A Critical Overview of Mental Health Policies for the Treatment of Schizophrenia in Chile.
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| Title: | A Critical Overview of Mental Health Policies for the Treatment of Schizophrenia in Chile. |
|---|---|
| Authors: | Atencio-Quevedo, Diego1, Caqueo-Urízar, Alejandra2 acaqueo@academicos.uta.cl, Romero-Romero, Juan-Carlos1 |
| Source: | Actas Espanolas de Psiquiatria. 2025, Vol. 53 Issue 5, p1131-1139. 9p. |
| Subjects: | SCHIZOPHRENIA, PATIENT-centered care, MENTAL health, COMMUNITY-based social services, CULTURES (Biology), CHILEANS, THERAPEUTICS, MENTAL health services |
| Geographic Terms: | CHILE |
| Abstract: | Background: The Universal Access to Explicit Health Guarantees (AUGE) program in Chile provides clinical guidelines for the treatment of the first episode of Schizophrenia. This study contextualizes these guidelines within Chilean mental health policies and the theoretical framework of cultural biology, examining the balance between biomedical models and person-centered approaches. Methods: Critical discourse analysis was employed to explore the AUGE guidelines, identifying strengths and limitations in their formulation and implementation. This methodology allowed for the examination of the underlying power dynamics and ideological assumptions embedded within the guidelines. Results: The findings reveal that the Clinical Guidelines reinforce a normative character through grammatical constructions that often present patients as objects of intervention. Analysis of the social context shows an emphasis on a biomedical perspective and pharmacological interventions, potentially overshadowing rights-based and gender approaches in favor of international guidelines which may not be adequate in Chilean context. The guidelines also lack specific considerations for cultural particularities of ethnic minority, indigenous, and rural individuals. Finally, the guideline’s narrative emphasizes deficits and dysfunctions, potentially contributing to stigma and positioning health professionals as the primary decision-makers. This may limit a truly participatory and empowering model of care. Conclusion: The study underscores the necessity of a shift towards relational trust and co-construction in therapeutic practices. Recommendations on the formulation of mental health care Guidelines for Schizophrenia are proposed. Future guidelines should focus on increasing funding and support for community-based mental health services, implementing mandatory training for healthcare professionals on person-centered and culturally sensitive approaches and establishing mechanisms for ongoing patient and community feedback to ensure policy responsiveness and relevance. [ABSTRACT FROM AUTHOR] |
| Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 190365512 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A Critical Overview of Mental Health Policies for the Treatment of Schizophrenia in Chile. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Atencio-Quevedo%2C+Diego%22">Atencio-Quevedo, Diego</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Caqueo-Urízar%2C+Alejandra%22">Caqueo-Urízar, Alejandra</searchLink><relatesTo>2</relatesTo><i> acaqueo@academicos.uta.cl</i><br /><searchLink fieldCode="AR" term="%22Romero-Romero%2C+Juan-Carlos%22">Romero-Romero, Juan-Carlos</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Actas+Espanolas+de+Psiquiatria%22">Actas Espanolas de Psiquiatria</searchLink>. 2025, Vol. 53 Issue 5, p1131-1139. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22SCHIZOPHRENIA%22">SCHIZOPHRENIA</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT-centered+care%22">PATIENT-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22MENTAL+health%22">MENTAL health</searchLink><br /><searchLink fieldCode="DE" term="%22COMMUNITY-based+social+services%22">COMMUNITY-based social services</searchLink><br /><searchLink fieldCode="DE" term="%22CULTURES+%28Biology%29%22">CULTURES (Biology)</searchLink><br /><searchLink fieldCode="DE" term="%22CHILEANS%22">CHILEANS</searchLink><br /><searchLink fieldCode="DE" term="%22THERAPEUTICS%22">THERAPEUTICS</searchLink><br /><searchLink fieldCode="DE" term="%22MENTAL+health+services%22">MENTAL health services</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22CHILE%22">CHILE</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: The Universal Access to Explicit Health Guarantees (AUGE) program in Chile provides clinical guidelines for the treatment of the first episode of Schizophrenia. This study contextualizes these guidelines within Chilean mental health policies and the theoretical framework of cultural biology, examining the balance between biomedical models and person-centered approaches. Methods: Critical discourse analysis was employed to explore the AUGE guidelines, identifying strengths and limitations in their formulation and implementation. This methodology allowed for the examination of the underlying power dynamics and ideological assumptions embedded within the guidelines. Results: The findings reveal that the Clinical Guidelines reinforce a normative character through grammatical constructions that often present patients as objects of intervention. Analysis of the social context shows an emphasis on a biomedical perspective and pharmacological interventions, potentially overshadowing rights-based and gender approaches in favor of international guidelines which may not be adequate in Chilean context. The guidelines also lack specific considerations for cultural particularities of ethnic minority, indigenous, and rural individuals. Finally, the guideline’s narrative emphasizes deficits and dysfunctions, potentially contributing to stigma and positioning health professionals as the primary decision-makers. This may limit a truly participatory and empowering model of care. Conclusion: The study underscores the necessity of a shift towards relational trust and co-construction in therapeutic practices. Recommendations on the formulation of mental health care Guidelines for Schizophrenia are proposed. Future guidelines should focus on increasing funding and support for community-based mental health services, implementing mandatory training for healthcare professionals on person-centered and culturally sensitive approaches and establishing mechanisms for ongoing patient and community feedback to ensure policy responsiveness and relevance. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=190365512 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.62641/aep.v53i5.1952 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 1131 Subjects: – SubjectFull: SCHIZOPHRENIA Type: general – SubjectFull: PATIENT-centered care Type: general – SubjectFull: MENTAL health Type: general – SubjectFull: COMMUNITY-based social services Type: general – SubjectFull: CULTURES (Biology) Type: general – SubjectFull: CHILEANS Type: general – SubjectFull: THERAPEUTICS Type: general – SubjectFull: MENTAL health services Type: general – SubjectFull: CHILE Type: general Titles: – TitleFull: A Critical Overview of Mental Health Policies for the Treatment of Schizophrenia in Chile. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Atencio-Quevedo, Diego – PersonEntity: Name: NameFull: Caqueo-Urízar, Alejandra – PersonEntity: Name: NameFull: Romero-Romero, Juan-Carlos IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: 2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 11399287 Numbering: – Type: volume Value: 53 – Type: issue Value: 5 Titles: – TitleFull: Actas Espanolas de Psiquiatria Type: main |
| ResultId | 1 |
