Despite advances in the perception of mental health, psychiatric disease remains a taboo.
The treatment of severe mental disorders is riddled with contradictions, between care and confinement, and between the protection of patient rights and security.
Public psychiatry is in crisis, with more than 20% of physician posts vacant in public hospitals.
There is a wide disparity in psychiatric care across the country.
Involuntary hospitalization in psychiatry has grown without sufficient oversight, although it is now subject to judicial review.
There is a need for greater control over forced hospitalizations and the eradication of practices such as ‘mechanical restraint’, despite its lack of therapeutic value.
Conclusion: Addressing the inequality in the mental health system and reforming primitive practices is crucial to better serve the affected population.