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Psychiatric beds and prison populations in 17 Latin American countries between 1991 and 2017: rates, trends and an inverse relationship between the two indicators

dc.creatorSiebenförcher, Mathiases_ES
dc.creatorFritz, Francesco D.es_ES
dc.creatorIrarrázaval, Matíases_ES
dc.creatorBenavides Salcedo, Andréses_ES
dc.creatorDedik, Corinnees_ES
dc.creatorFresán Orellana, Anaes_ES
dc.creatorHerrera Ramos, Alejandroes_ES
dc.creatorMartínez-López, J. Nicolás Ivanes_ES
dc.creatorMolina, Carlaes_ES
dc.creatorRivas Gomez, Fany Alejandraes_ES
dc.creatorRivera, Guillermoes_ES
dc.creatorSandia Saldivia, Ignacioes_ES
dc.creatorTorales, Julioes_ES
dc.creatorTrujillo Orrego, Nataliaes_ES
dc.creatorHeinz, Andreases_ES
dc.creatorMundt, Adrian P.es_ES
dc.date2022
dc.date.accessioned2023-08-23T20:13:37Z
dc.date.available2023-08-23T20:13:37Z
dc.date.issued2022
dc.identifierJC11DIEP20es_ES
dc.identifier.issn0033-2917
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7736
dc.identifier.urihttps://doi.org/10.1017/S003329172000269X
dc.descriptionBackground: In 1990, Latin American countries committed to psychiatric reforms including psychiatric bed removals. Aim of the study was to quantify changes in psychiatric bed numbers and prison population rates after the initiation of psychiatric reforms in Latin America. Methods: We searched primary sources to collect numbers of psychiatric beds and prison population rates across Latin America between the years 1991 and 2017. Changes of psychiatric bed numbers were compared against trends of incarceration rates and tested for associations using fixed-effects regression of panel data. Economic variables were used as covariates. Reliable data were obtained from 17 Latin American countries: Argentina, Bolivia, Brazil, Chile, Colombia, Costa Rica, Ecuador, Honduras, Guatemala, Mexico, Nicaragua, Panama, Paraguay, Peru, El Salvador, Uruguay and Venezuela. Results: The number of psychiatric beds decreased in 15 out of 17 Latin American countries (median -35%) since 1991. Our findings indicate the total removal of 69 415 psychiatric beds. The prison population increased in all countries (median +181%). Panel data regression analyses showed a significant inverse relationship -2.70 (95% CI -4.28 to -1.11; p = 0.002) indicating that prison populations increased more when and where more psychiatric beds were removed. This relationship held up when introducing per capita income and income inequality as covariates -2.37 (95% CI -3.95 to -0.8; p = 0.006). Conclusions: Important numbers of psychiatric beds have been removed in Latin America. Removals of psychiatric beds were related to increasing incarceration rates. Minimum numbers of psychiatric beds need to be defined and addressed in national policies.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherCambridge University Presses_ES
dc.relation52(5):936-945
dc.rightsAcceso Cerradoes_ES
dc.titlePsychiatric beds and prison populations in 17 Latin American countries between 1991 and 2017: rates, trends and an inverse relationship between the two indicatorses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Psychiatry, Medical Faculty Charité - Universitätsmedizin, Berlin, Germany
dc.contributor.emailadrian.mundt@mail.udp.cl (Adrian P. Mundt)
dc.relation.jnabreviadoPSYCHOL MED
dc.relation.journalPsychological Medicine
dc.identifier.placeInglaterra
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1469-8978
dc.identifier.doi10.1017/S003329172000269X
dc.subject.kwDeinstitutionalization
dc.subject.kwGlobal health
dc.subject.kwHealth care reform
dc.subject.kwMental health services
dc.subject.kwPrisoners


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