title: [Psychiatry and mental health in the Institutp de Seguridad Social para los Trabajadores del Estado. Philosophy of its development].
abstract: In 1972, prepaid medical care for government employees provided by their social security institute, ISSSTE, was reorganized. A division of planning and technical standards was established, within which a Department of Psychiatry was included. Psychiatric care was restructured at three levels: psychiatric hospital, psychiatric OPD at clinic and hospital level and a pilot program in community psychiatry. A three-year psychiatric residency program was established, in addition to participation in other postgraduate, in-service training and monographic courses. Systematic research was started, as well as a publications program, working relationship with other institutions and societies were enhanced. A descriptive example is Child Psychiatry. Most frequent diagnoses are reviewed, and development of services is followed in relation to pediatric departments.
mesh_terms: D003156:Community Mental Health Services / Q000266:history*; D004501:Education, Medical; D005260:Female; D049673:History, 20th Century; D006801:Humans; D007318:Inservice Training; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008800:Mexico; D009934:Organization and Administration; D011570:Psychiatry / Q000193:education
vernacular_title: Psiquiatría y salud mental en el ISSSTE. Filosofía de su desarrollo.