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"Mental disorders affect 38.2% of the EU population. For reducing the associated burden, countries across Europe engage in costly re-organizations of mental health care systems. Reforms focus on one controversial core question: Should systems be functional or integrated? In functional systems, separate staff in different services are in charge of in- and out-patient care (to enhance specialization ...

In the Caracas declaration of 1990, South American countries committed themselves to improve the human rights situation and social inclusion of people with mental disorders, de-institutionalise their care and develop community mental health services. There is however little evidence on the extent to which this has happened and what the current trends are. Indicators of institutionalised care inclu ...