6 the Ministry of Health supported 29 specialized training programs (over 360 hours) and 74 short courses (over 40 hours) on mental health and on alcohol and other drugs. b) With support from the Ministry of Health and following the guidelines of the mental health policy, specialized courses on mental health are being offered in the states of Bahía, Paraná, Paraíba and the Federal District. Multidisciplinary residencies in Mental Health are available at universities in the states of Bahia and Rio Grande do Sul, and the state of São Paulo is running a residency in psychiatry. The State also pointed to numerous training courses on mental health that specifically target basic health-care teams in Rio Grande do Sul and in the Federal District. The Ministry of Health regularly supports education and training courses for professionals in different areas as part of its standing program to educate staff under the psychiatric reform. New courses are introduced every semester. c) In 2005, the CAPs Rating Program was created; it is a mechanism that holds out financial incentives for clinical-institutional supervision and is considered a valuable tool for improved management of support services offered to the mental health teams. From 2006 until August 2007, 80 services in 15 states of the Federation received funding to develop this Rating Program, and from 2007 through 2008, over 150 services benefited from the initiative. Finally, the State explained that it is in the process of implementing a continuing education program for CAPs supervisors and for the psychosocial treatment networks, called the School of Supervisors. It began as an experimental program in the state of Bahía, and over the course of 2008, it will expand into other states of Brazil. 17. That the representatives recognized the progress made, including adoption of Law N. 10.216 of 2001, known as the "Psychiatric Reform Law," and claimed that this reform must be implemented more quickly; at the same time, they stressed serious shortcomings and human rights violations that continue to occur in the public mental health care service. In particular, with regard to training for mental health workers, the representatives commented that "there are no initiatives for intersectoral projects between mental health and other ministries to bring about critical expansion of continuing professional education […] in the field of psychiatric reform," and that investment in training for mental health workers is concentrated in 15 states, but should be available in the rest of the country as well. At the same time, they noted that the training courses described by the State are offered to personnel working in services that are alternatives to hospital care, and therefore the workers in psychiatric hospitals, where most human rights violations occur, have no access to an on-going process of training and monitoring their work. Finally, they requested detailed information on the specialized programs (over 360 hours) and basic training courses (over 40 hours) that receive support from the Ministry of Health and on federal universities that would be part of the agreement. 18. That the Inter-American Commission recognized the efforts made by the State to adopt public policies and programs to ensure that the rights of persons with mental disabilities are respected. The Commission commented that "the State reported on a

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