17 more humanized. The Municipality of Sobral is considered a successful example in this field, not only from the local point of view, but also from the national and international perspective. The Municipality has been awarded several prizes; among them, the award of sanitation specialist David Capistrano and other social inclusion recognition awards. The State has constituted a benchmark in the reduction of hospitalizations and represents the progress against Latin American asylums. The creation of the CAPS was the starting point for the establishment of a structure based on the interdisciplinary teamwork of doctors, social workers, psychologists, pharmacists, therapists. The work with patients is now aimed at their economic reintegration into society, while in the past they were doomed to live in asylums. b) Pedro Gabriel Godinho-Delgado, National Coordinator of the Mental Health Program of the Ministry of Health Since the death of Damião Ximenes-Lopes, 19,000 psychiatric hospital beds have been closed in institutions similar to Casa de Reposo Guararapes within the State. Furthermore, between 1999 and 2005, 500-600 outpatient services were created, with the capacity of coping with serious mental health situations without hospitalization being necessary. Other types of services were also created, such as therapeutic residences qualified to treat less serious cases. This was a period in which Brazil faced an important controversy on the life conditions of psychiatric system patients. In 2001, Law No. 10,216 was passed. Its main purpose is to defend mental patients’ rights based on the conversion of the health care model of institutions like Casa de Reposo Guararapes into an open health care network focused on the community, the external control of involuntary psychiatric admissions, and the United Nations Principles for the Protection of Persons with Mental Illness of 1991. In 1999, approximately 90% of the financial resources that the public health system devoted to the psychiatric care and mental health field were used for the Central Hospital Model, and the external network received only 10% of the resources. Today, the resources devoted to mental health in the State have globally increased: 63% is still devoted to hospitals with expensive equipment, while 37% to 40% is already being devoted to outpatient services. Today, the State is experiencing a transition process towards a psychiatric care model based on the patients’ rights, integral care, respect for their individual rights, and participation of the patients’ next of kin in their treatment. Hospitals are assessed through an Annual Assessment Program to which all of them are subject. Associations of health municipal councils, state councils, next of kin and users also participate on behalf of the society. The policy change process consists in reducing large hospitals to obtain smaller hospitals, which tend to preserve and respect patients’ rights to a greater extent. The document designated “Principles of Brasilia”, which contains the evaluation of the Caracas Declaration, confirms that there was progress in several countries and mentions Brazil as an example of a country with relevant experience in the matter. In 1999, the mental health care modernization process was underway. Monitoring of the Single Health System is not based on complaints, but on the regular supervision

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