RESUMO
Paradoxically, due to recent mental health legislation, the mentally handicapped of the developed world find themselves in the same situation as the majority of those in the developing world who never had contact with a mental health service. A survey of the literature and of the situation in Egypt and Lesotho suggests marked coincidence of vagrancy and chronic mental illness. In both the developed and developing world, adequate services to support these people are lacking.
Assuntos
Pessoas Mal Alojadas , Transtornos Psicóticos/complicações , Controle Social Formal , Serviços Comunitários de Saúde Mental/estatística & dados numéricos , Serviços Comunitários de Saúde Mental/provisão & distribuição , Serviços Comunitários de Saúde Mental/tendências , Egito , Feminino , Previsões , Humanos , Lesoto , Masculino , Transtornos Psicóticos/diagnósticoRESUMO
Altogether 26 psychiatrists and other mental health workers, from Colombia, Brazil, Sudan, Egypt, India and the Philippines tried to reach agreement on the classification of 10 case histories, using the International Classification of Diseases (8th revision). The exercise was part of the WHO Collaborative Study on Strategies for Extending Mental Health Care. Conventions, mistakes, differences of opinion and a lack of rules are discussed as causes for disagreement.