Decree nº 82 of 1841 |
Persons of unsound mind. Category: mentally ill. |
Specific care for individuals considered persons of unsound mind |
No. |
Decree nº 1.132 of 1903 |
Persons of unsound mind. Distinction: common mentally ill and those who have committed a crime. Category: mentally ill. |
Regulates internment: required by public order or some private individual. Hospitalization as a way of upholding public order, the security of the population. |
Ratifies the stigma of dangerous by justifying that internment aims at upholding public order or the safety of the population. |
Decree nº 8.834 of 1911 |
Persons of unsound mind and mental diseases, congenital or acquired. |
Insertion in public colony facilities for “destitute persons of unsound mind”. Brings the conception of productivity/work. |
Ratifies the stigma of dangerous and unproductive. |
Decree nº 14.831 of 1921 |
Convicts with symptoms of madness. Category: mentally ill. |
Regulates the internment of convicted criminals who are diagnosed with a mental disorder. |
Links crime to madness. Reinforces the stigma. |
Decree nº 24.559 of 1934 |
Psychopaths, abnormal minors and drug addicts. Category: mentally ill. |
Regulates mental health services. Regulates the modalities of detention and civil interdiction. Mentions for the first time the hospitalization of minors. |
It ratifies the stigma of dangerous, disturbing social order and morals. Introduces the concept of disability. |
I National Mental Health Conference of 1987 |
Mentally ill, individuals considered mentally ill and users. Category: citizenship. |
Integrated health actions; Expanded financial and technical resources; Prioritization of extra-hospital activities; Installation of psychiatric units in general hospitals; Organization of rehabilitation and resocialization programs; Avoid bedding; Training of technicians in the primary network. |
Expanded mental health vision beyond the hospital focus; Discussion about users’ citizenship rights. |
Ministerial Ordinance nº 189 of 1991 |
Mental health service users. Category: citizenship. |
Diversifies services beyond hospitalization: allows hospitalization in general hospitals, CAPS, and treatment in therapeutic workshops. |
Possibility of out-of-hospital treatments and help to overcome the stigma of the need for exclusion. |
Ordinance/SNAS nº 224 of 1992 |
Mental health service users. Category: citizenship. |
Regulates outpatient services (UBS, CAPS, and NAPS), Day Hospital, Emergency Care in General Hospital, Specialized Hospital. Prohibits the use of strong prison cells and restrictive spaces; inviolability of correspondence and treatment records. |
Provides for the humanization of care and the preservation of citizenship rights. Reinforces the citizen category. |
II National Mental Health Conference of 1992 |
Mental Health Policy Users. Category: citizenship. |
The applicable Brazilian mental health legislation clashes with the new practices of care and citizenship of users. Recommendations: a) revoke Decree 24.559/1934; b) regulate the Municipal Organic Laws concerning mental health care. |
Comprehensive mental health care, treatment vision beyond the psychiatric/biological sphere; reinforces the need for user participation and citizenship rights. |
Law nº 8.742, dated December 7, 1993 |
Disabled person. Category: citizenship. |
Establishes BPC for people with disabilities and older adults |
Promotes financial aid for social inclusion. |
Ordinance nº 106 of 2000 |
Person with mental disorders. Category: citizenship. |
Creation of Therapeutic Residences for former psychiatric hospital patients. |
Promotes housing alternative during the social reintegration process. |
Law 10.216 of 2001 |
People with mental disorders. Category: citizenship. |
Provides for rights; regulates modalities of hospitalization and states that the treatment aims social reintegration. Establishes the progressive replacement of beds with a community psychosocial care network. |
Ratifies rights and that the purpose of “treatment” is social reintegration and not exclusion. |
III National Mental Health Conference of 2002 |
People with mental disorders. Category: citizenship. |
Strengthening the Psychiatric Reform Proposal. Health services integration and comprehensive user care |
Replacement of the asylum model; social participation and control; guarantee of users’ rights; comprehensive care. |
Ordinance/GM nº 336/2002 |
Mental health service users. Category: citizenship. |
Extends the modalities of out-of-hospital services. |
Strengthens out-of-hospital and comprehensive care. Fights against the asylum model. |
Federal Law nº 10.708 of 2003 |
Former patients of interaction in psychiatric hospitals and asylums. Category: citizenship. |
Installs financial aid for psychiatric hospital former patients. |
Reverse internment policy and financially assist former patients during social reintegration. |
Ordinance Nº 2.077 of 2003 |
People with mental disorders. Category: citizenship. |
Regulates the registration of the assisted and the responsibility of the municipalities on the implementation of the program. |
Reverse internment policy and financially assist former patients during social reintegration. |
Ordinance nº 52 of 2004 |
Patients. Category: citizenship. |
Bed closures and strengthening of the outpatient model. |
Helps to combat the asylum model |
Ordinance nº 1.190 of 2009 |
Psychoactive substance users. Category: hybrid |
Regulates services and the construction of the Emergency Plan to Expand Access to Treatment and Prevention in Alcohol and other Drugs in the SUS |
Emphasizes the treatment of psychoactive substance users in the mental health policy. |
IV National Mental Health Conference of 2010 |
People with mental disorders. Category: citizenship. |
Reaffirms the field of mental health as multidimensional, interdisciplinary, interprofessional, and intersectoral, comprehensive social care and health. Reinforces interfaces with the fields of human rights, social assistance, education, justice, labor and solidarity economy, housing, culture, leisure, and sports, and the like. |
Broadens the understanding of health beyond the biological perspective, seeking an interdisciplinary and community-based and inclusive treatment approach. |
Ordinance nº 3.088, of 2011 |
People with suffering or mental disorders and needs arising from the use of crack, alcohol, and other drugs. Category: citizenship. |
Structuring a network of mental health services. |
Building a community, comprehensive service network. Deinstitutionalization strategy. Removes the psychiatric hospital and exclusion from the mental health treatment center. |
Ordinance nº 3.090 of 2011 |
Graduates of interaction in psychiatric hospitals. Category: citizenship. |
Regulates on-lending for funding and implementation of Therapeutic Residence Services. |
Encourages deinstitutionalization, social reintegration of former patients and care in outpatient services. |
Ordinance nº 131 of 2012 |
People with needs arising from the use of crack, alcohol, and other drugs. Category: hybrid |
Regulates the establishment of institutions for the hospitalization and treatment of psychoactive substance users. |
Confirms the need for inpatient treatment for psychoactive substance users. |
Resolution n° 32 of 2017 |
Mental health service users. Category: hybrid |
Readjust the value of beds in psychiatric hospitals. |
Reintroduces the hospitalization regime for RAPS and leaves gaps for the paralysis of the deinstitutionalization strategy. |