6 16. That the representatives recognized the progress made regarding public policies on mental health. That notwithstanding, they stated that the psychiatric reform in Brazil should be performed promptly, with ongoing and effective investment for training mental health workers and providing social control through monitoring and actual de-registration from the Single Health System (SUS) of the psychiatric institutions that systematically continue violating human rights. The representatives stated that there have been new cases of torture and death in public network hospitals providing mental health services as a result of negligence or acts of violence by the professionals who work at those institutions. As to training measures, they stated that multi-disciplinary education of the professionals in charge of addressing psychiatric emergencies at general hospitals is not satisfactory. They remarked the lack of public investment for training and education of technical teams and mental health professionals, mainly those working at Psychosocial Assistance Centers, who are not subject to a systematic assessment, and the hospitals that have signed agreements with the SUS, which offer "terrible quality" service and "constitute the main human right infringing institutions" for individuals suffering from mental disability. Resources and public investment in training are not sufficient to cover the needs of the various states of the country in a regular manner, hence promoting regional imbalance and scarce knowledge of public policy regarding mental health. They also noted that, despite the request of the Court, the State did not specify the results and content of the training programs promoted by the universities and agreements of the Ministry of Health. Therefore, the representatives requested the Court to continue monitoring compliance with the Judgment and to recommend the State to allow access by petitioners to the public information regarding such compliance. 17. That the Commission restated its acknowledgment of the measures adopted by the State in order to guarantee that the human rights of individuals with mental disabilities are respected. In that sense, the Commission reaffirmed “the importance of allowing the Inter-American System to rely on information as to the purpose and terms of compliance with the [aforementioned] psychiatric reform to refer to compliance with the criteria set forth by the Court in the instant case”. 18. The Court would like to remind that the instant stage to monitor compliance refers to the efforts made by Brazil to continue developing a training and education program for all those involved in the provision of mental health services, particularly regarding the principles that should govern the treatment given to individuals suffering from mental disabilities, pursuant to international standards on the field and those set forth in the Judgment. 19. The Tribunal, in its Order to monitor compliance of May 2, 2008, requested the State to report specifically, among all existing activities, on those training initiatives whose content relates to the aspects contained in the Judgment, and the scope of those initiatives in terms of the staff benefiting thereunder.6 Moreover, the Court also requested that the information should refer, in particular, to the training of staff involved in the provision of mental health services at institutions similar in nature to those where the violation of the instant case occurred; i.e. psychiatric hospitals.7 6 Cf. Case of Ximenes-Lopes v. Brazil. Monitoring Compliance with Judgment. Order of the InterAmerican Court of Human Rights of May 2, 2008, Considering clause No. 20. 7 Cf. Case of Ximenes-Lopes, supra note 6, Considering clause No. 19.