89 investigate the responsibility of the Casa de Reposo Guararapes (Guararapes Rest Home) in relation with the death of Mr. Damião Ximenes-Lopes; it established the Mental Health Comprehensive Care Network in Sobral; in 2000 an agreement was entered into between the Family Health Program and the Mental Health Team of the Municipality of Sobral; it created a Psychiatric Admission Unit in the Estevan Ponte General Hospital of the Sobral Municipality; it created a Psychosocial Care Center (CAPS) specialized in the treatment of persons suffering psychosis and neurosis; a Psychosocial Care Center devoted to the treatment of alcoholic persons and persons addicted to other psychotropic substances; it created the Therapeutic Residential Service; a Regional Psychiatry outpatient unit at the Medical Specialties Center, and teams of the Family Health Program. Likewise, the State has adopted several measures at the domestic level, including the enactment of Law No. 10,216 in 2001, known as the “Psychiatric Reform Law”; the State has also organized the Seminar “The Right to Mental Health – Regulation and application of Law No. 10,216” on November 23, 2001, the 3rd National Mental Health Conference in December 2001, the implementation, as from 2002, of the Psychiatric Care Services National Assessment Program, the implementation, in 2004, of the Hospital Restructuring Program of the Single Health System, the creation of the “Return Home Program” and the consolidation of the Mental Health Coordinators Forum, in 2004. 244. This Court appreciates the fact that the State has adopted the abovementioned measures, the efficient application of which shall allow for an improved health care, and its regulation and oversight within the framework of the Single Health System. a) Obligation to Investigate the Events that Amounted to Violations in the Instant Case 245. The next of kin of the victims of human rights violations have the right to effective remedies. The knowledge of the truth in human rights violations such as those in the instant case is an inalienable right and an important means of reparation for the victim and, if applicable, for their next of kin, and it constitutes a fundamental way of learning the truth that allows a society to develop its own methods of reproach and deterrence. 159 246. Therefore, the victim’s relatives are entitled -and the States are obliged- to have an effective investigation of the events carried out by State authorities, to prosecute the alleged perpetrators of the wrongful acts and, if applicable, to impose the appropriate punishment (supra paras. 170 to 206). 160 247. In the instant case, the Court has established that, after more than six years of the events, the authors of the cruel, inhuman and degrading treatment and of the death of Mr. Damião Ximenes-Lopes have not been prosecuted and have gone unpunished. 248. The Court points out that the State must ensure that the domestic proceeding aimed at prosecuting and punishing the authors of the events in the instant case is 159 Cf. Case of Baldeón-García, supra note 4, para. 196; Case of Pueblo Bello Massacre, supra note25, para. 266; and Case of Gómez-Palomino, supra note 21, para. 78. 160 Cf. Case of Baldeón-García, supra note 4, para. 197; Case of Pueblo Bello Massacre, supra note 25, para. 219; and Case of Blanco- Romero, supra note 20, paras. 62 and 96.

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