CPG for Psychosocial Interventions in Severe Mental ... - GuíaSalud

and information.
(http://www.boe.es/aeboe/consultas/bases_datos/doc.php?coleccion=iberlex&id=2002/
22188)
United Nations Resolution 46/119, December 1991, for the protection of the rights of persons with
mental illness.
It recognises the right to labour, health, institutional and social non-discrimination of these
people.
1996 Madrid Declaration
Developed by World Psychiatric Association, the ethical guidelines that must rule between patient
and psychiatrist are indicated, avoiding a compassionate attitude or an attitude exclusively aimed
at avoiding injury to oneself or violence to third parties.
Royal Decree 63/1995, 20 January, on management of health benefits of the (Spanish) National
Health System, establishes the health benefits directly provided to people by the National Health
System. More specifically, it includes mental health care and psychiatric care in one of its sections,
covering clinical diagnosis, psychopharmacotherapy and individual, group or family psychotherapy,
and hospitalisation where appropriate,.
Strategy in Mental Health of the National Health System. Approved by the Interterritorial Council
of the National Health System on 11 December 2006.
In this document, we find general and specific objectives, as well as recommendations whose
aim is to improve prevention and care of Severe Mental Illness, one of the priority healthcare lines
for the Ministry. In addition, there are different community plans that set out development lines
for Mental Health, and include care for patients with SMI.
Law of Civil Procedure and Civil Code: They regulate two procedures of interest in Mental Health:
1. The “non-voluntary hospitalisation due to psychic disorders” is regulated by Law of
Civil Procedure (Law 1/2000, 7 January). Article 763 concerns Mental Health, regulating this
procedure. It deals with the hospitalisation of persons who are not able to decide for themselves
because of their psychic state, as a necessary therapeutic measure indicated by medical staff, applied
with restrictive criteria and for as short a time as possible.
As this represents a privation of the fundamental right of personal freedom, the regulation
aims to guarantee this right, among others, so the entire hospitalisation requires judicial authorisation
(the authorisation will be prior to the hospitalisation, except when, due to urgent reasons, the
measure must be immediately adopted). With the times established by law, “the court will hear
the person affected by the decision, the Public Prosecutor’s Office and any other person whose appearance
is deemed advisable or is requested by the person affected by the measure. Furthermore,
and without prejudice of being able to perform any other test that is deemed relevant for the case,
the court must examine for itself the person whose hospitalisation is referred to and hear the
judgement of a physician appointed by him or her. In all the actions, the person affected by the
hospitalisation measure may be represented and defended under the terms indicated in article 758
of this Law”.
This is a civil procedure and by virtue of strictly medical reasons.
(http://www.boe.es/aeboe/consultas/bases_datos/doc.php?coleccion=iberlex&id=2000/
00323)
CLINICAL PRACTICE GUIDELINES FOR PSICHOSOCIAL INTERVENTIONS IN SEVERE MENTAL ILLNESS 123