"author":3,"featured_media":37339,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[441],"tags":[],"class_list":["post-15754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-manifestos-i-comunicats"],"acf":[],"_links":{"self":[{"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/posts\/15754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/comments?post=15754"}],"version-history":[{"count":17,"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/posts\/15754\/revisions"}],"predecessor-version":[{"id":36864,"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/posts\/15754\/revisions\/36864"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/media\/37339"}],"wp:attachment":[{"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/media?parent=15754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/categories?post=15754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fccsm.net\/en\/wp-json\/wp\/v2\/tags?post=15754"}],"curies":[{"name":"well played","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}