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National Mental Health Plan 2023 -

2027
 National Mental Health Plan
2023 – 2027
National Authorities

President of the Nation

Dr. Alberto Fernandez

Vice President of the Nation

Dr. Cristina Fernández de Kirchner

Minister of Health
Dr. Carla Vizzotti

Secretary of Quality in Health

Dr. Alejandro Collia

Undersecretary of Management of Services and Institutes

Lic. Edith Benedetti

National Director of Comprehensive Approach to Mental Health and Problematic Consumption Dr.
Mariana Moreno

Foreword
“There is no health without Mental Health and there is no Mental Health without social inclusion”
The National Plan for Mental Health and Problematic Consumption 2023 - 2027 establishes public policies in the ma teria for a
period undoubtedly of great challenges. The SARS-Cov-2 pandemic, declared by the WHO on March 11, 2020, has disrupted the
lives of communities, families and individuals globally, both due to the loss of life and the consequences on health. socioeconomic

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conditions, changes in daily life patterns, insertion in spaces of belonging and ties in general. This crisis adds to a historical debt
that our country had with the field of mental health in general, and with people with mental illness in particular. This National Plan
is a tool that, like the Federal Abor Strategy Comprehensive treatment of Mental Health and Problematic Consumption 1 , aims to
contribute to the path of paying off that debt within the framework of a socio-health project focused on people in their
communities, ties and with texts, understanding territoriality within the framework of the community approach and proximity
policies to guarantee continuity of care from a comprehensive health perspective. This also implies incorporating a life course
approach, especially to include children and adolescents as protagonists of the transformation in mental health.

All of this is only possible within a country project that is based on the expansion and protection of citizens' rights and social
inclusion as a horizon, not as a mere adaptive response but in respect for difference and diversity. with a gender perspective and
Federal perspective. In this sense, our country has a wide series of regulations based on Human Rights, among which is the
National Mental Health Law No. 26,657 - sanctioned and promulgated in 2010, and regulated in 2013 -, which establishes through
its 46 articles the right to the protection of Mental Health of the entire population and the full enjoyment of the Human Rights of
people with mental illness.

In the current scenario marked by the effects of the pandemic, various global conflicts and the alert regarding the climate crisis, it
is more necessary than ever to reaffirm the commitment to move forward together with the authorities. jurisdictional authorities
towards the development of the Community Mental Health service network, promoting the strengthening of the Mental Health
component at the First Level of Care; the opening of Mental Health inpatient services in general hospitals; the definitive
replacement of monova internment institutions glasses; the development of intermediate devices, such as housing with different
degrees of support, undertakes socio-productive provisions, day centers and socio-community devices; the inclusion of
consumption problems in the Mental Health strategy. As well as the incentive for research and training of Mental Health workers
in good Community Mental Health practices.

We face the challenge of continuing to deepen intersectoral responses by integrating health, science and technology, education,
housing, work, justice, public works, sports, culture and recreation policies from a gender and diversity perspective, with the
participation of all portfolios of the national State and subnational States and the leading role of Civil Society, users and scientific
societies in order to improve the care process in terms of accessibility, quality and equity for all people, with a focus especially on
those with mental illness, avoiding stigma and discrimination.

With the conviction that there is no health without Mental Health and there is no Mental Health without social inclusion, we invite
everyone to redouble the efforts and commitments that the historical moment requires to deepen the process, having on the
horizon the objective of transforming the Mental Health care system towards a community-based one.

Dr. Carla Vizzotti

MINISTER OF HEALTH OF THE NATION

Index
Introduction

1. Regulatory mandate for the preparation of this Plan.

2. Responsible for application, monitoring and evaluation.
3. Design and development methodology.
4. Reference framework, standards and principles on which the Plan is based.
5. Legal and technical framework.
6. Background of the National Mental Health Plan 2023-2027.
7. Financing, sources and budgets.
8. Axes of work and objectives.

Axis 1: Mental Health Rectorship

1 The Federal Strategy for a Comprehensive Approach to Mental Health was presented by President Alberto Fernández on April 25, 2022. Through it, it seeks to guarantee the
care and attention of mental health at all stages of life, increase the training of human resources in the area, provide devices for outpatient and job insertion and increase
investment in the area. .

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 Axis 2: Mental Health at the First Level of Care
Axis 3: Expansion and intersectoral integration of the Mental Health Network
Axis 4: Mental Health in the General Hospital
Axis 5: Deepening the adaptation of monovalent mental health hospitalization devices until definitive replacement
Axis 6: Promotion and Prevention in Mental Health and Problematic Consumption
Axis 7: Transformation of practices
Axis 8: Epidemiological Surveillance and Mental Health Research
Axis 9: Mental Health and Psychosocial Support in Emergencies and Disasters

9. Monitoring and evaluation.

Indicators, goals and minimum necessary articulations

Axis 1: Mental Health Rectorship

Axis 2: Mental Health at the First Level of Care
Axis 3: Expansion and intersectoral integration of the Mental Health Network
Axis 4: Mental Health in the General Hospital
Axis 5: Deepening the adaptation of monovalent mental health hospitalization devices until definitive replacement
Axis 6: Promotion and Prevention in Mental Health and Problematic Consumption
Axis 7: Transformation of practices
Axis 8: Epidemiological Surveillance and Mental Health Research
Axis 9: Mental Health and Psychosocial Support in Emergencies and Disasters

10. Bibliographic references

11. Glossary
12. Annexes
13. Collaborations

Introduction
This National Mental Health Plan 2023-2027 is the result of collective development work carried out lated in 11 consultative
rounds carried out from November 2020 to March 2021 as a space for debate and exchange, from which contributions were
collected and systematized and incorporated into it. The Pan American Health Organization (PAHO), the United Nations
Children's Fund (UNICEF), the National Human Rights Secretariat, and those responsible for Men's Health participated in this
process. such and Problematic Consumption of the 24 jurisdictions of the country, the National Review Body of Law 26,657, the
Honorary Advisory Council on Mental Health and Addictions with the 30 organizations that make it up, 14 organizations of users
and family members linked to the services of Mental Health, 8 associations of professionals in the field of Mental Health, 12 public
organizations among which is SEDRONAR (Secretariat of Comprehensive Drug Policies of the Argentine Nation), 4 civil society
organizations, 2 unions, 10 academic spaces and 10 experts on the subject, in addition to various areas of the National Ministry of
Health.

On October 8, 2021, a first version of the National Plan was presented within the framework of organizational activities. launched
by the National Ministry of Health to celebrate World and National Mental Health Day, and a few months later the Federal
Strategy for a Comprehensive Approach to Mental Health was launched.

The 2023-2027 Plan presented here is based on the text of the aforementioned National Plan, respecting the contributions of the
different actors and social sectors that participated in the consultation rounds. I modified them cations that are introduced in this
version are intended to arrive at an updated document in light of the presentation by President Alberto Fernández on April 25,
2022 of the Federal Strategy for a Comprehensive Approach to Mental Health, of the extension in the time of the COVID 19
pandemic and the effects of the health emergency in our country.

This document contains, first of all, the regulatory mandate for the preparation of the National Plan and its Auto rity of Application
(sections 1 and 2); Next, the methodological process of formulation is explained, with the details of the consultative rounds carried
out (section 3); Next, the reference frameworks, standards and principles, and legal and technical frameworks are set out
(sections 4 and 5); The sixth section presents background information on the National Mental Health Plan 2023-2027; The
seventh section is dedicated to financing, sources and budgets; to then present the work axes and objectives (section 8), with
their corresponding indicators, goals and minimum necessary articulations (section 9); Finally, the bibliographic references and
the glossary are presented (sections 10 and 11).

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Note: the Ministry of Health of the Nation is the final editor of this National Mental Health Plan, as Auto rity of Application of the
National Mental Health Law No. 26,657 (art. 31). Although its formulation is based on the contributions of the participants in the
entire construction process, the final product may not reflect all of their opinions.

1. REGULATORY MANDATE FOR THE PREPARATION OF THIS PLAN

1.1. - National Mental Health Law No. 26,657/2010 - Chapter IX: Enforcement Authority. Article 31 - The Ministry of Health of the
Nation is the Enforcement Authority of this law, based on the specific area that it designates or creates for this purpose, which
must establish the bases for a National Mental Health Plan in accordance with the principles established.

1.2. - Decree No. 457/2010 - Creation of the National Directorate of Mental Health and Addictions.

1.3. - Regulatory Decree No. 603/2013. The area to be designated by the Application Authority through which will develop the
policies established in the Law and may not be inferior to the National Directorate.

1.4. - Administrative Decision 891/2022 of the Head of the Cabinet of Ministers - Organizational Structure. Modify tion- Change
of name to National Directorate for Comprehensive Approach to Mental Health and Problem Consumption tics.

2. THOSE RESPONSIBLE FOR APPLICATION, MONITORING AND EVALUATION

Ministry of Health of the Nation
Health Quality Secretariat
Undersecretary of Management of Services and Institutes
National Directorate for Comprehensive Approach to Mental Health and Problematic Consumption

3. DESIGN AND PREPARATION METHODOLOGY

3.1. Responsible

National Directorate for Comprehensive Approach to Mental Health and Problematic Consumption.

3.2. Collaborative process

This National Plan was formulated through an interactive collaborative process, developed between November 2020 and March
2021, which consisted of the stages described below.

Observation: considering the care measures at the request of the SARS-Cov-2 pandemic in force for the aforementioned period,
all collective work spaces were implemented virtually, through the Telehealth platform. They were recorded and a record was
prepared for each of them, the content of which was validated by the participants.

1. Preparation of a first draft by the technical team of the National Directorate for Comprehensive Approach to Mental Health and
Problematic Consumption, based on an analysis of the status of the implementation of public policies on the matter at the national
level, as well as in the review of the National Mental Health Plan 2013 2018 (approved by Resolution 2177/2013 of the Ministry of
Health of the Nation and whose execution was interrupted in December 2015).

2. Development of a work space with those responsible for the Mental Health and Addictions areas of the different jurisdictions
of the country and with the National Human Rights Secretariat, from which a second version of the draft was prepared.

3. Implementation of consultative rounds with the different actors and sectors in the field of Mental Health. To this end, the draft
was sent, written contributions were received about it, which were systematized, to finally give rise to the corresponding meeting,
with the objective of promoting exchange, dialogue and bat. This stage resulted in the preparation of the preliminary version of the
Plan, based on the incorporation of the contributions of the actors and sectors consulted (see next section).

4. Submission of the preliminary version to those responsible for Mental Health and Addictions of the jurisdictions, to the
Secretariat of Human Rights of the Nation, to the National Review Body and to the Honorary Advisory Council on Mental Health
and Addictions for the preparation of the version definitive.

5. Preparation of the final version by the technical team of the National Directorate for Comprehensive Approach to Mental
Health and Problematic Consumption and public presentation on October 8, 2021 within the framework of the activities. ities for

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World and National Mental Health Day.

6. Review of the text presented in 2021 and preparation of a new version (updating according to the present tion of the Federal
Strategy for a Comprehensive Approach to Mental Health in April 2022).

3.3. Consultative rounds

I. Jurisdictional officials for Mental Health and Problematic Consumption and the National Human Rights Secretariat.
II. Federations and associations of professionals and qualified professionals.
III. National Review Body of Law No. 26,657.
IV. National State Agencies.
V. Honorary Advisory Council on Mental Health and Addictions.
VI. Associations of users and family members, NGOs and civil society organizations.
VII. Teachers, researchers from universities and national institutes. Associations of users and family members, NGOs and civil
society organizations – complementary round.
VIII. Unions that represent health workers.
IX. National experts and international organizations.
X. National State Agencies - complementary round.
XI. Associations of users and family members, NGOs and civil society organizations – complete round mentality

4. REFERENTIAL FRAMEWORK STANDARDS AND PRINCIPLES

ON WHICH THE PLAN IS SUPPORTED
4.1. Rights approach and regulatory framework

The Convention on the Rights of Persons with Disabilities and its optional protocol, approved by Argentina through Law No.
26,378 (2008) and with constitutional hierarchy as of Law No. 27,044 (2014), the National Law of Mental Health No. 26,657
(2010) and the Civil and Commercial Code of the Nation (2014), -in articulations tion with the Principles for the Protection of the
Mentally Ill and the Improvement of Mental Health Care, Adopted by the United Nations General Assembly in its resolution
46/119, of December 1991, known as “Principles of Mental Health ”- make up a solid regulatory structure that guarantees the right
to the protection of the Mental Health of all people, and ensures the human rights of those with a Mental Health condition.

The aforementioned regulatory framework is completed with other national and international instruments, such as the Re
structuring of Psychiatric Care in Latin America (“Declaration of Caracas”, PAHO, 1990); the United Nations Principles for the
Protection of the Mentally Ill and for the Improvement of Mental Health Care (UN, 1991); the Personal Data Protection Law No.
25,326 (2000); the Guiding Principles for the Development of Mental Health Care in the Americas (“Declaration of Brasilia”,
PAHO, 2005); Bra's Rules silia of Access to Justice for Vulnerable People (2006); the Law on Patient Rights in their Relationship
with Health Professionals and Institutions No. 26,529 (2009).

A founding component that acts as an action plan for the protection of rights linked to Mental Health is the Caracas Declaration
adopted on November 14, 1990 by the Conference on Restructuring. turation of psychiatric care in Latin America convened by the
Pan American Health Organization, which was subscribed to by the member countries and the main professional associations, in
addition to the World Health Organization and the Pan American Health Organization.

In said Declaration, the subscribers agreed that “conventional psychiatric care did not allow the achieve the objectives compatible
with community, decentralized, participatory, comprehensive, continuous and preventive care” and that “the psychiatric hospital,
as the only care modality, hinders the achievement of the aforementioned objectives.” At the same time, it is considered that
Mental Health programs must be based on and guided by strategies and models based on Primary Health Care and the needs of
the population, with a local perspective and assuming decentralized, participatory and preventive characteristics.

The National Mental Health Law No. 26,657 incorporates the recommendations of the International Convention on the Rights of
Persons with Disabilities and the most current international standards in the field of Mental Health.

Mental Health, according to the text of the aforementioned law and the various international treaties on which it is based, is a
process closely linked to the full exercise of rights by people. species Physically, Chapter IV, Article 7 describes the rights of
people with mental illnesses, including: to receive comprehensive and humanized health and social care; to know and preserve
their identity and their belonging groups; to receive the most convenient treatment that least restricts their rights and freedoms; to
be accompanied by their family or other loved ones; that, in the case of involuntary or voluntary hospitalization, the conditions

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thereof are supervised; not to be identified or discriminated against; to be informed in an adequate and understandable manner of
the rights that assist them, and of everything inherent to their health and treatment, according to the rules of informed consent; so
that mental illness is not considered an unchangeable state. All supranational and international regulations are also considered an
integral part of the Mental Health system. nal concerning those to which Law No. 26,657 grants legal status.

This perspective was consolidated by the October 2014 reform of the Civil and Commercial Code (particularly in its articles 31 to
50, Law No. 26,994). The third section of the Code especially regulates issues related to legal capacity and the hospitalization of
people with mental illnesses. Recognizes the principles of legali ity, inclusion, non-discrimination and citizenship so that people
with mental illnesses can access fundamental rights such as equality, dignity, life, health, personal freedom, and identity.

It is worth highlighting the important contribution of the Civil and Commercial Code by incorporating into its text some human
rights and fundamental freedoms of constitutional roots and, in turn, recognizing other specific rights - and their expansions.

Specifically, the Civil and Commercial Code regulates internment without consent in art. 41 specifying the requirements that must
be met by a sentence that authorizes the deprivation of liberty of a person and its subsequent judicial control so that the
internment is an exception both at the time of its imposition and for its maintenance. I lie.

The new paradigm, which conceives hospitalization as a right for the protection and improvement of one's own person, imposes
constant control of the legality of the restriction and the change of the measure for any other that implies less restriction for the
person whenever possible.

The Civil and Commercial Code claims - as ordered by the National Mental Health Law No. 26,657 - the interdisciplinary criteria
for both hospitalization and discharges or releases on probation, as one of the axes of the re shape.

4.2. Primary Health Care and Comprehensive Approach

The National Mental Health Law No. 26,657 takes as its guiding axis the guidelines of Primary Health Care (PHC) as developed
in literature and international health regulations (WHO 2001). Article 9 proposes that “the care process should preferably be
carried out outside the hospital inpatient setting and within the framework of an interdisciplinary and intersectoral approach, based
on the principles of primary health care. It will be oriented towards the reinforcement, restitution or promotion of social ties”,
expanding in the Decree Re regulatory No. 603/2013 of the aforementioned Article, that the Enforcement Authority “(...) will
promote policies to integrate the interdisciplinary primary health care teams that work in the territory, made up of general and
family doctors, health workers, nurses and other health workers, as a fundamental part of the community Mental Health system.”

This significant paradigmatic change, which promotes Mental Health care in the territory, installs the team health care of the First
Level of Care as central to the Mental Health care process of people in the communities.

It is worth mentioning the broad consensus from public health on the improvements that it has produced in the indicated collective
health, the implementation of the PHC strategy, (PAHO/WHO, 2019), based on its different strategic components: reorientation of
human resources, social participation, use of appropriate technologies, local programming, new forms of organization of services,
reorientation of sectoral financing, intersectorality, total coverage and promotion and prevention. (Alma Ata, 1978).

Likewise, from a Comprehensive Approach perspective, the participatory and community component in Men's Health This is
considered necessary and vital since it proposes that families, people with mental illness and the community in general can be
involved both in the development of public policies on Mental Health and in decisions regarding care processes. , assistance and
recovery in Mental Health. Following the National Mental Health Law, the “strengthening of social ties” tends to incorporate
practices, experiences, and exchanges that include real and direct participation in community life.

For its part, social inclusion and access to fundamental rights must be considered the main process to ensure equal conditions for
the development of the lives of all people. This implies, particularly, the integration of users into the Mental Health system and the
restitution of community ties, favoring their full participation in collective life.

In this sense, the National Mental Health Law No. 26,657, in its Article 1, refers to “ensuring the right to the protection of Mental
Health of all people, and the full enjoyment of human rights of those with pa mental deficiencies that are found in the national
territory.” In its article 14, it considers hospitalization as a “restrictive therapeutic resource”, which can only be carried out when it
provides greater therapeutic benefits than the rest of the interventions that can be carried out in the family, community or social
environment. Must pro move the maintenance of links, contacts and communication of hospitalized people with their families,
emotional environment and work, school and social environment, except in those cases where for therapeutic reasons due
mentally founded is thus established by the intervening team. Article 15 adds that hospitalization must be as brief as possible.
Understood in this way, hospitalization as a restrictive resource is related to the consideration that it is in community life where a
person can develop in an integral way, and that is where the resources for full social inclusion must be built.

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This complex view necessarily requires the incorporation of interdisciplinary as a principle, to overcome the limits that each
discipline imposes on the approach to Mental Health problems, which they carry out from a pre-established theoretical approach
and through methodological strategies of positivist influence. Thus, the interdis ciplina aims to advance in the construction of
interventions based on the exchange of knowledge and mutual interpellation, from a perspective of complexity of phenomena and
problems.

The National Mental Health Law takes up this approach in its Chapter V, articles 8 and 9, where it establishes the protection
promotion of care processes based on interdisciplinary and intersectoral approaches, integrated by professionals professionals,
technicians, and other workers trained in Mental Health care.

In this sense, the different disciplines that address Mental Health must weave their operational concepts and approach tools not
only with that knowledge of the academic matrix, but also with that which comes from the development strategies of health-
disease processes. –attention–care of the communities with which professionals intervene.

With regard to intersectorality and interjurisdictionality, both in Article 11 and in Article 36, the National Mental Health Law No.
26,657 establishes the need for coordination of the Health authorities of each jurisdiction with the areas of education,
development social, work, habitat and others that are required, so that social inclusion actions are implemented, incorporating
mechanisms that guarantee community participation, particularly of associations of people and family members of Mental Health
services.

It is a priority for the organization of community health services, both at the First Level and in general hospitals, to network for the
attention and continuity of specific and appropriate care for each life course in order to promote access to Mental health.

A key concept for a comprehensive approach perspective is interculturality. Incorporating this perspective implies starting from the
recognition of historically determined social, economic, political and institutional asymmetries. These asymmetries limit the
possibility that others can be considered as people with identity, difference and agency. Likewise, from an intercultural
perspective, public policies must promote exchange and complementarity between cultures and, in relation to the sphere of
health, between the modes of problem construction, intervention and support of the scientific paradigm and those of ancestral
cultures. and popular.

Interculturality in health means not only recognizing, respecting and understanding sociocultural differences but also incorporating
them into the public health system, also training and raising awareness among teams regarding diversity. cultural identity in order
to minimize barriers to care. Therefore, an intercultural approach in the health-illness-attention-care process is based on
articulations, consensus and shared responsibilities. between health teams, indigenous, Afro-descendant and migrant
communities and groups.

Public policies must respect, accompany and be based on the cultural differences that exist in a diverse country, recovering the
value of the knowledge that supports the problem-solving strategies that pertain to them. sons carry forward in their daily life
contexts. To do this, the incorporation of the perspective of community actors is required in the construction of their problems and
in the planning of strategies, guaranteeing situated interventions.

In this sense, territoriality is a determining factor in expanding accessibility to care from a geographical and cultural point of view,
in terms of respect for the rights linked to identity, preservation tion of social ties and emotional support, as part of any health and
social inclusion process. It implies that Mental Health care must be in the communities themselves. Article 11 of the Law instructs
the creation of outpatient care devices, social and labor inclusion, services for prevention and pro health movement, work
cooperatives, coexistence houses, day hospitals, partner training center work, social enterprises, homes and substitute families,
home care and support for family members and the community. It is necessary that these devices be part of the network of Mental
Health services based in the community, with strong articulation to the First Level of Care.

4.3. Life Course Perspective

The concept of life courses in terms of Mental Health allows us to identify and understand the needs of people and their
communities from a dynamic perspective on life trajectories, overcoming a concept tion focused on illness and promoting the
intrinsic capacity of people and communities to build Mental Health throughout the continuum of their lives. This implies planning
and integrating specific interventions for each vital moment, especially with regard to childhood and adolescence, and older
people.

Considering that Mental Health problems are largely due to early discomforts in life and development, the care of Mental Health in
childhood and adolescence is essential in the comprehensiveness of public policies - both prevention, promotion, as assistance
and recovery - that enables the necessary resources for parenting, carrying out interventions from a non-adult-centric perspective.

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Understanding that childhood and adolescence go through a process of progressive autonomy, diag gnostics that can be closed-
stigmatizing, which reinforce their pathologization and medicalization.

From the framework of Primary Health Care, assuming a perspective of childhood and adolescence entails reinforcing the role of
health and education centers in the early approach to mental illnesses and accompaniment to emotional and upbringing
environments, as well as the importance of entities such as clubs, religious centers, community spaces, among others.

Addressing situations of violence in childhood and adolescence requires consensus regarding specific and comprehensive
approach models. In this sense, special consideration should be given to those situations potentially problematic issues arising
from abuse, mistreatment or abandonment as well as the processes of social exclusion, inequality and inequity and their
consequences for subjectivity. In particular, mental institution institutionalization of children and adolescents, as well as referrals
without considering continuity of care, are situations that cause illness.

In this sense, all approaches must promote and prioritize the perspective of comprehensive care, build intersectoral networks with
a co-responsibility approach for care and social inclusion, accompanying and intervening in an early and timely manner regarding
serious illnesses, raising awareness in the community and developing support actions aimed at improving living and upbringing
conditions in the significant environments ficatives. To achieve this, it is necessary to train professionals who can develop skills
aimed at children and adolescents.

With regard to older people, the prevention of mental illnesses is essential. addressing risk factors such as chronic diseases and
physical disabilities, promoting better ra in the process of requesting help, early approach and timely intervention.

There are older people with mental illnesses who remain invisible in residential facilities, without receiving the best possible
treatment. Likewise, it should be considered that people hospitalized for reasons Long-standing Mental Health patients also have
other comorbidities, which must be addressed internationally. disciplinaryly to achieve healthy aging.

It is essential to take into account the singularities of Mental Health in the aging process of people. older people, particularly – but
not restricted to – those with mental illnesses, to implement specific lines of action around preserving or improving their Mental
Health, promoting spaces for active participation in economic, social, cultural and political matters.

Finally, it is important to promote specific training in gerontology for Men's Health professions. such, as well as the need to
strengthen intermediate care devices.

4.4. Perspective of genders and diversities

As the National Plan for Gender and Diversity Policies in Public Health of the Ministry of Health of the Nation (2020) points out,
“various international organizations promote the recognition of the gender and diversity perspective by making visible and
denaturalizing the existing inequalities between genders, the ways of living sexuality, identities and corporalities. In the field of
health, a process of depathologization and review of scientific evidence is being developed in terms of recognition of fundamental
human rights. damentals.”

In this sense, this Mental Health plan incorporates this perspective with the objective of taking into account ration to the specific
inequalities that arise from the roles assigned to people based on socially and historically constructed stereotypes around the
“normal” forms that human existence should assume.

These inequalities constitute specific conditions when planning, intervening in and evaluating health-illness-attention-care
processes, and the resulting impact in terms of guaranteeing quality. ity, equity and accessibility to the care system.

Likewise, National Law No. 27,611 on Comprehensive Health Care and Attention during Pregnancy and Early Childhood states
that “(…) there are systems that impose a binary, biologicalist and essentialist conception as a form of but of living, among them
those that suppose the linear and unique relationship between genitality, gender and sexual orientation; the capitalist system that
values some capabilities over others; those that value adulthood over other ages/stages of life, as well as racism or ethnocentrism
that considers one culture/ethnic group superior to another based on arguments of racial superiority.”

Incorporating this perspective also means revaluing the logic of health care from the preventive and co educational, promoting the
development of self-care capabilities, differential supports, not focused on one person Welfare, biologicist and medicalizing
perspective of health, favoring from Mental Health the conditions for the modification of sociocultural patterns that reproduce
inequalities, discrimination and violence in relation to gender and the various ways of experiencing sexuality and corporality.

In recent decades, the problem of gender-based violence has been widely recognized. social knowledge. Since 1993, the Pan
American Health Organization (PAHO) highlighted violence as a problem public health problem worldwide. Furthermore, it has
been identified as a serious situation of transgression of Human Rights, which has increased alarmingly in recent years. The

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National Action Plan against gender-based violence 2020-2022 of the Ministry of Women, Gender and Diversity of the Nation
states that “gender-based violence constitutes a structural practice that violates human rights and fundamental freedoms that It
seriously affects women and LGBTI+ people. Not only did he know ne physical abuse, but also includes other forms of violence
such as psychological, sexual, economic, symbolic and media", and details the various modalities in which they can manifest
themselves (domestic, institutional, work, against reproductive freedom, obstetric , media, in the public space, public-politics).
Gender-based violence covers practices and acts through which women and sexual diversities are discriminated against, ignored,
subjected and subordinated in the different aspects of their existence, affecting their freedom, dignity, security, intimacy and moral
integrity and/or or physics.

This is not an individual, private, family or relational problem, but rather a public and close social problem. mindly linked to the full
exercise of rights. This view especially challenges the field of health in overcoming tutelary practices and problematization of the
knowledge and tasks of those who work on violence from Mental Health.

4.5. Mental Health focused on people and their environment

In Chapter II, Article 3 of National Law No. 26,657, it is established that Mental Health is recognized in its social determination as
a “process determined by historical, socio-economic, cultural, biological and psychological components, whose preservation and
improvement implies a dynamic of social construction linked to the realization of human and social rights of people.”

This process of social construction can only be carried out by placing people and communities at the center of public policies, as
a key to understanding life and comprehensive health, as well as the cons conditions in which mental illnesses emerge and the
different agents and institutions address them. This also implies that actions must be thought of and implemented based on the
needs, capabilities, abilities, potentialities, desires, interests, resources and support required by people, placing them in a leading
position, and eliminating social barriers that prevent their effective participation in decision-making.

In the same article, the Law also states that “it must be based on the presumption of the capacity of all persons nas.” This means
that the intervention acquires a character of joint construction with the sufferer, based on their potential, link network, desires and
possible ways to approach and support their suffering.

All of this implies, as a guiding criterion, the consideration of the person being part of the socio-community framework. rio as
centrality of the health-illness-attention-care process, and not of its diagnosis. In this sense, Mental Health is built around the
person based on their ties and in their contexts, strengthening social ties, care practices and the intervention network of the acting
institutions. In this order of issues, it is essential to review structures, devices and practices with the purpose of promoting
inclusion and equity.

Along these lines, a specific area of intervention that at the request of the pandemic gained a place of insos interest layable, is
that of care for health workers and first lines of response.

The well-being of health workers and the quality of care and interventions are interconnected elements. Health and safety risks
from technical and professional teams can cause harm and adverse effects on the population being assisted.

During the pandemic context, health personnel and first line responders were considered by organization internationalisms as a
risk group, given the increase in stress, the increase in work hours, the demand and saturation of services that generated
absenteeism and desertion, fear and exposure. tion to contagion for oneself and loved ones, morbidity and mortality from the
virus, stigmatization and evil treatment received, as well as feelings of frustration and helplessness linked to the need to maintain
efficiency.

Different studies indicate that male and female workers expressed physical and mental exhaustion, difficulties falling asleep,
increased intake of sleeping substances, need to talk about your emotions, among other feelings; thus confirming the need to
generate interventions for the care, support and emotional accompaniment of workers.

5. LEGAL AND TECHNICAL FRAMEWORK

5.1. Regulations of the National Mental Health Plan

- National Law No. 26,657 – Right to Protection of Mental Health.

- Regulatory Decree No. 603/2013.

5.2. Regulations and international reference documents (in chronological order)

- International Covenant on Civil and Political Rights (Law 23,313)

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- International Covenant on Economic, Social and Cultural Rights (Law 23,313)
- Inter-American Convention on Human Rights (Law 23,054)
- Convention on the Elimination of All Forms of Discrimination against Women (Law 23,179)
- Convention against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (Law 23,338)
- Convention on the Rights of the Child (Law 23,849)
- Inter-American Convention on the Protection of the Human Rights of Older Persons (Law 27,360)
- Caracas Declaration of the Pan American Health Organization and the World Health Organization of November 1990 - For the
Restructuring of Psychiatric Care within Local Health Systems. - Resolution 46/119 of December 17, 1991 of the UN General
Assembly - United Nations Principles for the Protection of the Mentally Ill and for the Improvement of Mental Health Care.
- Inter-American Convention to Prevent, Punish and Eradicate Violence against Women (Convention of Belém do Pará) (1994)
- Inter-American Convention for the Elimination of All Forms of Discrimination against Persons with Disabilities (Law 25,280)
- Hyogo Framework for Action – Increasing the resilience of nations and communities to disasters (2005)
- Regional Conference for the reform of Mental Health Services: 15 Years After Caracas, November 2005 – Principles of
Brasilia: Guiding Principles for the Development of Mental Health Care in the Americas.
- Brasilia Rules for Access to Justice for Vulnerable People (2006)
- Convention on the Rights of Persons with Disabilities (law 26,378)
- Resolution CD49.R17. Strategy and Action Plan on Mental Health. Washington, DC, USA, September 28 open as of October
2, 2009.
- Regional Mental Health Conference in Panama City on October 7 and 8, 2010, Panama Consensus - Strategy and action plan
on Mental Health.
- Sendai Framework for Disaster Risk Reduction 2015-2030, Sendai, United Nations (2015).

5.3. Other National Laws (in chronological order):

- National Law No. 22,431 – Comprehensive Protection System for the Disabled.
- National Law No. 23,592 – Measures against Discriminatory Acts.
- National Law No. 24,788 - Fight Against Alcoholism. Regulatory Decree No. 149/2009.
- National Law No. 24,901 – System of Basic Benefits in Habilitation and Comprehensive Rehabilitation in favor of People with
Disabilities.
- National Law No. 25,421 – Primary Mental Health Assistance Program.
- National Law No. 26,061 - Comprehensive Protection of the Rights of Girls, Boys and Adolescents. Decree Rule ment No.
415/06.
- National Law No. 26,485 – Comprehensive protection to prevent, punish and eradicate violence against women res in the
areas in which they develop their interpersonal relationships.
- National Law No. 26,522 – Audiovisual Communication Services. Regulatory Decree 1,225/2010.
- National Law No. 26,529 - Patient Rights in their Relationship with Health Professionals and Institutions.
Regulatory Decree No. 1,089/2012.
- National Law No. 26,687 - Regulation of Advertising, Promotion and Consumption of Products Made with Ta Bacchus.
Regulatory Decree No. 602/2013.
- National Law No. 26,743 – Gender Identity.
- National Law No. 26,842 – Prevention and Punishment of Human Trafficking and Assistance to Victims

- National Law No. 26,934 – Comprehensive Plan to Address Problematic Consumption.

- National Law No. 26,959 – National Mental Health Day.
- National Law No. 26,994 – Civil and Commercial Code of the Nation.
- National Law No. 27,043 – Autism Spectrum Disorders. Regulatory Decree No. 777/19.
- National Law No. 27,130 - Suicide Prevention. Regulatory Decree No. 603/2021
- National Law No. 27,287 - National System for Comprehensive Risk Management and Civil Protection
- National Law No. 27,499 - Micaela Law on Mandatory Gender Training for all people involved great the three powers of the
State.
- National Law No. 27,611 – National Law on Comprehensive Health Care and Attention during Pregnancy and Pregnancy mere
childhood.

5.4. Decrees, complementary resolutions and recommendations (in chronological order):

- Decree No. 457/2010 - Creation of the National Directorate of Mental Health and Addictions.
- Resolution No. 2,177/2013 of the Ministry of Health – National Mental Health Plan 2013 – 2018.
- Resolution No. 506/2013 of the Ministry of Security – Approval of Guidelines for the Intervention of the Police Corps and

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Security Forces.
- Resolution No. 1,876 - E/2016 – Approval of Standards for Authorization of Mental Health and Addictions Establishments and
Services without Hospitalization.
- Recommendation of the National Interministerial Commission on Mental Health and Addictions Policies of 2014 -
Recommendations to Assistance Services for the Review of Judicial Declarations of Disability and Disqualification.
- Recommendation of the National Interministerial Commission on Mental Health and Addictions Policies of the year 2015 -
Recommendations to public and private universities Article 33º National Law No. 26,657.
- Resolution 1886/2020 of the Ministry of Health - Approval of the National Gender and Diversity Policy Plan des in Public
Health
- Decree 426/2021 – National Interministerial Commission on Mental Health and Addictions Policies
- Resolution No. 1178/2022 of the Ministry of Health - Approval of the Organization and Functioning Guidelines Mental Health
Services
- Resolution No. 1717/2022 of the Ministry of Health - Creation of the Program to Comprehensively Address the Problem of
Suicide
- Resolution No. 2116/2022 of the Ministry of Health - Creation of the Program for Strengthening the Assistance Network in the
Comprehensive Care of Problematic Consumption.
- Administrative Decision 891/2022 of the Head of the Cabinet of Ministers - Organizational Structure. Modification - Change of
name to National Comprehensive Approach to Mental Health and Problematic Consumption
- Joint Resolution 2/2022 of the Ministry of Tourism and Sports and the Ministry of Health - Creation of the Program ma for
Promotion of Access to Health and Sports Practice in Clubs and Other Sports Entities
- Joint Resolution 5/2022 of the Ministry of Health and the Ministry of Justice and Human Rights - Creation of the Permanent
Commission of Work and Technical Assistance for the Implementation of Public and Private Health Service Standards
- Resolution No. 09/2022 of the NATIONAL REVIEW BODY of MENTAL HEALTH - Approval of the “Document on people with
psychosocial or intellectual disabilities declared unchargeable deprived of liberty and recommended “gives for your treatment”
- Resolution 1366/2022 of the National Institute of Associativism and Social Economy, in which the Unit for Linking Social
Cooperatives made up of people with psychosocial disabilities in Mental Health is created.
- Resolution 1549/2022 of the Ministry of Health - Approval of the list of multiprofessional specialties, which includes the
specialty of Community Mental Health.
- Resolution 2282/2022 of the Ministry of Health - Conditions to certify teachers as specialists professionals who practice the
profession of psychology.
- Resolution 843/2022 of the Ministry of Security - Approval of intervention guidelines for the Police Forces and Federal Security
in situations that involve people with a Mental Health crisis and/or with problematic situations in public spaces.
- Resolution 3672/22 of the Ministry of Health - Calling for the formation of the Honorary Advisory Council on Mental Health and
Addictions in accordance with the provisions of article 2 of decree 603/13, for the period 2023-2027

6. BACKGROUND OF THE NATIONAL MENTAL HEALTH PLAN 2023-2027

The last 12 years could be characterized as a time of advances and setbacks for public policies on Mental Health in our country.
On November 25, 2010, the Argentine Legislative Branch sanctioned the National Mental Health Law No. 26,657, promulgated on
December 2 of the same year as a Public Order, its compliance being mandatory, without the need for adherence by the
jurisdictions. This was promoted through participatory and federal work in the understanding that it was necessary to promote -
within the framework of the international movement for the transformation of Mental Health from a Human Rights perspective - the
establishment of a new paradigm for public Health policies. Mental at the national level. The above, without a doubt, is in line with
other fundamental laws that, in those years, allowed progress in terms of expansion and restitution of Rights as well as with
respect to issues relegated by the effects of the genocide perpetrated by the last civil-military dictatorship and by the
neoliberalism of the 1990s – whose culmination was the crisis of 2001 –, both in the ways of constructing subjectivities and the
social fabric, as well as in the organization of the public sphere.

In Mental Health this new paradigm, despite its novelty at the level of public policies at the national level tional, has its origin in a
long-term construction process, begun in the 1950s with the questioning of the asylum order carried out by relevant figures in the
field, who laid the foundations for the path along which they would travel in the decades following diverse experiences of social
groups, users and family members, professionals, among others, whose struggles built the new model from the ground up. ses
themselves in the field of Mental Health, creating the necessary conditions for a consistent regulatory framework to finally
advance in a process of reform of the system. Among the central antecedents, the previous experiences that took place in
different jurisdictions of our country stand out, such as the pioneering reform of the Province of Río Negro, as well as the sanction
of jurisdictional laws on the matter, which would be configured as regulatory milestones prior to the National Law: Río Negro, year
1991; Santa Fe, year 1991; Entre Ríos, year 1994; San Juan, year 1999; Autonomous City of Buenos Aires, year 2000, among
others.

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The process initiated at the national level in 2010 with the sanction and promulgation of the National Mental Health Law No.
26,657 recovers the spirit, objectives and formulations forged during the second half of the year. glo above, while incorporating
empirical and conceptual advances of the disciplines and perspectives that were integrated into the field of Mental Health,
especially Human Rights. The fight against segregation and the inhuman treatment of people with mental illnesses have been
part of the popular demands for the resolution of structural inequalities. In this sense, the historical problems denounced from the
field of Mental Health must, necessarily, be understood as violations of fundamental rights. damentals.

The paradigm, consolidated as a national public policy since 2010, implied a conception of Mental Health that was the
responsibility of the Executive, Legislative and Judicial powers, in this context the National Directorate of Mental Health and
Addictions was created. All of this would not have been possible without the official political decision, the active participation and
commitment of Human Rights organizations; associations of users and family members; associate tions of professionals; workers;
social and community organizations; non-governmental organizations.

Three years later, on May 28, 2013, through Decree No. 603/2013, the National Mental Health Law No. 26,657 was regulated. It
was the crystallization of an arduous task of consultations and drafting in conjunction with the jurisprudence. dictions, under the
coordination of the National Directorate of Mental Health and Addictions of the Ministry of Health of the Nation and the Legal and
Technical Secretariat of the Presidency of the Nation.

In Decree No. 603/2013, the necessary regulatory contents of the Law were specified and disaggregated. tation. Greater visibility
was also given to its central axes as a framework for future Mental Health policies, establishing imperatives and commitments for
essential compliance.

It is worth mentioning the formulation of the National Mental Health Plan 2013-2018, at the request of the publication of regulatory
decree 603/2013. It was approved by Resolution 2177/13 of the Ministry of Health of the Nation and presented a series of
problems that were configured as a baseline for the development of its objectives and actions. Among them, the stigmatization
and discrimination of the population with mental illness was pointed out, with the concomitant impact that this has in terms of
accessibility to the system and reinforcement of the condition of vulnerability; In relation to the Health/Mental Health network, it
was characterized as inadequate and, in some cases, non-existent; It was highlighted that the offer of services did not take into
account the specificity of girls, boys and adolescents, nor that of older people; problematic consumption was not incorporated into
the network; the professional training and in-service training of workers was not adapted to the text of the Law, leaving a quality
response uninsured; as well as highlighted insufficient progress in research gation, did not contribute to the needs of the services
and the demand of the population; the information systems that would allow both epidemiological surveillance and monitoring and
evaluation of the quality of services were poorly developed; Finally, the Plan indicated that addressing emergencies and disasters
was not contemplated in Mental Health coverage.

Until the interruption of the execution of the Plan in December 2015, the Application Authority advanced in the construction
construction of the institutional framework and reaching the necessary consensus to guarantee viability in terms of achieving the
objectives; At the same time, territorial-based management experiences and tools were launched in interjurisdictional
coordination.

Between 2013 and 2014, the National Review Body was created and put into operation, within the scope of the Public Ministry of
Defense; the National Interministerial Commission on Mental Health and Addiction Policies nes (CONISMA), within the scope of
the Head of the Cabinet of Ministers; the honorary Advisory Council on Mental Health and Addictions formed by different
organizations and actors in the field of Mental Health and addictions: unions, professional associations and colleges,
organizations of users and family members, Human Rights organizations and academic spaces.

The preceding paragraphs give an account of a fruitful process of transformations, conducted jointly in between those responsible
for Mental Health of the Nation and of the jurisdictions, both within the scope of the respective health portfolios, as well as with the
various intersectoral articulations.

The execution period of the current National Plan is also marked by the context of the CO pandemic VID-19, which, as has
already been said, highlighted the importance of individual and collective care, and the construction of consensus for
psychosocial well-being, health promotion and the ability to respond online to the occurrence. of any type of emergency, which
implies that public policies must necessarily include among their objectives the development of a unique social reconstruction
process, in which Mental Health has a predominant role.

Likewise, in September 2021, the World Health Organization PAHO-WHO presented the Comprehensive Action Plan on Mental
Health 2013-2030. This was endorsed by the 74th World Health Assembly in its decision WHA 74(14). This Plan updates the
previous Comprehensive Action Plan on Mental Health 2013-2020, insisting on the need to adopt a lifelong approach and apply
measures to promote Mental Health and the well-being of the entire population, prevent Health problems Mental health among
people at risk and guarantee universal Mental Health care.

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At the local level, on April 25, 2022, the National Government launched the Federal Strategy for the Comprehensive Approach to
Mental Health in order to implement and articulate public policies aimed at the care and attention of Men's Health. such of the
population for all life courses, with guidance from the Ministry of Health of the Nation and in conjunction with other State agencies,
whose actions enhance and contribute to the implementation of this National Plan.

The stewardship role exercised by the Ministry of Health of the Nation implies creating the institutional and normative conditions
matives for guaranteeing accessibility, equity and quality in health services. The implementation of the policies that achieve this
objective, by virtue of the federal nature of the Argentine government system, is based on the criteria of participation and
coordination between the national and jurisdictional levels in order to achieve a greater degree of effectiveness and efficiency in
the actions. and resources dependent on the formal health system. Therefore, the relationship of participation implies mutual
collaboration between the Provinces, the Autonomous City of Buenos Aires res and the Nation for the development of specific
health policies, coordinating the exclusive powers of each jurisdiction.

In this sense, a fundamental instance of collaborative construction of public policies on the matter is the Federal Council of Mental
Health and Addictions (CoFeSaMA), as a permanent working group with jurisdictional leaders in Mental Health throughout the
country, where agree, evaluate and/or modify this strategies, programs, activities and interventions, and in addition, technical
cooperation and intersectoral and interdisciplinary participation are promoted. Through their jurisdictional references, the different
local issues regarding Mental Health participate in the construction of the national work agenda, while the provincial autonomies
and the Autonomous City of Buenos Aires are strengthened with interaction and development. joint policies and action plans,
promoting synergy between them.

The process of transformation of the Mental Health care model, marked by sanctions and regulations tion of the National Mental
Health Law No. 26,657, has had dissimilar advances in the different jurisdictions 2 as evidenced by the data provided by them. It
should be noted that sixteen (16) of them have adhered to the National Mental Health Law No. 26,657 and fourteen (14) have a
Provincial Mental Health Law. So Likewise, eight (8) jurisdictions have a Local Review Body, while in seven (7) they are in the
process of being formed. In addition, four (4) have formed an Honorary Advisory Council on Mental Health and Addictions.

At the request of Law No. 26,657, Mental Health policies concentrated in monovalent establishments must move towards and
consolidate in a community-based model, with the incorporation of Mental Health in primary care, hospitalizations for reasons of
Mental Health in general hospitals and the development of alternative devices.

In the Argentine territory, the transformation and adaptation of the care system is also expressed, in a disparate way, with the
existence of public monovalent hospitals still being verified in twelve (12) jurisdictions. Without em However, eighteen (18) of
them have public general hospitals with a specific room for Mental Health inpatient care and the majority of them have
incorporated Mental Health inpatient beds in their public general hospitals.

The transformation of the system requires the creation and strengthening of alternative devices that implement social inclusion
strategies, forming a network of services to guarantee people the transition through a therapeutic process at different levels of
complexity with a care perspective.

In relation to this, twenty (20) of the jurisdictions report having Primary Health Care Centers that have specific human resources
(interdisciplinary team or psychologist, psychiatrist or other professionals or operators) in Mental Health. That is to say, according
to what was surveyed, in the country there are 372 PHC centers that have specialized staff for Mental Health care. Likewise,
eighteen jurisdictions (18) have mobile and/or territorial approach teams in Mental Health. Referred to outpatient care centers in
Salud Men Thus, the same number of jurisdictions have these devices, estimating a total of 184 centers nationwide.

Regarding community devices, thirteen (13) jurisdictions have coexistence houses, fifteen (15) have day hospitals, while twelve
(12) have day centers, and 10 jurisdictions have coexistence houses. To conclude, it can be highlighted in relation to labor
inclusion devices that thirteen (13) provinces have such devices, and eight (8) mention having artistic inclusion devices.

7. FINANCING, SOURCES AND BUDGETS

The National Mental Health Law No. 26,657, in its Article 32, establishes that: “Progressively and within a period of no more than
THREE (3) years from the enactment of this law, the Executive Branch must include in the projects budget an increase in the
items allocated to Mental Health until reaching a minimum of TEN PERCENT (10%) of the total health budget. "It will be promoted
that the provinces and the Autonomous City of Buenos Aires adopt the same criterion." Based on a transversal conception of
public policies on Mental Health, the execution of this National Plan implies the impact of budget items from different national
portfolios and organizations, at the request of a comprehensive and integrated perspective of the community model of Health

2 Source: Questionnaire to update and strengthen information on the Mental Health System Prepared by the National Directorate of Comprehensive Approach to Mental Health and
Problematic Consumption (Year 2022)

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care. Mental.

The institutional scope for the coordination of interministerial planning of Mental Health policies creates established by regulatory
decree 603/2013 of the National Mental Health Law 26,657 in the Head of the Cabinet of Ministers is the National Interministerial
Commission for Mental Health and Addictions (CONISMA). Through decree 426/2021, CONISMA was returned to the Head of the
Cabinet of Ministers – after having functioned within the Ministry of Health in the period 2016-2019 –, while new participating
organizations were added.

The Ministries of Health currently participate in the Commission; Justice and Human Rights; Education, Work, Employment and
Social Security; Women, Gender and Diversity; Defending; Social development; Territorial Development and Ha bitat; Economy;
Public Works; Security; Transport. The Secretariat of Comprehensive Drug Policies (SEDRONAR), the National Secretariat of
Children, Adolescence and Family (SENNAF), the National Disability Agency (ANDis) and the National Review Body of Law
26,657 also intervene. The Honorary Mental Health and Addictions Advisory Council depends on this Commission.

All of these organizations implement public Mental Health policies. 3 with impact on budget items own agencies, which also make
up the national budget on the matter, in addition to that corresponding to the specific organizations: National Directorate of
Comprehensive Approach to Mental Health and Problematic Consumption of the Ministry of Health of the Nation, the Secretariat
of Comprehensive Drug Policies (SEDRONAR ) and the mental health services of national hospitals.

Likewise, it is worth mentioning that for the implementation period (2022-2023) of the Federal Abor Strategy Comprehensive
Mental Health Care, whose purpose is to enhance the actions provided for in this National Plan, the National State has allocated
a total of $7,700,000,000.

8. AXES OF WORK AND OBJECTIVES

For the formulation of the National Mental Health Plan, the Enforcement Authority has based itself on the National Mental Health
Law No. 26,657 and its Regulatory Decree No. 603/2013. In its Article 31, the Law expressly establishes mind that "it is the
Enforcement Authority of this law, based on the specific area that it designates or creates for this purpose, that must establish the
bases for a National Mental Health Plan in accordance with the principles established." two".

Considering that these principles are intended to ensure the right to the protection of Mental Health of all people and the full
enjoyment of human rights for those with mental illness, this Plan aims to create and/or strengthen the bases for structural
transformation from the care system to a community-based one, acting as a guiding guide for all the actors and sectors involved
in said process.

Therefore, it does not prescribe interventions regarding specific populations and/or problems, which may be addressed by its own
programmatic proposals, which will find in this Plan the framework, horizon and foundations necessary for its formulation.

Taking into account the federal nature, and the existence of jurisdictional autonomy for Mental Health care, it is worth highlighting
that the actions included in this Plan are the responsibility, some of them, of the national State, and others, of the provincial states
and the Autonomous City of Buenos Aires. For this reason, this Plan is It is created based on the joint work between the Nation
and the Mental Health areas of the 24 jurisdictions.

To achieve the stated objectives, joint work with the jurisdictions becomes essential. tions, other public organizations and other
areas within the Ministry of Health of the Nation, as well as the participation of civil society organizations, especially those that
make up the field of Mental Health. In this sense, it should be noted that the actions arising from this Plan reach the public, private
and social security subsectors.

In accordance with art. 4 of the National Mental Health Law, all the axes and objectives presented below include problematic
consumption.

The fulfillment of the objectives indicated in each of the axes of this Plan necessarily implies the planning, management and
monitoring of comprehensive policies considering the perspective of life courses.

The fulfillment of the objectives indicated in each of the axes of this Plan necessarily implies the planning, management and
monitoring of specific actions at the jurisdictional level that respond to the par particular in that the prevalent, emerging and critical

3 The actions, programs and policies on Mental Health implemented by all portfolios within the framework of CONISMA can be consulted at the following link:
https://www.argentina.gob.ar/jefatura/conisma

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socio-health problems that are the subject of it are presented at the local level, contemplating the public, private and social
security subsectors,

This National Plan is organized around 9 axes of work. They are operationalized in specific objectives ific data, with their
corresponding indicators and targets (section 9). The sequence of presentation of the axes does not imply a hierarchy of the
former with respect to the latter, nor a fragmented conception of the processes; On the contrary, the relationship between these
axes is conceived in a systemic way and of mutual implication.

Axis 1: Mental Health Rectorship

This axis proposes the strengthening of national and jurisdictional institutional capacities for trans formation of the Mental Health
care model based on the principles of the National Mental Health Law No. 26,657 through strategies that guide the different
sectors and actors, governmental and non-governmental. namental, in the implementation of policies that guarantee quality,
accessibility and equity in the approach to Mental Health and Problematic Consumption.

Objective 1.1 Promote institutional strengthening of the field of Mental Health and Pro Consumption blematic for all life courses in
the emerging, critical and prevalent problems in each territory.

Specific objectives

1.1.1 Promote and provide technical assistance for the institutional strengthening of public policies in the field of Mental Health
and Problematic Consumption, for all life courses in emerging, critical and prevalent problems in each territory.

1.1.2 Promote and provide technical assistance for the formation of Local Interministerial Political Commissions Mental Health
and Addictions cases in all jurisdictions.

1.1.3 Promote and provide technical assistance for the formation of honorary Advisory Councils in all jurisdictions.

1.1.4 Promote and provide technical assistance for the formation of Review Bodies in all jurisdictions.

Objective 1.2 Strengthen public policies on Mental Health and Problematic Consumption for all life courses in emerging, critical
and prevalent problems in each territory.

Specific objectives

1.2.1 Promote and provide technical assistance for the federal integration of public policies on Mental Health and Problematic
Consumption, for all life courses in emerging, critical and prevalent problems in each territory.

1.2.2 Promote and provide technical support for the formulation of Local Mental Health Plans in all jurisdictions.

1.2.3 Develop guidelines and promote processes of transformation of the care system in each territory towards one that is
community-based.

1.2.4 Promote and provide technical assistance for the development of information systems and local epidemiological
surveillance in Mental Health and Problematic Consumption in all jurisdictions.

Objective 1.3 Cooperate to strengthen the institutional capacities of national organizations and the legislative and judicial powers
in matters of Mental Health and Problematic Consumption.

Specific objectives

1.3.1 Guarantee the functioning of the National Interministerial Commission on Mental Health and Addiction Policies nes
(CONISMA) in the orbit of the Head of the Cabinet of Ministers.

1.3.2 Technically cooperate with national organizations in the implementation of public policies with a rights perspective in

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addressing Mental Health and Problematic Consumption of the population.

1.3.3 Contribute to the development and review of regulations linked to the field of Mental Health and Problematic Consumption
in accordance with National Law No. 26,657.

1.3.4 Promote the strengthening of the perspective of Community Mental Health in the Judicial Branch of the Nation and
jurisdictions.

Objective 1.4 Prioritize the role and participation of the Argentine Republic in areas of international cooperation International
linked to Mental Health and Problematic Consumption.

Specific objectives

1.4.1 Collaborate with the institutional representation bodies of the Ministry of Health of the Nation before organizations
international mos.

1.4.2 Advise on Mental Health and Problematic Consumption to national programs, projects and activities with international
concern.

1.4.3 Develop and implement projects with external financing in accordance with National Law No. 26,657.

Objective 1.5 Update and adapt the existing regulatory framework on the organization, operation and performance profile of
Mental Health services and problematic consumption for the transformation towards the Community Mental Health model.

Specific objectives

1.5.1 Update the Guidelines for the Organization and Operation of Mental Health Services in accordance with National Law No.
26,657.

1.5.2 Promote the adherence of Jurisdictions to the Guidelines for the Organization and Operation of Mental Health Services.

1.5.3 Update national authorization standards and promote jurisdictional standards based on the Directives ces of Organization
and Functioning of Mental Health Services.

1.5.4 Promote the updating of the Mandatory Medical Program (PMO) to adapt its benefits to National Law No. 26,657.

1.5.5 Promote the adaptation of the benefit portfolio to the Community Mental Health model of the Prepaid Medicine Entities,
PAMI and national and local Social Works.

Axis 2: Mental Health at the First Level of Care

This axis aims to expand Mental Health approaches at the First Level of Care, for all life courses, with the aim of reducing the
Mental Health care gap, through improving the capabilities of interdisciplinary teams; early identification; attendance;
accompaniment and continuity of care from a Community Mental Health approach in accordance with the principles of the
National Mental Health Law No. 26,657.

Objective 2.1 Promote the identification and early care of mental illnesses at the First Level of Care for all life courses in
emerging, critical and prevalent problems in each territory.

Specific objectives

2.1.1 Prepare recommendations to strengthen the interdisciplinary approach to Mental Health and Cons. Problematic Sumos at
the First Level of Care.

2.1.2 Promote training strategies on tools to identify and intervene early on mental illnesses aimed at Mental Health teams,
expanded health teams and non-conventional human resources, within the framework of Community Mental Health.

2.1.3 Strengthen promotion and prevention practices in Mental Health and Problematic Consumption at the First Level of Care
for all life courses.

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2.1.4 Promote the development and/or strengthening of remote supervision and support systems through new you go
information and communication technologies.

Objective 2.2 Promote support and continuity of care for all life courses in emerging, critical and prevalent problems in each
territory.

Specific objectives

2.2.1 Develop and strengthen communication, articulation and link mechanisms between the different effectors of the network.

2.2.2 Cooperate technically and/or financially for the strengthening and/or creation of social, labor, educational, housing
inclusion devices, etc.

2.2.3 Strengthen the development of intersectoral, inter-institutional and coordination strategies with organizations. territorial
resources and non-conventional resources to increase the participation of users in the First Level of Care and in the network of
community services.

2.2.4 Strengthen the articulation of PNA effectors with Mental Health devices in general hospitals, such as on-call and
hospitalization, among others.

Objective 2.3 Ensure timely access and appropriate use of essential psychotropic drugs.

Specific objectives

2.3.1 Prepare recommendations for the prescription of essential psychotropic drugs in the First Level of Care.

2.3.2 Develop training to guarantee the appropriate use of essential psychotropic drugs in the First Level of Care.

2.3.3 Incorporation of essential psychotropic drugs such as antipsychotics, antidepressants, anxiolytics, among others, in the
public supply programs for medication to First Level Care providers.

Axis 3: Expansion and intersectoral integration of the Mental Health Network

This axis aims to integrate the intersectoral network in the approach to Mental Health and Problematic Consumption and promote
the social participation of people with mental illness, promoting social inclusion through through the strengthening and/or creation
of alternative devices, support systems, outpatient care and participation of civil society organizations in accordance with the
principles of the National Mental Health Law No. 26,657.

Objective 3.1 Promote the development of alternative devices and support systems necessary for community life.

Specific objectives

3.1.1 Cooperate technically and financially for the development of assisted housing programs and housing solutions, which allow
the social inclusion of people who remain hospitalized without clinical criteria for hospitalization.

3.1.2 Promote access to job training programs, both formal and non-formal, as well as educational completion strategies.

3.1.3 Cooperate technically and financially to promote labor and productive inclusion.

3.1.4 Promote the inclusion of people with mental illness and/or family members and cohabiting emotional environments in
social income programs.

Objective 3.2 Stimulate the construction of local Mental Health and Problematic Consumption networks and the strengthening of
existing ones.

Specific objectives

3.2.1 Promote intersectoral exchange spaces to strengthen the network in Mental Health and Con Sumos Problems with axis in

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each course of life and in the emerging, critical and prevalent problems in each territory.

3.2.2 Promote the strengthening of socio-health interventions in coordination with effectors and common actors. nitarias with
axis in each course of life and in the emerging, critical and prevalent problems in each territory.

Objective 3.3 Strengthen the outpatient care network in Mental Health and Problematic Consumption

Specific objectives

3.3.1 Promote the development and strengthening of outpatient care devices in Mental Health and Consu mos Community-
based problems for each course of life and in relation to the psychosocial problems prevalent in each territory.

3.3.2 Promote the development and strengthening of outpatient services in Mental Health and Problematic Consumption in
General Hospitals in the 24 jurisdictions

3.3.3 Promote the development and strengthening of mobile interdisciplinary Mental Health and Problematic Consumption
teams of territorial reference.

Objective 3.4 Promote social participation in the network of community services in Mental Health and Consu Problematic mos.

Specific objectives

3.4.1 Promote the prominence and active role of User and Family Associations in the development and strengthening of the
network.

3.4.2 Promote the participation of community organizations and civil society (community spaces, cultu rales, artistic,
neighborhood clubs and sports entities, schools, socio-labor and productive enterprises, among others) in the development and
strengthening of the network.

3.4.3 Promote the development and/or strengthening of the socio-health intervention capacity of community and civil society
organizations (user and family associations, cultural spaces, neighborhood clubs, schools and sports entities, socio-labor and
productive enterprises, among others).

Axis 4: Mental Health in the General Hospital

This axis proposes strengthening the comprehensive approach to Mental Health in general hospitals based on tion of local needs,
promoting timely and equitable access throughout the national territory.

Objective 4.1 Promote the creation of Mental Health Services in General Hospitals that do not have them.

Specific objectives

4.1.1 Promote the creation of emergency care services, outpatient care, day hospital and specific inpatient service.

4.1.2 Promote the formation of interdisciplinary Mental Health teams.

4.1.3 Promote the training of Mental Health workers according to the principles of National Law No. 26657.

Objective 4.2 Promote the strengthening of existing Mental Health Services in General Hospitals.

Specific objectives

4.2.1 Promote the strengthening and/or improvement of emergency care services, outpatient care, day hospital and specific
inpatient services according to the needs of each establishment and its population.

4.2.2 Promote the strengthening and/or expansion of interdisciplinary Mental Health teams.

4.2.3 Promote training strategies and identification of good practices with workers.

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Objective 4.3 Promote continuous improvement in the quality of care and the protection of rights.

Specific objectives

4.3.1 Develop and disseminate tools to improve the quality of care and the protection of rights.

4.3.2 Promote the training of interdisciplinary Mental Health teams for the continuous improvement of quality and protection of
rights from a comprehensive perspective within the framework of National Law No. 26657.

4.3.3 Promote the participation of users in strategies to improve the quality of care and the protection of rights.

Axis 5: Deepening the adaptation of monovalent mental health hospitalization devices

until definitive replacement
This axis aims to continue, accompany and deepen, together with those responsible for the jurisdictions, the adaptation of the
monovalent Mental Health hospitalization devices to the principles of the National Mental Health Law, until their definitive
replacement by Mental Health service networks of community base.

Objective 5.1 Develop and disseminate technical instruments to promote and strengthen the adaptation processes of monovalent
hospitalization devices.

Specific objectives

5.1.1 Prepare and disseminate recommendations to strengthen the approach to Mental Health in the general hospital.

5.1.2 Develop instruments to standardize the hospitalization process for Mental Health reasons in the general hospital.

5.1.3 Prepare recommendations for the adaptation of monovalent hospitalization devices in Mental Health until their definitive
replacement.

5.1.4 Prepare recommendations for the development and strengthening of the Mental Health network including social inclusion
devices.

5.1.5 Prepare recommendations for the sustainable discharge process of people with prolonged hospitalizations.

5.1.6 Build and keep updated a guide to resources from the National State for the social inclusion of people. people with mental
illness.

Objective 5.2 Promote sustainable outpatient hospitalization and social inclusion of people who remain housed without clinical
criteria for hospitalization.

Specific objectives

5.2.1 Promote the formation of interdisciplinary sustainable outsourcing teams.

5.2.2 Cooperate technically and/or financially in the design, planning and execution of outpatient and social inclusion plans.

5.2.3 Cooperate technically and/or financially for the development of social, labor, educational, housing inclusion devices, etc.

Objective 5.3 Promote the refunctionalization and/or replacement of the infrastructure of monovalent hospitalization
establishments.

Specific objectives

5.3.1 Promote the planning and development of refunctionalization processes in an intersectoral manner and with tailored to
local needs.

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5.3.2 Cooperate technically and/or financially with the refunctionalization processes through spaces for participatory consultation
with workers and users.

5.3.3 Promote the implementation of institutional policies for Memory Spaces.

Axis 6: Promotion and Prevention in Mental Health and Problematic Consumption

This axis aims to develop and implement actions, projects and programs for the promotion and prevention of Mental Health with a
territorial approach and a rights perspective.

Objective 6.1 Reduce the stigma associated with mental illnesses.

Specific objectives

6.1.1 Develop dissemination campaigns and training and awareness spaces on the National Mental Health Law No. 26,657 for
the general population.

6.1.2 Develop information and awareness strategies for the general population about the situation of people with mental
illnesses, stigmatization, prejudices and preconceptions, which are part of acts of discrimination. The participation of users and
family members will be privileged.

6.1.3 Promote awareness-raising and anti-stigma training strategies (myths and prejudices about mental illnesses and their
approach) for health workers, technical teams of public organizations, security forces, judicial technical teams and unconventional
social intervention agents in general. .

Objective 6.2 Implement communication strategies for the promotion and prevention of Mental Health.

Specific objectives

6.2.1 Promote lines of action in communication for the promotion of Mental Health within the framework of health education for
the general population.

6.2.2 Promote awareness about responsible communication in the treatment of Mental Health issues for media workers.

6.2.3 Build and disseminate a bank of territorial practices and experiences in communication based on the SMC model

Objective 6.3 Promote the participation of users, family members and emotional environments in the processes of building public
policies.

Specific objectives

6.3.1 Promote the strengthening of associations of users, their families and existing emotional environments.

6.3.2 Promote the formation of associations of users, family members and emotional environments.

6.3.3 Promote the active role of family users and emotional environments in the Mental Health network.

Axis 7: Transformation of practices

This axis aims to promote the transformation of practices, based on the principles of the National Mental Health Law No. 26,657,
towards the community model in Mental Health through training, in-service training, the enhancement of existing good practices
and the development of process standardization tools for continuous quality improvement, dignified treatment and respect for
Human Rights.

Objective 7.1 Guarantee training in Community Mental Health for workers in the field of Mental Health.

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Specific objectives

7.1.1 Promote continuous education and in-service training of workers in the Mental Health disciplines.

7.1.2 Strengthen existing Community Mental Health practices in different jurisdictions through the promotion movement, visibility
and multiplication of experiences with axis in each course of life and in emerging problems people, critical and prevalent in each
territory

7.1.3 Strengthen the community perspective of Interdisciplinary Residencies in Mental Health (Community RISaM).

Objective 7.2 Promote the training of health human resources from the perspective of Community Mental Health and the rights
approach.

Specific objectives

7.2.1 Promote training in addressing Mental Health crises and problematic consumption for health teams that assist emergencies
at home, institutional spaces and/or public roads.

7.2.2 Promote training in addressing Mental Health crises and problematic consumption for health teams of hospital wards and
First Level Care health centers, focusing on each life course and on emerging, critical and prevalent problems in each territory.

7.2.3 Promote the training of different specialties in the health field in the comprehensive care of people with mental illness.

Objective 7.3 Promote training in Community Mental Health for State and civil society actors with the capacity and responsibility to
intervene in Mental Health situations.

Specific objectives

7.3.1 Promote training in Community Mental Health and in addressing the emergency in Mental Health in members of the Police
and Security Forces.

7.3.2 Promote training in the community Mental Health care model for members of the Judiciary.

7.3.3 Promote training in Community Mental Health to workers of the National Public Administration.

7.3.4 Promote the training of community and civil society actors involved in Mental Health

Objective 7.4 Promote the adaptation to the community approach of the study plans of the disciplines linked to the field of Mental
Health.

Specific objectives

7.4.1 Update and promote the use of guidelines and recommendations for undergraduate training in Mental Health.

7.4.2 Promote postgraduate training in Community Mental Health and health services management for workers in the field of
Mental Health and related sectors.

7.4.3 Promote the development of undergraduate and university extension programs linked to Community Mental Health
unitary, with territorial anchoring and articulation with community effectors and devices.

Axis 8: Epidemiological Surveillance and Mental Health Research

This axis aims to develop and implement an epidemiological information and surveillance system aimed at decision-making and
the production of knowledge regarding public policies in Community Mental Health.

Objective 8.1 Strengthen epidemiological surveillance in Mental Health to evaluate the population's care needs and available

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resources in the community.

Specific objectives

8.1.1 Promote the creation or strengthening of Mental Health epidemiology areas in the jurisdictions.

8.1.2 Promote the improvement and creation of epidemiological information records, agreed upon federally, so Discusses
Mental Health and Problematic Consumption problems with an axis in each life course and in the emerging, critical and prevalent
problems in each territory.

Objective 8.2 Implement a surveillance system for consultations and hospitalizations that occur for Mental Health reasons.

Specific objectives

8.2.1 Develop and implement federal records of consultations and hospitalizations for Mental Health reasons.

8.2.2 Develop and implement a system for monitoring, evaluating and following up consultations and internal tions for Mental
Health reasons with an axis in each life course and in the emerging, critical and prevalent problems in each territory.

8.2.3 Develop and implement a system for monitoring, evaluating and tracking care devices, support, assistance and practices
in Mental Health with an axis in each life course and in the emerging, critical and prevalent problems in each territory.

Objective 8.3 Promote research and production of knowledge on good practices in Community Mental Health.

Specific objectives

8.3.1 Promote and finance territorial-based research in Community Mental Health with a focus on each life course, on emerging,
critical or prevalent problems in each territory and on the response provided by the health system.
8.3.2 Promote in the research programs of different public, national and jurisdictional organizations, research in Mental Health
with an axis in each life course, in emerging, critical or preva problems. lenses in each territory and in the response given by the
health system.

8.3.3 Prioritize the Community Mental Health component in the research programs of the National Ministry of Health.

Axis 9: Mental Health and Psychosocial Support in Emergencies and Disasters

This axis aims to promote the inclusion of Mental Health and Psychosocial Support (SMAPS) strategies in management.
comprehensive tion of risk reduction and the impact of emergency and disaster situations, strengthening community construction
processes.

Objective 9.1 Promote the organized response of all actors and sectors, both state and civil society, in the face of emergencies
and disasters.

Specific objectives

9.1.1 Prepare and disseminate recommendations and protocols that ensure an adequate response in Mental Health matters from
the different government actors and civil society, integrating the public, private and social security sectors involved in
emergencies and disasters.

9.1.2 Promote the application and adaptation of said recommendations and protocols throughout the national territory according
to local needs.

9.1.3 Improve the response by government and non-government actors through action lization of knowledge and exchange of
practices consistent with the regulatory framework on Mental Health and Psychosocial Support in the face of emergencies and
disasters.

Objective 9.2 Develop strategies so that Mental Health and Psychosocial Support is available in all stages and places where the

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emergency develops

Specific objectives

9.2.1 Promote psychosocial support strategies that guarantee early interventions in the face of emergencies and disasters.

9.2.2 Promote the strengthening of the Mental Health and Problematic Consumption component in the health response of the
local responders who respond to emergencies during an emergency.

9.2.3 Promote strategies that guarantee continuity of care with a Community Mental Health perspective during the emergency

9.2.4 Implement actions -direct and indirect- to protect the Mental Health of groups in situations of greater vulnerability before,
during and after the emergency.

Objective 9.3 Strengthen local intersectoral response networks before, during and after the emergency.

Specific objectives

9.3.1 Promote territorial approach actions together with local and community actors before, during and after an emergency.

9.3.2 Cooperate technically for the organization and local management of response networks that include the component SMC
in emergency and disaster situations.

Objective 9.4 Promote Mental Health care for health workers and first lines of intervention during an emergency.

Specific objectives

9.4.1 Promote the construction of a response network for the Mental Health care of health workers and first lines of intervention.

9.4.2 Promote strategies for Mental Health self-care of health workers and first lines of intervention.

9.4.3 Promote the training of Mental Health teams to support and care for the Mental Health of health workers and first lines of
intervention.

9. MONITORING AND EVALUATION

In view of the effective implementation of the Plan, the ar intersectoral articulations necessary to achieve the objectives,
understanding them as a floor, without implying being limited only to the explicitly stated actors. However, even when a high
degree of participation and representativeness of state agencies and civil society organizations is achieved, it is the main
responsibility of the Health sector to lead interjurisdictional and intersecting spaces. rials of technical cooperation in order to
achieve the fulfillment of the goals.

At the request of the interjurisdictional and territorial perspective, it is important to highlight that the indicators and goals presented
can be modulated according to local realities and priorities. This Plan may serve as input for the formulation of jurisdictional plans
and/or programs, in which the strategies and actions to be developed are also operationalized.

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Indicators, goals and minimum necessary articulations

AXIS 1: MENTAL HEALTH DIRECTORY

This axis proposes the strengthening of national and jurisdictional institutional capacities for trans formation of the Mental Health
care model based on the principles of the National Mental Health Law No. 26,657 through strategies that guide the different
sectors and actors, governmental and non-governmental. namental, in the implementation of policies that guarantee quality,
accessibility and equity in the approach to Mental Health and Problematic Consumption.

JOINTS
GOALS
GOALS INDICATOR GOAL 2027 MINIMALS
SPECIFIC
NECESSARY

1.1.2 Promote and a. Percentage of a. Local Enforcement

1.1Promote the for 1.1.1 technical
provide Promote and Juris percentage
jurisdictions with Technical assistance
Interministerial Enforcement
Authority National
training institute tional provide technical
assistance for the dictions assisted
established Localwith for institutional
Commissions Authority
EnforcementNational
field of Mental Health assistance
formation offor the
Local lines of action for the
Interministerial strengtheningby 100%
constituted Enforcement
Authorities CONISMA
and Problem institutional
Interministerial institutional on
Commissions implemented
of in 100%
the jurisdictions Authorities cation
Jurisdictional cation.
Consumption (SMyCP) strengthening on
Commissions of public strengthening
Mental Health ofandpublic of jurisdictions.
tions. Jurisdictional
for all life courses in the policies in the field
Mental Health and of policies in the
Addictions field of
Policies. CONISMA
problems emerging, SMyCP, for all
Addictions Policies life in SMyCP, for all life b. Technical SEDRONAR
critical and prevalent courses
all in the tions.
jurisdictions. courses
b. in the
Ju percentage assistance provided in Honorary Advisory
themes in each problems emerging, problems emerging,
risdictions to which 100% of jurisdictions. Council.
territory. critical and prevalent critical and
technical prevalent
assistance
themes in each themes
was in each
provided.
territory. territory.

1.1.3 Promote and a. Percentage of a. Tips With honorary Enforcement

provide technical jurisdictions with sultatives constituted in Authority National
assistance for the established honorary 100% of the Enforcement
formation of honorary Advisory Councils. jurisdictions. Authorities
Advisory Councils in all jurisdictional cation
jurisdictions. tions. b. Ju percentage b. Technical assistance CONISMA Honorary
risdictions to which provided in 100% of Advisory Council.
technical assistance jurisdictions.
was provided.

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 1.1.4 Boost and Brin Application Authority
provide technical a. Juris percentage National Application
a. Organs of Re local
assistance for conformity dictions with established vision in 100% of the Authorities
tion of Review Bodies in local Review Bodies. jurisdictions tions. jurisdictional cation
all jurisdictions. National Review Body.
b. Ju percentage
b. Technical assistance
risdictions to which
provided in 100% of
technical assistance was
jurisdictions.
provided.

Objective 1.2 Strong 1.2.1 Promote and a. At least 5 attend Enforcement Authority
read the SMyCP public provide technical technical skills provides National tion
policies for all life assistance for the federal a. Amount of technical given to 100% of Enforcement Authority
courses in the integration of SMyCP assistance for the federal jurisdictions jurisdictional Honorary
problems emerging, public policies, for all life integration of SMyCP Advisory Council
critical and prevailing courses in the problems public policies provided b. Participation in lines of
themes you in each emerging, critical and action for the federal
b. Percentage of integration of public
territory prevalent themes in each
jurisdictions that policies cases of SMyCP
territory
participate in lines of in 100% of the
action for the federal jurisdictions tions
integration of SMyCP
public policies.

1.2.2 Promote and a. Juris percentage a. Local Mental Health Enforcement Authority
provide technical support dictions with Local Mental Plans for emulated in National tion
for the formulation of Health Plans formulated 100% of the jurisdictions Enforcement Authority
Local Mental Health consistent with the jurisdictional Honorary
Plans in all jurisdictions b. Ju percentage regulatory framework Advisory Council
Risdictions to which
technical assistance was b. Technical assistance
provided provided in 100% of
jurisdictions

Enforcement Authority
1.2.3 Develop a. At least 5 guidelines
National tion
guidelines and promote to. Number of guidelines developed and
Enforcement Authority
transformation processes to promote processes of disseminated in 100% of
jurisdictional Honorary
mation of the care system transformation of the care jurisdictions tions
Advisory Council
in each territory towards a system towards a
community-based one community-based one b. At least 5 attendees
ci Participation in the transformation of the care b. Amount of technical system in 100% of the jurisdictions c.ii Percentage of
transformation of the care system in each of the assistance provided in Jurisdictions
expe resources
situated to promote
processes of
transformation of the
care system in each
territory

c. Juris percentage
dictions with lines of
action for trans
formation of the care
system in each territory
towards a community-
based one

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provides given to
100% of jurisdictions
1.3 Cooperate to 1.3.1 Guarantee the CONISMA work in the CONISMA restored Enforcement
strengthen the functioning of the orbit of the Head of and functioning in the Authority National
institutional capacities National the Cabinet of organization bita of the Head of the Cabinet of
of national Interministerial Ministers Head of the Cabinet of Ministers CONISMA
organizations them and Commission in Po Ministers member ministries
the legislative and Mental Health and
judicial powers in Addictions Policy
matters of SMyCP (CONIS-MA) within the
scope of the Head of
the Cabinet of
Ministers.
1.3.1 Guarantee the CONISMA work in the CONISMA restored Enforcement
functioning of the orbit of the Head of and functioning in the Authority National tion
National the Cabinet of organization bita of the Head of the Cabinet of
Interministerial Ministers Head of the Cabinet of Ministers CONISMA
Commission in Po Ministers member ministries
Mental Health and
Addictions Policy
(CONIS-MA) within the
scope of the Head of
the Cabinet of
1.3.2 Cooperate technical Ministers.
fall SMyCP of the population implemented Authority National Ministry
with orga nationalisms in the Orga percentage nationalisms Lines of action implemented Member Ministries of CONISMA
implementation of public that make up CONISMA with with 100% of the organizations Honorary Advisory Council
policies with an abortion rights lines of action with a rights national bodies that make up
perspective damage to the perspective in SMyCP the CONISMA Appliance

1.3.3 Contribute to the elaboration and review of of the revised regulations cia with the National Mental
development and review of regulations linked to the field of a. Participation in 100% of the Health Law No. 26,657
vincu regulations Lada to the SMyCP in which one procedures development and Enforcement Authority National
SMyCP field in concordan cia participates review of regulations linked to Jurisdic Authorities tional
with the National Mental Health the field of SMyCP CONISM
Law No. 26,657 b. Concordance and Honorary Advisory Council
a. Pro percentage processes of consistency with the National b. 100% of the norm tive
Mental Health Law No. 26,657 revised consist try and agree

1.3.4 Promote the At least 1 line of action

strengthening of the Sa implemented at the
perspective Community Mental national level and in
Health ria (SMC) in the Judicial 100% of the
Branch of the Nation and the jurisdictions tions
jurisdictions
Number of lines of action with a
SMC perspective implemented
in the Jewish Power cial of the
Nation and the jurisdictions
Enforcement Authority National
Jurisdic Authorities tional
National Review Body
Local Review Body
CONISM
Honorary Advisory Council

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1.4 Prioritize the role 1.4.1 Collaborate with instant percentage cies Participation in 100% of Enforcement Authority
and participation of the representation bodies of institutional institutional National Agency
Argentine Republic tub institutional representation before representation instances Requiring Agencies
in areas of internal presentation of the internal organizations before internal
cooperation tional Ministry of Sa lude of tionals in which one organizations required
linked to the SMyCP the Nation before participates
internal organizations
tional

Enforcement Authority
Pro percentage national
1.4.2 Advise programs, Advice to 100% of the National Agency
programs, projects and
projects and activities requirements ments Requiring Agencies
activities them with
on SMyCP national received in accordance
international concern
authorities with internal with the National Mental
advice rados in matters
jurisdiction tional Health Law No. 26,657
of SMyCP

1.4.3 Develop and

implement pro projects a. Project quantity with a. Participation in at least
Enforcement Authority
with external financing external financing in 5 projects with external
National Enforcement
in accordance with the which we participate financing
Authority WHO-PAHO
National Mental Health jurisdictional
b. Concordance with b. 100% of the pros
Law No. 26,657 UNICEF
the National Mental projects with external
Other international
Health Law No. 26,657 financing in accordance
organizations
of projects financed with the

1.5 Update and adapt 1.5.1 Update the Di Di Update Organizing Mini resolution updated
the existing regulatory Organizing rules tion rules tion and guidelines for the
framework on the and Operation of Operation of Mental Organization and Enforcement Authority
organization tion, Mental Health Services Health Services Operation of Mental National Associations
operation and in accordance with the Health Services Professional sional
performance profile of National Mental Health published National Review Body
SMyCP services for the Law No. 26,657 SEDRONAR
trans training towards PAMI
the SMC model Honorary Advisory
Council
Enforcement Authority
jurisdictional tion Sec.
of Human Rights of the
Nation

a. Or Guidelines 1.5.2 Boost Jurisdic percentage

organization and adherence sion of the tions with adherence to
function creation of Jurisdiccio nes to the the Guidelines for the
Beings Mental Health Guidelines for the Organization and
vices consistent with Organization and Operation of Mental
the regulatory Operation of Mental Health Services
framework with Health Services
adherence of 100% of
the jurisdictions

b. Lines of action implemented for adherence to the Di

Organizing rules tion and Operation of Mental Health Services
in 100% of the jurisdictions tions.
Enforcement Authority National Associations Professional
National Review Body SEDRONAR PAMI
Honorary Advisory Council
Enforcement Authority jurisdictional tion Sec. of Human
Rights of the Nation

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1.5.3 Update skill a. Skill standard ized in accordance Mental Health Law No.
rules national update national with National Law No. 26,657 in 100% of the
regulations and regulation based on 26,657 and jurisdictions dictions
promote jurisdictional the Guidelines for the disseminated you give Enforcement
standards based on Organization and Authority National
the Guidelines for the Operation of Mental bi Lines of action Associations
Organization and Health Services implemented to update Professional National
Operation of Mental authorization Review Body
Health Services b. Percentage of standards in line with SEDRONAR PAMI
jurisdictions with the National Mental Honorary Advisory
updated local licensing Health Law No. 26,657 Council
standards in line with in 100% of the Enforcement
the National Mental jurisdictions dictions Authority jurisdictional
Health Law No. 26,657 b. ii Habib standards tion Sec. of Human
a. Enabling standard litation updated in line Rights of the Nation
current national tion with the National

1.5.4 Promote Health benefits updated National

Pro update CONISMA tion
Compulsory b. Adaptation b. 100% loan Review Body
Medical Law of Mental Health existing and National
thorium (PMO) benefits to the expanded Honorary
for ade adapt National Law services Advisory
their benefits to Mental Health appropriate to Council
National Law final the National Superintendenc
No. 26,657 No. 26,657 Mental Health e of Health
a. Update on a. PMO with Law No. 26,657 Services
PMO Mental benefits Mental Enforcement
Health nes Authority

1.5.5 Promote the Pressure percentage 100% of benefits Authority

adaptation of the tions of the benefit appropriate to the of National Application
benefit portfolio to the portfolio to the National Mental Health Authority of
SMC model of the National Mental Law No. 26,657 Application
Prepaid Medicine Health Law No. jurisdictional
Entities, PAMI and 26,657 Superintendence of
national and local Health Services
Social Works CONISM
National Review Body
COSSPRA
PAMI

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AXIS 2: MENTAL HEALTH AT THE FIRST LEVEL OF CARE (PNA)

This axis aims to expand Mental Health approaches at the First Level of Care (PNA), for all life courses, with the aim of
reducing the Mental Health care gap, through improvement in the layers ities of interdisciplinary teams; of early
identification; attendance; accompaniment and continuity of care from a Community Mental Health approach in
accordance with the principles of the National Mental Health Law No. 26,657.

JOINTS
GOALS
GOALS INDICATOR GOAL 2027 MINIMALS
SPECIFIC
NECESSARY

2.1 Promote the 2.1.2 Promote strategy a. Percentage of a. Training strategies Enforcement Authority
2.1.3 Strengthen a. Ju percentage a. At least 5 asses National
identification and early training strategies in jurisdictions with which implemented with National Enforcement
practices promotion Risdictions with asis technical skills to Enforcement
assistance of tools to identify and SMC training strategies 100% of the Authority jurisdictional
and prevention ethics technical skills to strengthen promotion Authority
men ailments such intervene early on were implemented jurisdictions formation Training
in SMyCP in the PNA strengthen promotion practices and prevent CONISMA
in the PNA for all life conditions mental entities Honorary
for all life courses practices
b. and
Quantity ofprevent
per are SMyCP
b. At least 25 thousand Jurisdictional
courses in the coughs aimed at Advisory Council
tion in SMyCP
participants in the implementation
people, Mental Health Enforcement
emerging, critical and Mental Health teams, Associations of users
training strategies implemented
teams, expandedin 100% Authority
prevalent problems in expanded health teams and family members
b. Percentage of of jurisdictions Honorary Advisory
each territory. and non-conventional health teams and non- Civil Society
jurisdictions
c. with
Equi percentage
human resources, conventional human Organizations
within the framework of Mental Health, tion
promo practices b. pro practices motion
resources, participants
and prevention
expanded health teams and prevention
the SMC in the training
implemented
and human resources implemented in 100%
strategies of 100% of
do not suit participants of jurisdictions tions
the jurisdictions
in the training
strategies c. At least 50% of
Mental Health teams,
expanded health
teams and non-
conventional human
resources layer cited in
100% of jurisdictions

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 2.1.4 Promote the a. Percentage of a. 100% legal tions that I Enforcement
development and/or jurisdictions that develop llaron remote Authority National tion
strength foundation of developed systems more supervision and support Enforcement
supervision and support remote supervision and systems Authority jurisdictional
systems remote self support
through new information b. 100% legal tions that
and communication b. Juris percentage strengthen remote
technologies dictions that strengthen supervision and support
remote supervision and systems were created
support systems were
created

2.2 Promote support 2.2.1 Develop and Tables, agreements,

and continuity of care strengthen Jurisdic percentage tions communication Enforcement
for all life courses in mechanisms mos of with mechanisms mechanisms, articulation Authority National tion
emerging, critical and communication, mos and link between the Enforcement
prevalent problems in articulation and link of communication, different network Authority CONISMA
each territory. between the different articulation and link (with effectors in 100% of the jurisdictional
effectors of the network. tables, conve children) jurisdictions associations
between the different Associations of users
network effectors and Family Members
developed and strong Civil Society
read Organizations

2.2.2 Cooperate Enforcement

technically and/or Authority National
financially for the Enforcement
strengthening and/or Authority CONISMA
creation of available 2.2.2 Cooperate jurisdictional
inclusion criteria cial, technically and/or associations
labor, educational, financially for the Associations of users
housing, etc. strengthening and/or a. Coope actions and Family Members
creation of available technical ration for Civil Society
inclusion criteria cial, strengthening to in 100% Organizations
labor, educational, of jurisdictions
housing, etc.
b. Coope actions financial
a. Juris percentage ration for strengthening to
dictions with technical in 100% of jurisdictions
cooperation actions only
for the strengthening c. Coope actions
ment of social, labor, technical ration for the
educational, housing creation of 100% of the
inclusion devices, etc. jurisdictions tions

b. Percentage of d. Coope actions financial

jurisdictions with financial support for the creation of
cooperation to strengthen inclusion devices social,
information devices labor, educational,
social, labor, educational, housing, etc. in 100% of
housing inclusion, etc. jurisdictions

c. Percentage of e. Increase of dis positive

jurisdictions with coo aspects of social, labor,
technical perations for the educational inclusion tive,
creation of inclusion housing, etc. created of
devices social, labor, each type in 100% of the
educational, housing, etc. jurisdictions

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 d. Juris percentage jurisdiction
dictions with f. Increase of dis
cooperate financial positive aspects of
tions for the creation of social, labor,
devices of social, educational inclusion
labor, educational, tive, housing, etc.
housing inclusion, etc. strengthened of each
type in 100% of the
e. Device quantity jurisdictions
tives of social, labor,
educational, housing g. At least a 25%
inclusion, etc. created annual increase in
by device type and financial resources at
jurisdiction the National and
Jurisdictional level
f. quantity of dis allocates to
positive aspects of strengthening
social, labor, information devices
educational inclusion social, labor,
tive, housing, etc. educational, housing
strengthened by inclusion, etc.
device type and
g. Percentage increase in financial resources
allocated to strengthening inclusion devices
social, labor, educational, housing, etc.
strengthened according to device type tive and
jurisdiction

2.2.3 Strengthen a. Juris al and inclusion

strategy development percentage coordination projects in the
intersectoral, dictions with strategies with PNA in the
interinstitutional and strate organizations network of
articulation strategies intersectoral, implemented community
with territorial interinstitution in 100% of the Services
organizations torials al and jurisdictions
and unconventional coordination Enforcement
resources to increase strategies with b. Participatio Authority
participation cipation organizations n of at least National tion
of users in the PNA 50% of Enforcement
and in the network of b. Amount organization Authority
community services and type of territorial CONISMA
intersec nizations in jurisdictional
participation the projects tion
torial, inter- carried out in Honorary
institution nal the PNA and Advisory
and in the Council User
articulation community Associations
with territorial services and Family
organizations network Members
in the projects Civil society
carried out by ci Participation organizations
jurisdiction of at least 1
user in social
c. Number of inclusion
users projects in the
participating in PNA in the
social community
inclusion services
projects by network c.ii
center and Participation
jurisdiction of at least 1
user and/or
a. Intersector family
al, organization in
interinstitution social

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 a. Percentag data of people hospitals in
2.2.4 Strengthen the e of with serious 100% of the
ar articulation of PNA jurisdictions Mental Health jurisdictions
effectors with the dis with which this conditions,
strategy is families and c. At least
positive Mental Health
implemented emotional one health
care in general
accompanying environments team in 70%
hospitals, as guard and
tegias ment by jurisdiction of PNA
inter nation, among
and continuity ai support effectors who
others
of care for all strategies and implement this
two life continuity of strategy
courses in the care two accompanying
emerging, Mental Health tegias ment
critical and programs and continuity
prevalent implemented of care for
problems in in 100% of the people with
each territory. jurisdictions illnesses
tions Serious
b. Amount of Mental Health
assistance a.ii Support foundations
technical strategies and and their
techniques to continuity of families and
strengthen the care two emotional
joint tion of Mental Health environments
PNA effectors programs by jurisdic tion
with the implemented Enforcement
devices in 50% of PNA Authority
Mental Health effectors National tion
care facilities Enforcement
in general b. Increase in Authority
hospitals attendance CONISMA
technical jurisdictional
c. Number of techniques to tion
health teams strengthen the Honorary
of PNA joint tion of Advisory
effectors that PNA effectors Council User
implement with the Associations
support and devices and Family
continuity of Mental Health Members
care care services Civil society
strategies in general organizations

Objecti prescri in PNA 100%

ve 2.3 ption of consist of the
Assur essenti ent jurisdict
e rar al with ions
opportu psycho Nation Enforc
ne -drugs al Law ement
acces in the No. Authori
s no PNA 26,657 ty
and the Docum prepar Nation
approp ent ed al
riate quantit At least Honora
use of y 1 ry
essenti Recom docum Advisor
al mendat ent y
psycho ions recom Council
tropic Mendat mendat
drugs. ions for ion
2.3.1 the tions
Prepar prescri prepar
e reco ption of ed and
mentio psycho dissemi
ns for tropic nated
the drugs to

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2.3.2 Develop training Enforcement Authority
to guarantee the to. Percentage of to. Training strategies National tion
appropriate use of jurisdictions with implemented with 100% Enforcement Authority
psychotropic drugs. training implemented of the jurisdictions jurisdictional
essential elements in
the PNA b. Capacity quantity
tations carried out b. At least 5 capacity
tions carried out 100% of
c. Quantity of per are
the jurisdictional tions
participants in the
training strategies c. At least 5 thousand
people participate tes of
the training strategies of
100% of the jurisdictions

2.3.3 Incorporation of a. Incorporation of esen Enforcement Authority

esen psychotropic psychotropic drugs cials National tion
drugs cials such as in the effectors of the Enforcement Authority
antipsychotics, a. Percentage of PNA in 100% of the jurisdictional
antidepressants, jurisdictions that jurisdictions tions
anxiolytics among incorporate essential
others in the programs psychotropic drugs from b. Incorporation of esen
more supply public public supply programs psychotropic drugs cial in
media cation to the medication co on the 50% of PNA effectors
effectors of the PNA effects of PNA
c. At least one person is a
b. Percentage of PNA participant in the training
effectors that strategies of the PNA
incorporate essential effectors that incorporate
psychotropic drugs from essential psychotropic
public supply programs drugs
medication co on the
effects of PNA

c. Quantity of per are

participants in the
training strategies for
the appropriate use of
essential psychotropic
drugs for PNA effectors

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AXIS 3: EXPANSION AND INTERSECTORAL INTEGRATION OF THE MENTAL HEALTH NETWORK

This axis aims to integrate the intersectoral network in the approach to Mental Health and Problematic Consumption. cos
and promote the social participation of people with mental illness, promoting social inclusion through the strengthening
and/or creation of alternative devices, support systems, outpatient care and participation of civil society organizations in
accordance with the principles of National Mental Health Law No. 26,657.

JOINTS
GOALS SPECIFIC OBJECTIVES INDICATOR GOAL 2027 MINIMALS NECESSARY

Objective 3.1 Promo 3.1.1 Cooperate a. Number and type of a. 50% increase in Enforcement
see alternate device technically and assisted housing and assisted housing and Authority National
development tives and financially for the housing solutions housing solutions for Enforcement
support systems development of people who need remain Authority CONISMA
necessary for life in co assisted housing b. Juris percentage hospitalized without jurisdictional tion
community programs and housing dictions with which lines clinical criteria for Honorary Advisory
solutions, which allow of action were hospitalization Council
the social inclusion of developed to achieve
people who They assisted housing and b. Lines of action
remain hospitalized housing solutions developed with 100% of
without clinical criteria the jurisdictions benefited
for hospitalization. c. Percentage of people tions
who remain hospitalized
without clinical criteria c. At least 50% of people
for hospitalization included in assisted
included in assisted housing and housing
housing and housing solutions in 100% of
solutions jurisdictions

3.1.2 Favor ac access a. Lines of action Enforcement

to job training implemented with 100% Authority National
a. Juris percentage of the jurisdictions tions
programs, both formal Enforcement
dictions with lines of
and non-formal, as well Authority CONISMA
action to promote b. At least one program
as termination jurisdictional tion
access to programs ma of each type by
strategies. educational
more of both formal and jurisdiction
purpose
non-formal job training,
as well as educational c. 100% of the juris
completion strategies. is dictions with people
implemented participating in
something us of the
b. amount of pro programs
grasses of each type
implemented

c. Number of people participants in each of the programs by Jurisdiction

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 3.1.3 Cooperate Jurisdic percentage tions Lines of technical and Enforcement Authority
technically and with which lines of financial cooperation National Enforcement
financially to promote technical and financial implemented with 100% Authority CONISMA
labor and productive cooperation were of the jurisdictions tions jurisdictional tion
inclusion developed for the
production motion of
labor and productive
inclusion implemented

3.1.4 Promote the Lines of promotion of the Enforcement Authority

inclusion of people with Juris percentage dictions inclusion of per you National Enforcement
mental illness and/or with lines of promotion of sound sick mental and/or Authority CONISMA
family members and the inclusion of people family and emotional jurisdictional regulations.
affected environments with mental illness and/or cohabiting environments
your cohabitants in family members and implemented with 100%
social income affective environments of the jurisdictions.
programs. your cohabitants in social
income programs.

Objective 3.2 Promo Enforcement Authority

see the construction of 3.2.1 Promote a. Percentage of a. Spaces of inter National Enforcement
local networks of intersectoral exchange jurisdictions with which intersectional change Authority CONISMA
SMyCP and the forta spaces to strengthen intersecting spaces were developed in 100% of the jurisdictional tion
learning of the existing the network in SMyCP promoted developed jurisdictions tions Honorary Advisory
ones. with an axis in each life exchange rials Council
course and in the b. Spaces of inter Civil society
emerging, critical and b. Spy quantity active intersectional change organizations
prevalent problems in cross-sector exchanges assets in 100% of
each territory. by jurisdiction jurisdictions

3.2.2 Promote the a. At least 1 device tive of Enforcement Authority

a. Amount of interest
strengthening of partner socio-sanitary National Enforcement
socio-economic events
interventions nitarian in interventions in 100% of Authority CONISMA
would participate
articulation with the jurisdictions tions jurisdictional tion
articulated tion
effectors and act Honorary Advisory
community networks b. Technical assistance Council
b. Ju percentage
with axis in each course risdictions to which provided in 100% of Civil society
of life and in the jurisdictions organizations
technical assistance was
problems emerging, provided for the pro
critical and prevalent c. Lines of action to
motion to intervene socio-
themes in each territory. sanitary tions in strengthen partner
interventions nitarian
coordination with
measures implemented in
effectors and community
100% of jurisdictions
actors

c. Percentage of
jurisdictions with
promotion lines
implemented to
strengthen socio-health
and par interventions
participation of
community actors

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Objective 3.3 3.3.1 Promote the a. Available quantity a. At least 1 device National
Strengthen close the development and outpatient care care tive bulatory in Enforcement
attention network strengthening services by jurisdiction 100% of jurisdictions Authority
outpatient treatment in development of CONISMA
SMyCP ambulance care b. Percentage of b. Lines of action to Jurisdictional
devices latory in jurisdictions with which strengthen outpatient Enforcement
community-based lines of promotion, care implemented in
SMyCP for each life development and 100% of jurisdictions
course and in relation strengthening were tions
to the pro psychosocial implemented
problems prevalent in development of
each territory ambulatory care
devices tory in SMyCP

3.3.2 Promote the a. Number of hos a. At least 1 general National

development and general hospitals with hospital with outpatient Enforcement
strengthening ing of outpatient care services tory in 100% Authority
outpatient care services by juris diction of jurisdictions CONISMA
services in SMyCP in Jurisdictional
hospital general rules b. Juris percentage b. 50% increase in Enforcement
in the 24 jurisdictions dictions with customer services
ambulance care outpatient treatment in
services latory in SMyCP in general
SMyCP in general hospitals in 100% of
hospitals increased the jurisdictions

3.3.3 Promote Juris percentage interdis teams National

development and dictions with SMyCP developed mobile Enforcement
strengthen foundation mobile ciplinaries or forta read Authority
of mobile interdisciplinary teams in 100% of CONISMA
interdisciplinary developed and forta jurisdictions Jurisdictional
SMyCP teams of read Enforcement
territorial reference

Objective 3.4 Promote 3.4.1 Boost the to. Percentage of juris- to. Lines of action Enforcement
see participation prominence and role dictions with lines implemented with the Authority
National tion
social network active of the action to promote 100% of the jurisdictions Enforcement
SMyCP Associations
tions of people the prominence and tions Authority
jurisdictional
users and families active role of the CONISM
in the development and Associations
citations of people b. 100% networks Cons. Advisory
network strengthening users and families with participation of Honorary
the Associations of Association of
b. Number of networks users and users and
with the participation of Relatives Relatives
the Associations of
users and family
members

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3.4.2 Promote parity to. Percentage of a. 100% of the juris National
organization jurisdictions with lines dictions with lines of Enforcement
participation of promotion of the promotion of civil Authority
community and civil participation of participation CONISMA
society organizations community implemented Jurisdictional
(community spaces) organizations and civil Enforcement
rivers, cultural, artistic society (espa cultural b. 100% networks Authority
cos, neighborhood centers, neighborhood with the participation Honorary Advisory
clubs and sports clubs and sports of community Council
entities, schools, entities, schools, organizations and
businesses sociolabor socio-labor and civil society
ments ral and productive enterprises,
productive, among among others) in the
others) in the development and
development and strengthening of the
network

c. Number of
networks with the
participation of
community
organizations and
civil society

3.4.3 Promote to. Percentage of a. At least 1 inter socio- Enforcement

development and/or jurisdictions with lines health intervention of Authority National
for strengthening the of action for the community Enforcement
ability to interact socio- development and/or organizations and civil Authority CONISMA
health intervention of strengthening of the society to strengthen or jurisdictional tion
community capacity of inter socio- develop Called in Honorary Advisory
organizations and civil health intervention of 100% of jurisdictions Council Associations
society (Aso ciations of community of users and
users and their organizations and civil b. Lines of action to Relatives Org. Civil
families, cultural society (Aso ciations of strengthen social and society
spaces, neighborhood users and their health interventions or
clubs, schools and families, cultural community
sports entities, spaces, neighborhood organizations tariats
enterprises sociolabor clubs, schools and and civil society
principles ral and sports entities, implemented in 100%
productive, among enterprises sociolabor of jurisdictions
others) principles ral and
productive, among
others) implemented

b. Quantity and type of partner interventions health organization community

and civil society tions

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AXIS 4: MENTAL HEALTH IN THE GENERAL HOSPITAL

This axis proposes strengthening the comprehensive approach to Mental Health in general hospitals based on tion of
local needs, promoting timely and equitable access throughout the national territory.

Objective 4.1 Impulse 4.1.1 Promote Percentage of 50% increase in National

JOINTS
promote GOALS
the creation creativity tion of jurisdictions with
INDICATOR emergency care
GOAL 2027 Enforcement
MINIMALS NECESSARY
SPECIFIC OBJECTIVES
of Mental Health emergency care emergency care services, outpatient Authority
Services in hospitals services, outpatient services, outpatient care, day hospital and CONISMA
such generals that do care ria, day hospital care, day hospital and specific hospitalization Jurisdictional
not have the same and specific inpatient special inpatient services in Genera Enforcement
service service existing Hospitals them in
facilities in general 100% of the
hospitals jurisdictions
4.1.2 Boost the con Percentage of being At least 1 Enforcement
formation of existing vices in general interdisciplinary team Authority National
interdisciplinary Mental hospitals with formed in 100% of the Enforcement
Health teams interdisciplinary teams existing services in Authority CONISMA
formed general hospitals jurisdictional tion

4.1.3 Promote to. Percentage of to. Training lines Enforcement Authority

training of the and jurisdictions with tion implemented National Auto-
the workers of training lines of all the Application quality
Mental Health according implemented general hospitals jurisdictional
to principles of
the in 100% of the CONISMA Council
National Health Law b. Amount of work jurisdictions Honorary Advisory
Mental No. 26657 workers and workers
who participated in b. Increase in work
training hospital downpipes
general courses of each
jurisdiction with at least 1
training

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Objective 4.2 Promo 4.2.1 Promote the a. Percentage of a. Increase in Enforcement
see the strengthening strengthening and/or establishments with establishments with Authority National
of Mental Health improvement of interdisciplinary teams emergency care Enforcement
Services that already emergency care strengthened networks services, outpatient Authority CONISMA
exist attempts in hospi services, outpatient of emergency care care, day hospital and jurisdictional tion
such Generals care, day hospital and services, outpatient inpatient services
specific inpatient care ria, day hospital specific to each
service according to and specific inpatient jurisdiction,
the needs of each service (inclusion, strengthened in their
establishment. ment improvements and interdisciplinary
and its population team formation) to teams. naries
address Mental Health
b. Increase in
b. Percentage of establishments with
establishment with emergency care
infrastructure and services, outpatient
financial resources ros care, day hospital and
destined for inpatient service
emergency care specific to each
services, outpatient jurisdiction,
care, day hospital and strengthened in their
specific inpatient infrastructure and
service strengthened to financial resources
address Mental Health

4.2.2 Promote the Percentage of Interdisciplinary teams Enforcement Authority

strengthening and/or establishments with Mental Health system National Auto tion
expansion of lines of action for expanded and CONISMA jurisdictional
interdisciplinary Mental strengthening and/or strengthened two in application authority
Health teams expanding 100% of establishments
interdisciplinary Mental
Health teams

4.2.3 Promote strategy Strategies implemented

training strategies and Jurisdic percentage with 100% of the Enforcement Authority
identification of good tions with strate training jurisdictions tions National Auto tion
practices with workers guidelines and jurisdictional application
identification of good CONISMA Honorary
practices implemented Advisory Council

4.3.1 Develop and At least 5 documents

Lens 4.3 Pro drive Development of tools to
disseminate tools to tools to improve the Enforcement Authority
continuous improvement improve the quality of
improve the quality of quality of health care tion National Cons.
in the quality of care and care created and
care and the protection of developed and Honorary Advisory
the protection of rights disseminated
rights disseminated

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 4.3.2 Promote ca team Percentage of Training strategies Enforcement
training jurisdictions with which tation in agreement cia Authority National
interdisciplinary Mental layer strategies were with the National Auto tion jurisdictional
Health programs for implemented citation in Mental Health Law application
continuous SMC for continuous No. 26657 CONISMA Honorary
improvement of quality improvement of quality implemented with Advisory Council
and protection of rights and protection tion of 100% of the
from an international rights in accordance jurisdictions
perspective general with the National
within the framework of Mental Health Law No.
the National Mental 26657
Health Law No. 26657

4.3.3 Boost torque Participation Participation of Enforcement

participation of users in percentage pation of users in 100% of Authority tion National
the strategies users in this quality the strategies that Cons. Honorary
techniques to improve improvement are implemented Advisory Assoc.
the quality of care and techniques tion and Users, User Rivers
the protection of rights protection of rights and Family

AXIS 5: DEEPENING THE ADEQUACY OF MONOVALENT DEVICES

FROM INTERNATIONAL MENTAL HEALTH UNTIL DEFINITIVE REPLACEMENT

This axis aims to continue, accompany and deepen, together with those responsible for the jurisdictions, the adaptation of
the monovalent Mental Health hospitalization devices to the principles of the National Mental Health Law, until their
definitive replacement by Mental Health service networks of community base.

Objective 5.1 5.1.1 Prepare and Recommendations for At least 1 reco Enforcement
Development speak disseminate give strengthening of the mendation to Authority National
5.1.2 Prepare Instrument of these At least 1 instrument Enforcement
and disseminate recommendations for approach to Mental strengthen the Honorary Advisory
instructions standard Darization of the standardization of the Authority National
instruction technical strengthening the Health in the general approach to Mental Council Review Body
items zation of the hospitalization process interaction process Honorary Advisory
ments to promote and approach to Mental hospital developed Health in the general
hospitalization process for Mental Health nation due to Mental Council Review Body
strengthen the Health in the general and agreed suada hospital prepared in
for reasons Mental reasons in the general Health at the ela
processes of its hospital with the workers consensus with the
Health department in hospital prepared and general hospital erased
disposition titration workers and
the general hospital disseminated and diffused
monovalent disseminated

JOINTS
GOALS SPECIFIC OBJECTIVES INDICATOR GOAL 2027 MINIMALS NECESSARY

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 5.1.3 Prepare reco Recommendations for At least 1 recommend Enforcement Authority
mendations for the the adaptation of dation for the adaptation National Honorary
adaptation of dispo intercom devices tion of mono Advisory Council Review
Monovalent monovalent nation in hospitalization devices Body
hospitalization units in Mental Health ela valences in Mental Health
Mental Health until their erased and spread prepared and
definitive replacement. disseminated

5.1.4 Prepare reco Recommendations for At least 1 recommend Enforcement Authority

recommendations for the development and release date development National Honorary
the development and strengthening of the and strengthening of the Advisory Council Review
strengthening Mental Health network Mental Health network Body
foundation of the including the available including devices
Mental Health network social inclusion including social sion
going social inclusion strategies developed elaborated and
devices and disseminated disseminated

Recommendations for At least 1 recommend Enforcement Authority

5.1.5 Prepare reco
the sustainable dation for the process of National Honorary
recommendations for
discharge process of sustainable externation of Advisory Council Review
the sustainable Body
people with prolonged people patients with
externation process of
hospitalizations prolonged
people with long-term
elaborated given and hospitalizations given and
hospitalizations gadas
spread spread

5.1.6 Build and man Enforcement Authority

have an updated Guide to resources of At least 1 re guide Na National Honorary
resource guide from the the National State for State courses tional for Advisory Council
National State for the the social inclusion of the social inclusion of CONSIMA
social inclusion of people with illnesses people with mental illness
people with illnesses mental lie with created, constructed, published
mental lie published and updated and updated in ma
permanently permanent black

5.2.1 Boost the con Percentage of Interdisciplinary Enforcement Authority

Objective 5.2 Promo
formation of jurisdictions with outpatient teams formed National tion
see the sustainable
interdisciplinary interdisciplinary teams in 100% of the Enforcement Authority
discharge and social
sustainable outsourcing sustainable outsourcing jurisdictions jurisdictional CONSIMA
inclusion of people who
teams centers formed Honorary Advisory
remain housed without
Council
clinical criteria for
hospitalization

5.2.2 Cooperate a. Increase in technical Enforcement Authority

technically and/or a. Juris percentage cooperation implemented National Enforcement
financially in the design, dictions with technical with 100% of jurisdictions Authority jurisdictional
planning cation and cooperation lines for the CONISMA Honorary
execution of outpatient design, planning cation b. Increase in financial Advisory Council
and social inclusion and execution of cooperation implemented
plans outsourcing plans with 100% of jurisdictions
implemented

b. Juris percentage
dictions with lines of
finan cooperation cial
for the design, planning
and execution tion of
outpatient plans
implemented

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 5.2.3 Cooperate to. Percentage of to. Cooperation actions Enforcement Authority
technique
and/or financially for the jurisdictions with coo technical ration for National Enforcement
development of devices technical perations for development in 100% of Authority jurisdictional
including social, labor, the development of jurisdictions tions CONISMA Honorary
educational, housing, devices including social, Advisory Council
etc. labor, educational, b. Coope actions financial
housing, etc. ration for development in
100% of the juris dictions
b. Percentage of c
jurisdictions with coo . Increase of dis positive
financial operations for aspects of social, labor,
the development of educational inclusion tive,
inclusion devices social, housing, etc. developed
labor, educational, of each type in 100% of
housing, etc. the jurisdictions

c. Available quantity d. At least a 25% annual

sitives of social, labor, increase in financial
educational inclusion resources at the National
tive, housing, etc. and Jurisdictional level
developed according to allocates to strengthening
device type and information devices
jurisdiction social, labor, educational,
housing inclusion, etc.
d. Percentage increase
in financial resources
allocated to
strengthening inclusion
devices social, labor,
educational, housing,
etc. strengthened
according to device
type tive and jurisdiction

Percentage of
Objective 5.3 Promote 5.3.1 Promote planning jurisdiction Renewal processes Enforcement Authority
see the fication and tions with hospitals planned completion National tion
refunctionalization
tion and/or replacement development
of the processes of monovalent in and developed in the Enforcement Authority
of the infrastructure refunctionalization of rerun processes 100% of the jurisdictions jurisdictional
of the establishments intersectoral way planned completion tions with establishments consultive advice
monovalent and as needed local and developed by monova foundations CONISMA Fee
hospitalization cough facts jurisdiction glasses

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5.3.2 Cooperate a. Coope amount of the jurisdictions with
technically and/or technical rations to single hospitalization
financially with the strengthen facilities brave
refunctionalization refunctionalization
processes through processes through c. Increase in monova
spaces for spaces for hospitalization
participatory participatory establishments lens
consultation with consultation with with a
workers and users workers and users refunctionalization
process through
b. Percentage of spaces for
jurisdictions with participatory
implemented consultation with
cooperation lines workers and users

c. amount of pro d. At least a 25%

refunctionalization annual increase in
processes through financial resources at
participatory the National and Jury
consultation spaces level Risdictional
with workers and intended for
users implemented refunctionalization
Enforcement
d. Percentage of Authority National tion
increase in financial Enforcement
resources allocated to Authority jurisdictional
refunctionalization CONISMA Honorary
through spaces for Advisory Council
participatory
consultation with
workers and users
a. Coo increase
technical and/or
financial operations to
strengthen
refunctionalization
processes through
spaces for
participatory
consultation with
workers and users

b. Cooperation lines
technical tion
implemented in 100%

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 5.3.3 Promote
the
implementation
of institutional
policies
Memory Space
Ends
Juris
percentage
dictions with
institutional
Memory
Spaces policies
implemented
Policies
implemented in
100% of
jurisdictions
with
monovalent
establishments
Enforcement
Authority
National tion
Enforcement
Authority
jurisdictional
CONISMA
Honorary
Advisory
Council

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AXIS 6: PROMOTION AND PREVENTION IN MENTAL HEALTH AND PROBLEM CONSUMPTION

This axis aims to develop and implement programs, projects and promotion and prevention actions in Mental Health and
Problematic Consumption with a territorial focus and rights perspective.

JOINTS
GOALS
GOALS INDICATOR GOAL 2027 MINIMALS
SPECIFIC
NECESSARY

Objective 6.1 Reduce 6.1.1 Develop Quantity of stra- At least 10 strata Enforcement
the stigma associated strategies
dissemination dissemination dissemination Authority
National tion
to the sufferings techniques
awarenessand
about the techniques about
awareness and techniques
awareness andabout Enforcement
mental National Health Law the National Law of the National Law of Authority
jurisdictional
Mental 26,657 for Mental Health 26,657 Mental health imple- CONISMA Council
general population implemented minted Honorary Advisory

6.1.2 Develop strategy Amount of layer At least 5 strata Enforcement

information and information and information and Authority National
awareness-raising awareness-raising awareness-raising Enforcement
strategies for the strategies on the strategies on the Authority jurisdictional
general population situation of people with situation of people with CONISMA Honorary
about the situation of mental illnesses, mental illnesses, Advisory Council
people with disabilities stigmatization, stigmatization, Associations of users
mental decisions, prejudices and prejudices and and Family Members
stigmatization, preconceptions with the preconceptions
prejudices and participation of users, implemented
preconceptions. family members and
emotional
environments
implemented

6.1.3 Boost Estra Amount of layer anti- At least 5 strata anti- Enforcement
sensitization stigma information es information and Authority National
techniques tion and and awareness- awareness strategies Enforcement
anti-stigma training raising strategies implemented stigma Authority CONISMA
(myths and prejudices (myths and prejudices jurisdictional tion
about mental illnesses about mental illnesses Honorary Advisory
and their approach) for and their treatment) Council
health workers, daje ) implemented Other organizations
technical teams of with the participation and Powers of the
organizations public of users, family National State
authorities, security members and Associations of users
forces, judicial emotional and Family Members
technical teams and environments
intervention agents implemented
unconventional social
tion tional in general.

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Objective
Objective6.2
6.3 Promote 6.2.1Promote
6.3.1 Boost thelines of Number
to. Number of of
lines of
lines At At
to. least 5 lines
least of
10 lines EnforcementAuthority
Enforcement
Implement
see participation action in co
strengthening of action
of infor
action action
of strongin actions Authoritytion
National National tion
communication
of users, family communication
associations offor the
users, communication
strengthening of tion for lesson
communication tion for Enforcement
Enforcement
strategies
members for the promotion
their of Mental the promotion of
associations the promotion of Authorityjurisdictional
Authority CONISMA
promotion and
and affective Health
family within
and the Mentaltheir
users, Health Mental
b. Health of
Associations jurisdictional tion
CONISM
environments
prevention
you in the of Mental
processes environments
framework
emotional of health
already implemented
family and environments implemented
users, their Other Advisory
Cons. agencies of the
Health
construction of public education
existing for the family and emotional National State
Honorary
policies general population existing emotional environments Honorary
User Advisoryand
associations
strengthened in 100% of Council
family members
b. Percentage of jurisdictions
jurisdictions with
strengthened
6.2.2Boost sen raising Number of lines of At least 5 lines of Enforcement
associations of users,
awareness about action in sensitize tion action to raise Authority National tion
their families and
responsive about communication awareness tion about Enforcement
emotional environments
communication saber responsible treatment communication Authority CONISMA
in treatment of Mental in the treatment of responsible treatment jurisdictional tion
Health topics aimed at Mental Health issues in the treatment of Other agencies of the
the community's field implemented Mental Health issues National State
workers cation implemented

6.2.3Build and Bank of practices and A practice bench Enforcement

disseminate a bank of experiences built done ethics and Authority National tion
practices and expe and spread experiences built, Enforcement
territorial knowledge disseminated and Authority CONISMA
in communication available for free jurisdictional tion
based on the SMC access. Cons. Honorary
model Advisory
Other agencies of the
National State

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6.3.2 Promote to. Number of lines to. At least 10 lines Enforcement
formation of of action for the of comfort actions mation Authority
National Enforcement
associations of the formation of Authority
users, their families and associations of users, b. Increase of 50% in jurisdictional
emotional environments their families and associations of users, CONISMA Cons.
emotional environments their families and Consultative Fee
environment us affective Associations of
b. Number of new users, and Family
personal associations c. At least 1 year ciation Members
These users, their of users, their families res
families and emotional and affective
environments make up environments new you in
you give 100% of jurisdictions

c. Percentage of
jurisdictions with new
user associations rias,
their families and
emotional environments
formed

Enforcement
6.3.3 Promote the active At least 10 lines of action Authority National
role of users, their Quantity of li areas of with participation active in Enforcement
families relationships action with active 100% of jurisdictions Authority CONISMA
and emotional participation of jurisdictional
environments associations of users, regulation
in the Mental Health their families and Honorary Advisory
network emotional environments Council Associations
by jurisdiction tion of
users, and family
members

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AXIS 7: TRANSFORMATION OF PRACTICES

This axis aims to promote the transformation of practices, based on the principles of the National Mental Health Law No.
26,657, towards the community model in Mental Health through training, in-service training, the enhancement of existing
good practices and the development of process standardization tools for continuous quality improvement, dignified
treatment and respect for Human Rights.

JOINTS
GOALS
GOALS INDICATOR GOAL 2027 MINIMALS
SPECIFIC
NECESSARY

Objective 7.1 Garan 7.1.1 Promote a. Percentage of a. Training strategies Enforcement

tize training in SMC for continuous training and jurisdictions with which implemented with 100% Authority National
workers and downers in-service training of training strategies were of the jurisdictions Enforcement
from the field of Mental workers in the Mental implemented Authority jurisdictional
Health Health disciplines b. At least 25 thousand formation Training
b. Quantity of per are people participate tes of entities Honorary
participants in the the training strategies of Advisory Council
training strategies the 24 jurisdictions Associations of users,
and Family Members
Org. Civil society

7.1.2 Strengthen Enforcement

practice cases of SMC a. Juris percentage Authority National
existing in the different dictions with lines of Enforcement
juris dictions through strengthening practices a. Practices in SMC with Authority CONISMA
the promotion, visibility in SMC with axis in axis in each life course jurisdictional regulation
and multiplication of each life course and in and in the emerging, Honorary Advisory
experiences with axis in the problems emerging, critical and prevalent Council
each course of life and critical and prevalent problems implemented
in the problems themes in each territory with 100% of the
emerging, critical and jurisdictions tions
prevalent themes in b. Quantity of practice
each territory SMC promo ethics lives b. At least 24 prac SMC
and made visible in all ethics with axis in each
jurisdictions in course of life and in the
accordance with the emerging, critical and
National Mental Health prevalent problems
Law No. 26657 promoted given or made
visible in 100% of the
jurisdictions tions

7.1.3 Strengthen the (Community RISaM) the jurisdictions tions

community perspective ria of strengthened and Enforcement Authority
Interdisciplinary Residencies implemented National tion
in Mental Health (Community Interdis Residences Enforcement Authority
RISaM) disciplines in Mental Health jurisdictional tion
Jurisdic percentage tions with (RISaM Comu nitaria)
Residen Interdisciplinary strengthened and
Institutions in Mental Health implemented with 100% of

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Objective 7.2 Promo 7.2.1 for health teams that assist b. Number of people and people, Mental Health teams,
see the formation of emergencies at home, teams participating in the health teams participating in
health Human institutional spaces them training strategies the training strategies of
Resources in and/or public roads a. Training strategies 100% of the jurisdictions
perspective goes from a. Percentage of jurisdictions implemented with 100% of Enforcement Authority
the SMC
Boost the for mation in with which training strategies the jurisdictions National Enforcement
addressing crises in SMyCP were implemented to address Authority Jurisdictional tion
crises in SMyCP implemented b. At least 5 thousand Training entities

7.2.2 Boost the for mation in

addressing crises in SMyCP
for health teams of hospital
guards talarias and health
centers of the PNA, with an
axis in each course of life and
in the emerging, critical and
prevalent problems in each
territory a. Percentage of
jurisdictions with which
training strategies were
implemented to address
crises in SMyCP for health
teams of hospital wards rias
and health centers of the
PNA, with an axis in each
course of life and in the
emerging, critical and
prevalent problems in each
territory
a. Training strategies
implemented with 100% of the
jurisdictions

b. At least 5 thousand
people, Mental Health teams,
health teams participating in
the training strategies of
100% of the jurisdictions
Enforcement Authority
National Enforcement
Authority Jurisdictional tion
Training entities

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 b. Number of people and teams participating in the training strategies

7.2.3 Promote the training of

dis inks specialties in the
health field in the
comprehensive care of people
with mental illness
a. Juris percentage dictions
with training lines in
comprehensive care for
people with mental illness
implemented

b. Quantity of per sonas from

the different specialties
participated strate pants
training guides
a. Training lines
implemented in 100% of
jurisdictions tions

b. At least 5 thousand
people from the dis inks
specialties participating in the
training strategies of 100% of
the jurisdictions
Enforcement Authority
National Enforcement
Authority Jurisdictional tion
Training entities

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 7.3.1 Promote SMC training Security and jurisdictional a. At least 5 training lines Enforcement Authority
in addressing the emergency training tada implemented National tion
in SMyCP to members of the Enforcement Authority
Police and Security Forces b. Percentage of Police b. 100% of the workers of CONISMA jurisdictional
a. Quantity and type of Forces and National Security the Police Forces and jurisdiction Ministry of
training implemented aimed at and jurisdictional capacity ted National Security and National Security
Police Forces and National according to type of forces jurisdictional training ted

Objective 7.3 Promote 7.3.2 Promote the to. Quantity and type of to. At least 5 lines Enforcement
see the training training at SMC training lines training Authority
National tion
in SMC of sectors to the members in SMC implements- implemented with Enforcement
of the State and of the Judiciary days with members members of power Authority
jurisdictional tion
civil society actors with of the Judiciary Judicial CONISMA National
capacity and Review Body
responsibility for b. Percentage of b. Training lines Power of attorney
intervention in Mental jurisdictions with implemented in 100%
Health situations training lines in the of jurisdictions
community model
mental health care
program implemented

7.3.3 Promote to. Quantity and type of to. At least 5 lines Enforcement
training in SMC for training lines in the training implemented AuthorityCONISMA
National
workers of the National SMC implemented with with the workers of the tion
Public Administration Ad workers National National Public
Public Administration Administration

b. Training lines
b. Percentage of Public implemented in 100%
Administration of the departments
divisions National ca
with training lines in
Community Mental
Health implemented

7.3.4 Boost AC training a. At least 5 training Enforcement

of community and civil lines implemented Authority National
a. Number and type of
society actors involved in Enforcement
training lines
Mental Health b. Training lines Authority jurisdictional
implemented in the
implemented in 100% tion CONISMA
SMC
of jurisdictions Honorary Advisory
b. Percentage of Council Org. From
jurisdictions with li Civil Society
training areas for
community and civil
society actors involved
in Mental Health
implemented

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 7.4.1 Update and to. Update of to. Guidelines and Enforcement Authority
promote the use guidelines and recommendations National tion
of guidelines and recommendations
mendations for the for the formation of CONISM
recommendations for degree training degree in Mental Health Ministry of Education
degree training in Mental in Mental Health updated tion of the Nation
Health Honorary Advisory
b. Car quantity schools b. Increase in Council
and universities that careers and universities
incorporate the guidelines ities that incorporate the
and recommendations guidelines and
mentions in their study recommendations in their
plans study plans

c. Number and type of c. Act increase res

actors participating in that participate in spaces
article spaces health and of articulation tion health
education relationship and education for
tion for updating tion of updating guidelines and
guidelines and recommendations by
recommendations career, university and
Jurisdiction

Objective 7.4 Promote 7.4.2 Promote the to. Quantity worked- to. Increase of Enforcement Authority
see the suitability postgraduate training workers and workers workers and labor National tion
to the communi- in SMC for the from the field of Health jadoras of the field of Training entities
schedule of plans field workers Mental with training Mental Health with
of study of the Mental Health postgraduate at SMC postgraduate training
disciplines linked to the and related sectors by jurisdiction do in SMC in 100%
field of Mental Health jurisdiction
b. Number of promotion
lines for postgraduate b. At least 5 lines of
programs in SMC promotion for
implemented consistent postgraduate programs in
with the National Mental SMC implemented
Health Law No. 26657

7.4.3 Promote Number of lines At least 5 lines Enforcement Authority

program development promotion for pro- promotion for pro- National tion
more undergraduate and undergraduate and undergraduate and Training entities
university extension ria university extension university extension
linked to SMC, with programs ria programs ria
territorial anchoring and implemented implemented
articulation with effectors
and devices community
members

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AXIS 8: EPIDEMIOLOGICAL SURVEILLANCE AND MENTAL HEALTH RESEARCH

This axis aims to develop and implement an epidemiological information and surveillance system aimed at decision-
making and the production of knowledge regarding public policies in Community Mental Health. nitaria.

JOINTS
GOALS
GOALS INDICATOR GOAL 2027 MINIMALS
SPECIFIC
NECESSARY

Objective 8.1 8.1.1 Promote creativity Juris percentage 100% of the jurisdictions Enforcement Authority
Strengthen cer epi tion or strengthening of dictions with areas of tions with special areas National tion
surveillance demiology epidemic areas logy in epidemiology in specific epidemiology science gy Enforcement Authority
in Mental Health to Mental Health of the Mental Health ficas in Mental Health jurisdictional
evaluate care needs jurisdictions
tion of the population
and resources
available in the
community

8.1.2 Promote to. Partial construction to. Indicator set Enforcement Authority
improvement and joint cipative generated and con- National tion
creation of records
information of basic indicators sensual with 100 Enforcement Authority
epidemiological Mental Health % of jurisdictions jurisdictional
gic, federally agreed, on agreed upon at the working. CONISM
SMyCP problems with federal level.
axis in each life course b. Systematic
and in the emerging, b. Systematization of registration type and
critical and prevalent type and source of source of information for
problems in each information consensual agreed indicators suados
territory formation at the federal
level. c. 50% increase in
jurisdictions with
c. Percentage of information records
jurisdictions with re epidemiological
Epidemiological information ca over
information records on SMyCP
SMyCP
Objective 8.2 8.2.1 Develop and to. System Grade- to. federal register of Enforcement
Implement-
create a system implement
supplement records tization of the process the hospitalizations Authority
National tion
surveillance of the federal consulting of Implementation of that are produced Enforcement
consultations and tas and hospitalizations federal records of for reasons of Authority
Jurisdictional
internal
tions that occur for health reasons hospitalizations that Mental health
cen for Mental Health Mental occur for Mental Health developed and
reasons reasons in the implemented
jurisdictions
b. Consultations that
b. Records of occur for Mental Health
consultations that occur reasons developed in
for Mental Health 100% of jurisdictions
reasons in 100% of tions
jurisdictions tions

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8.2.2 Develop and in the emerging, critical consultations and implemented in 100%
implement a system of and prevalent hospitalizations for of jurisdictions
monitoring, evaluation problems in each Mental Health reasons Enforcement Authority
and follow-up of territory Federal Registry of National tion
consultations and System grade tization consultations and Enforcement Authority
internal tions for of the process of internal tions for CCH Jurisdictional tion
reasons of Mental construction and reasons of Mental
Health with axis in implementation of a Health development
each course of life and monitoring system of Called and

8.2.3 Develop and the problems assistance and implemented and

implement a emerging, critical and practices in Mental functioning ing in 100%
monitoring, evaluation prevalent themes in Health in the of jurisdictions
and follow-up system each territory jurisdictions Enforcement Authority
ment of care devices, System degree zation tracking system ment National tion
accompaniment ment, of the implementation of the dis positive care, Enforcement Authority
assistance and process of a support and Jurisdictional
practices in Mental monitoring system of assistance, and
Health with an axis in care devices, practices in
each life course and in accompanies ment, Mental Health

Objective 8.3 territorial-based gations on SMC a. At least 10 framework

Fomen tar tion in SMC with funded. investments Enforcement
research and an axis in each gations funded Authority National
production of life course, in the b. Number of annually Enforcement
cone foundation emerging, critical promotion lines Authority
and consistent or prevalent for the production b. Increase in Jurisdictional
practices on the problems in each of knowledge promotion lines Training Entities
Mental Health territory and in ment, research for the production Honorary
regulatory the response and practices in of knowledge, Advisory Council
framework provided by the Mental Health research gation Ministry of
8.3.1 Promote health system consistent with and practices in Science and
and finance a. Amount of the normative Mental Health Technology
research investment framework tive consists deal with Universities
the regulatory

8.3.2 Promote investment programs tigation of At least 15 Enforcement Authority

different public, national and legal organizations investments gations National Legal
tionals, the investigation tion in Mental Health financed annually by Authorities CONISMA
with an axis in each course of life, in the different public, DIS Ministry of Science
problems emerging, critical or prevalent themes national and and Technology
in each territory and in the response given by the jurisdictional Universities Public,
health system organizations. national and legal
Amount of investment gations on SMC funded. Research
Organizations tional

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 8.3.3 Prioritize the Health of the Nation nitarian incorporated
Community Mental Program percentage 100% of research Enforcement
Health component in more research with a programs with a Authority National tion
the research programs Community Mental Community Mental
of the Ministry of Health component Health component

AXIS 9: MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT IN EMERGENCIES AND

DISASTERS

This axis aims to promote the inclusion of Mental Health and Psychosocial Support (SMAPS)
strategies in management. comprehensive tion of risk reduction and the impact of emergency
and disaster situations, strengthening community construction processes.

JOINTS
GOALS
GOALS INDICATOR GOAL 2027 MINIMALS
SPECIFIC
NECESSARY

Lens 9.1 Pro move the 9.1.1 Prepare and a. Number of a. At least 5 App Authorities
organized response of disseminate
9.1.2 Promote give
the app recommendations
Jurisdic percentageand recommendations
At least 2 recommend and National
App Legal
Authorities
all government actors recommendations
cation and adaptation and protocols
tions with prepared
protocols and protocols
dations and developed
protocols Authorities
National tional
Application
mental as well as civil protocols that gure an
of recommendations disseminated
and recommendations and disseminated
adapted and applied in CONISM CONISMA
Authorities
society great to the adequate response in
nes and protocols adapted and applied coordination with Honorary Advisory
jurisdictional cation
public, private and matters
according of to
Mental
the b. Percentage
according of
to the b. Recommendations
different actors and Council Advisory
Honorary
social security sectors Health from facts
needs local the jurisdictions in
needs local townswhich and protocols
sectors in 100% of the Council
in the face of different government the recommendations disseminated
jurisdictions two in Social Security Private
emergencies and actors mental as well developed were 100% of jurisdictions Sector
disasters (E&D). as civil society extent disseminated c. Recommendations
to the public, private c. Sect quantity res and and protocols spread
and social security actors govern mental done in 100% of the
sectors involved in as well as civil society sectors and actors
E&D widely to the public, involved
private and social
security sectors in
which the
recommendations
prepared were
disseminated

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 9.1.3 Improve the Juris percentage dictions Training lines Enforcement Authority
response from actors with training lines for implemented with 100% National tion
governmental and non- updating knowledge and of the jurisdictions tions Enforcement Authority
governmental through the inter changes in practices jurisdictional
updated tion of consistent with the CONISMA Honorary
knowledge and regulatory framework Advisory Council
exchanges of practices implemented
consistent with the
normative framework tive
on SMAPS versus E&D

Objective 9.2 Desa 9.2.1 Promote At least 2 estra Enforcement Authority

Quantity of estra
develop strategies so psychosocial support constructed psychosocial National Enforcement
constructed psychosocial
that SMAPS is available strategies that guarantee support techniques given Authority CONISMA
support techniques given
in all stages and places provide early participatively, jurisdictional tion
participatively,
where the emergency interventions against disseminated and
disseminated and
develops E&D implemented at the
implemented at the
jurisdictional level that
jurisdictional level that
rantice intervention early
intervene early responses
responses to an
to an emergency
emergency

Enforcement Authority
9.2.2 Promote the Jurisdic percentage tions Fortale actions National tion
strengthening of the with actions to strengthen foundation of the compo Enforcement Authority
SMyCP component in the the SMy-CP component SMYCP in the health jurisdictional
health response in the health response in responses implemented
responsibility of local local effectors that attend in 100% of local
responders who respond emergencies in SMyCP responders who attend
to emergencies during an during an emergency emergencies during an
emergency agency emergency

9.2.3 Boost Stra a. Strategies Enforcement Authority

strategies that guarantee a. Percentage of continuity of care with a National tion
continuity of care with jurisdictions implementing SMC perspective Enforcement Authority
perspective tive of SMC this strategy strategies implemented in 100% of jurisdictional
during the emergency that guarantee continuity the judiciary Risdictions
of care with perspective affected by the
tive of SMC during the emergency
emergency
b. At least 1 layer
b. Quantity and type of care continuity strategy
strategies that guarantee implemented in 100% of
the continuity ity of care the affected regions
with a SMC perspective
implemented du during
the emergency

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 9.2.4 Implement Quantity and type of after the emergency after the emergency
actions -direct and actions -direct and At least 1 share direct National Enforcement
indirect- to protect the indirect- for the and indirect for the Authority
Mental Health of protection of the protection of the Sa CONISMA
groups in situations of Mental Health of Mental health of Jurisdictional
greater vulnerability groups in situations of groups in a situation Enforcement Authority
before, during and greater vulnerability of greater vulnerability
after the emergency before, during and before, during and

Objective 9.3 9.3.1 Promote territorial a. Ex b. Quantity and type of c. At least 1 joint territorial
Strengthen certify local approach actions torial istenc interactive actions rals approach line with local and
intersectoral response in conjunction with local e of proposed and implemented community actors that
networks before, and community actors is before, during and after the incorporate the SMC
during before and after before, during and after emergency ai At least 1 component during and after the
the emergency an emergency interactional space before, emergency
during and after after the Enforcement Authority National
Interactional articulation emergency a.ii Mapping of Enforcement Authority
spaces before, during and after local actors involved in CONISMA jurisdictional tion
the emergency responding to emergency Honorary Advisory Council
situations Org. Civil society

9.3.2 Cooperate a. P b. At least 1 local response

technically for the ercent network in active E&D
organization and local age of situations with components
management of res SMC tee incorporated
networks that include roadstead
the SMC component in Enforcement Authority National
E&D situations Enforcement Authority
jurisdictions with technical CONISMA jurisdictional tion
cooperation that includes the Honorary Advisory Council
com SMC rapporteur for the
organization and local
management of implemented
response networks

b. Number of local response

networks in E&D situations
implemented or for made with
SMC components
a. Technical cooperation that
includes the com SMC
rapporteur for the organization
and local management of
response networks
implemented in 100% of the
Jurisdictions

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 Objective 9.4 Promo 9.4.1 Promote the Juris percentage At least 1 active response Enforcement Authority
see the Mental Health construction of a dictions with an active network for the Mental National Enforcement
care of health workers response network for response network for Health care of health Authority CONISMA
and first lines of the Mental Health care the Mental Health care workers and first lines of jurisdictional tion
intervention tion during of healthcare workers of health workers and intervention implemented
an emergency lud and first lines of first lines of intervention in 100% of jurisdictions.
intervention implemented tions

9.4.2 Promote At least 1 layer gia (of Enforcement Authority

strategies for self-care Jurisdic percentage supervision spaces, National Enforcement
of Mental Health of tions with supervision reflection groups, Authority CONISMA
health workers and first spaces, reflection meetings on problem jurisdictional tion
lines of intervention groups, meetings on identification and
problem identification addresses jes, etc.)
and approaches, etc. implemented in 100% of
for self-care of Mental the affected territories
Health of health
workers and first lines
of intervention in an
emergency

9.4.3 Promote the a. At least 1 capacity Enforcement Authority

training of Mental tation implemented with National Enforcement
Health teams for 100% of the affected Authority CONISMA
accommodation Mental territories jurisdictional tion
a. Quantity and topic of
health management
training for the support b. Participation in at least
and care of health
and care of Mental 1 training per team per
workers and first lines
Health of health topic of 100% of the juris
of intervention
workers lud and first diction
lines of intervention

b. Quantity of
equipment Mental
Health professionals
trained to support and
care for the Mental
Health of healthcare
workers lud and first
lines of intervention by
topic and jurisdiction
10. BIBLIOGRAPHIC REFERENCES

National Law No. 26,657 – Right to Protection of Mental Health. Regulatory Decree No. 603/2013.

“National Mental Health Plan 2013 - 2018”, Resolution 2177/2013 of the Ministry of Health of the Nation, 2013.

“Public Mental Health Policies: approaches, strategies and experiences based on the Community”, National Directorate of Mental
Health and Addictions, Ministry of Health of the Nation, 2015.

“Mental Health Action Plan 2013-2030 – WHO.

“World Mental Health Report” - 2001 WHO

Guide to Community Mental Health Services (Guidance on community health mental services) – 2021 - WHO.

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“Universal Health in the 21st Century: 40 years of Alma-Ata”, 2019 WHO/PAHO

11. GLOSSARY

Good practices in Mental Health: for the purposes of this document, the following are considered good practices in Mental Health:
a) initiatives that are aimed at the development of community networks; b) innovations that constitute contributions to the
community care model; c) having contributed to resolving problematic situations matics that gave rise to these practices; d) have
a sufficient amount of evidence on the results achieved; e) having generated a positive impact on its users.

Problematic substance use:

This is defined as consumption that threatens the health and construction of people's life projects. This can occur at different
levels of consumption (use, abuse and/or addiction) and regardless of the type of their quantity consumed (legal and/or illegal).
From this perspective, the possibility that the consumption of a substance nere a greater or lesser problem for the person or for
the community, is related not to the properties inherent to the substance, but fundamentally to the bond that the person
establishes with it in a certain life circumstance.

Sustainable externalization:

Sustainable outsourcing is considered any process that guarantees people who move from one inter nation in Mental Health
towards community life the material and subjective conditions for an appropriate production and reproduction of their life, based
on the exercise of their rights in regards to housing, work, education, culture and time leisure, among others, as well as the
continuity of care and the support required two for this purpose.

Social inclusion:

Designates access to opportunities for the development of a better quality of life and the full exercise of individual and social
rights. It includes aspects such as access to information and/or services, the achievement of a When the process of bonding with
family members, emotional referents, primary groups and/or link networks, the inclusion housing, educational, labor sion, civic
participation and/or the recognition and expression of values associated with cultural diversity.

Monovalent Mental Health inpatient institution:

Institution with a health care unit whose care model is applied to a particular pathology and in which the predominance of asylum-
type conceptions and practices is evident. In the performance of these institutions tutions, processes of anomie, isolation,
violation of people's rights during the care process and, fundamentally, displacement of purposes are identified, since the
institution cannot satisfactorily fulfill its care role and contributes through its actions to the generation of iatrogenic effects
associated with chronification and institutionalization.

Interdiscipline:

It includes the processes of integration of theories, methods, instruments, knowledge and/or procedures found based on different
professional and technical knowledge, other health training and/or non-conventional resources, with appropriate training, whose
objective is to guarantee the quality and comprehensiveness of practices in the field of health institutions.

Intersectoriality:

Designates the coordination of objectives, actions and/or resources between the different sectors of the State and civil society
with the objective of promoting and developing actions aimed at achieving social inclusion.

Community model of care:

It is characterized by the openness and integration of institutional practices to territorially based socio-health service networks.
Through its application it is possible to promote and sustain legitimate channels of participation with community and integration
into other social sectors is facilitated with the aim of promoting and guaranteeing the process of social inclusion. It includes the

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development and/or strengthening of community devices that substitute the asylum model, coordination with non-conventional
human resources during the care and social inclusion process, and the adoption of health practices in accordance with the
respect and guarantee of Human Rights.

Public politics:

Set of actions that manifest a certain modality of State intervention, promoting the attention, interest and mobilization of other
actors in society.

Prevention:

Set of measures, strategies and actions aimed at reducing the possibility of damage and/or illness occurring, eliminating risk
factors associated with specific pathologies, protecting the most vulnerable groups. perceptible and/or develop activities aimed at
reducing or mitigating the consequences of the condition. It is based on the principle that the sooner action is taken in order to
avoid and/or act against the course of the condition, the more efficient and effective the measures adopted will be.

Institutional adaptation process:

It includes the transformation of the administrative, management, human resources, building and/or budgetary care processes, as
well as the health practices of all providers whose objective is Mental Health care in the population, in accordance with the
provisions of National Law No. 26,657 and its Regulatory Decree No. 603/2013. In relation to monovalent institutions with an
asylum regime, and with prior agreement with the Territorial Application Authority, they must design an adaptation plan that allows
reversing chronicization and institutionalization, guaranteeing respect for the rights of interned persons, achieving openness and
integration of services to territorially based community networks and establish procedures for the regulation of income in order to
achieve definitive substitution.

Health – illness – attention – care process:

Characterization of health and disease that questions the hegemonic biological paradigm, which understands both categories as
states of an individual, affirming that it is a social and historical process, inserted in the general social dynamics, of which
interactions are part and interventions that are carried out on it.

Unconventional human resources:

It includes the existing resources in the community that do not have official certification and/or accreditation related to training
and/or performance of practices in the Health sector. Such unconventional human resources due Trained people can contribute
through their participation in a coordinated manner with the agents of the formal system in the design, implementation and
evaluation of assistance and/or social inclusion actions.

Community-based service network:

Set of coordinated and integrated services whose objective is to ensure the comprehensive care process and include social sion.
According to what is stated in Article 11 of Regulatory Decree No. 603/2013 of National Law No. 26,657, “it must include services,
devices and benefits such as: primary health care centers, Mental Health services in the general hospital with hospitalization,
emergency care systems, day and night psychosocial rehabilitation centers, housing and work arrangements with different levels
of support, outpatient care, support systems and home, family and community care in coordination with intersectoral and social
networks, to satisfy the needs of promotion, prevention, treatment and rehabilitation, which promotes social inclusion.”

Health services:

It refers to “any proposal or alternative approach aimed at promoting Mental Health, disease prevention, early intervention,
treatment, rehabilitation, and/or social inclusion, harm reduction, prevention, bles or any other objective of support or
accompaniment that is developed in public or private spheres.” National Mental Health Law No. 26,657 and its Regulatory Decree
No. 603/2013 (Chapter I, Article 4).

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Support system:

Combination of strategies, methodologies and resources provided by institutions and community actors whose objective objective
is to promote development, participation, well-being, the leading role and performance with the highest degree of autonomy
possible in everyday environments, guaranteeing a system that effectively respects the will and decision-making of the users of
Mental Health services. in accordance with the National Mental Health Law No. 26,657 and the International Convention on the
Rights of Persons with Disabilities.

Information and epidemiological surveillance system in Mental Health:

Combination of procedures and resources for obtaining, recording, systematizing, processing and continuous analysis of
information intended for decision-making and the design of public policies in Mental Health.

Life paths:

It comprises a novel model or framework that has been called the “health development across the life course” model. According to
this conceptual matrix, health and development are unified in a single concept that is implemented adaptively throughout life. It
includes risk factors, protective factors and views on early life experiences from a developmental perspective that takes into
account the importance of bonds and life stories.

12. ANNEXES

ANNEX I
Contributions to the consultation of those responsible for the jurisdictional Mental Health and Addictions areas and the National
Human Rights Secretariat – 1st meeting

On the 19th day of November 2020, at 08:40 a.m. representatives of the Mental Health areas of the different jurisdictions of the
country, previously convened, meet via videoconference through the Telehealth platform via Webex in order to begin working on
the draft of the National Mental Health Plan, which has been sent in advance for analysis.

Dr. Hugo Barrionuevo, National Director of Mental Health and Addictions of the Ministry of Health of the Nation, welcomes those
present and mentions that it is a very important event because work on the draft of a National Plan begins. He adds that
Argentina has been without a National Plan since 2018 and that in recent years a setback or arrest has been observed, not in all
jurisdictions but generally, in the lines of action.

It values and highlights the work and effort to quickly complete the draft of the document within the framework of the difficulties of
a pandemic like the one we are experiencing.

He informs that the reason for the meeting is to listen to contributions, suggestions and make corrections to the first draft of the
National Mental Health Plan. He then informs those present that a Minute of the meeting will be prepared and that it will be
recorded to record the contributions and interventions made during the meeting.

He informs that after this meeting a second draft will be issued that includes the observations and contributions made today to the
other actors who will participate in the future consultations that are carried out according to the schedule that has already been
established. After this round, a third draft will be prepared, which will be new mindly subject to consultation by the jurisdictions.

Finally, it states that the representatives of the jurisdictions will be invited in alphabetical order to express present suggestions
and exchange opinions.

He then gives the floor to Leonardo Gorbacz, representative of the Human Rights Secretariat of the Na tion, who states that a
National Plan requires consensus and that the only way to achieve this is collective participation.

In relation to the plan, he states that it is a very good document to provide a framework for a discussion, with the problems and
issues to prioritize well framed. In relation to this, he goes on to make some points and proposals with cretes. The first is
regarding the 4 axes. He states that due to the federal nature of the country and in order to advance in these axes throughout the
country, he considers that for the implementation of these points it is important to incorporate projects concrete economic
financing tools and tools to support the implementation of these points and achieve the objectives. This is not to finance the entire
policy, but as a stimulus to support the policies.

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In relation to axis 1 on primary care, he highlights that the concept of early detection as stated in the document has a slide
towards the issue of early diagnoses and medicalization and it seems that at the first level of care it is not about detecting
symptoms. and derive, but in any case to promote the identification of early problems and provide support so that they do not
evolve; and that those who present these problems are not excluded and can be included in the different spaces of the
community. He adds that he must Emphasis should be placed on promotion and prevention, that is, working territorially, favoring
inclusive spaces of universal participation. On this same point, the need to identify the first level of care with the capacity for crisis
care and continuity of care is highlighted so that it can provide support to the community.

It states that the population in a situation of confinement is prioritized and highlights that in relation to this it is very important It is
important to include the issue of mental health in prisons with a specific program and articulating with the co-areas. rrespondents.
He maintains that the review of the issue of non-imputability of people with mental illness in conflict with the criminal law must be
taken into account, that today its approach is a problem in the country due to the legislation and that it is probably necessary to
modify article 34 of the Penal Code.

Another point that he considers necessary to include in the Plan is the promotion of the creation of Review Bodies in all
jurisdictions where there are none, an issue that is currently being promoted by the Dere Secretariats. many provincial Humans.

In relation to the axis of replacement of monovalent institutions, he affirms that it seems that having the Nation hospitable Those
that depend on itself would be favorable for the adaptation projects and plans to be reflected in the Plan. Another issue that is
raised is that of residences in monovalent hospitals that still exist and should be discussed and that if there are going to be any,
they must be dedicated to outpatient teams.

Regarding the point on Gender, he states that work carried out by the Department of Human Rights could be included. Human
Rights, conversations began with the Ministry of Women, Gender and Diversity that has to do with the sexual and reproductive
rights of women with mental illnesses, particularly those who are institutionalized. das, linked to a violation of rights such as lack
of access to contraceptive methods, lack of access to information, lack of adequate pregnancy care and finally the fact that boys
and girls born from these relationships are given in adoption without building support systems and revealing the woman's will.
Finally, and in relation to the Rights Approach axis, he affirms that it is important to work on training in interdisciplinary evaluation
of the legal capacity that changed the Civil Code, but that there has not been important training so far so that professionals can
evaluate them. around what the new Civil and Commercial Code establishes; and also carry out work with the judicial system to
carry out the review of the sen Tendencies due to total disabilities prior to the modification of the Code.

Next, Dr. Hugo Barrionuevo continues to speak, reporting that he has already received the document. I agree with these
contributions and give the floor to Lic. Virginia Conci from the Provincial Directorate of Mental and Community Health of the
Province of Chubut.

Virginia Conci states that they worked on the Mental Health Plan as a team. In general terms, they really liked the plan because it
is in line with what they have already been working on and they feel identified. Then the pa Ask Mariana Ojeda who was working
on the Plan to make contributions. Mariana Ojeda maintains in relation to Axis 1, where the objective is discussed, that the focus
is always on the pathology and the problem. Ask if you can work on something that includes access to assistance, prevention,
promotion, work with schools, clubs. When reading the objective, it seems that there is something missing in promotion and
prevention to think about mental health. such beyond the absence of symptoms and disease. Continuing along that axis (p. 13),
considers that it is essential to strengthen human resources, and adds that it could be thought that other areas can be trained and
raised in a more transversal way and not only think about the human resources of the first level of care.

Regarding the point of problems of children and adolescents and older people at the first level of care tion, suggests that in
relation to the articulation with national programs, according to his experience it should be clearer regarding the resources to
solve the programs. He states that at this point the training of HR on the problem is raised again and that it stops again at
assistance. Consider that it could pen focus on transversal training by incorporating emotional training into the school curriculum.

In relation to point 1.6.3 page. fifteen. Implementation of psychotropic drug dispensing protocols. He adds that it is essential that it
has flexibility so that not only does the medication reach the province, but it can ensure that the user reaches the medication.

Regarding “Ensuring the Training of Human Resources in Community Mental Health” on page 16, it states that it should be
expanded to family, education, justice and other actors. In relation to what is established on page 17, it proposes to replace the
terminology and place people with mental illness and non-users only. On page 18, “Intermediate devices” proposes
strengthening, more than the commitment, guaranteeing this commitment with a legal framework so that it does not seem to fall
solely on the health services and that it can be controlled by the Ministry of Health and the Organ of Provincial Review.

In relation to Epidemiological Surveillance (Page. 22) proposes working on completed suicides, which had been discussed at the
time, in order to work with the Provincial Directorates, Health Services, Morgue, and so on. primarily work in the postvention.

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Finally, Virgina Conci takes up the floor, expressing that she considers it important to work on the National Registry of Benefits, so
that assisted housing or devices anchored in the community are included in the national nomenclators in the way they are
proposed in the Resolution, because the Social Works are limited in the nomenclators to be able to make payments effective to
those devices that are being enabled. as assisted living. For this reason, it states that the records must be adapted to the National
Law.

He concludes with the use of the word by informing that he will send the document with the suggestions on the current day.

Next, Mr. Lic. speaks. Mariano Rey for the province of Buenos Aires, stating that he welcomes the fact that a national plan is
being discussed given the strong need that exists to build a consensus in this regard, taking into account the plurality of situations
that exist and the differences that exist between the territories and the complexity that implies that a National Plan can contain
something from each of these realities, and within that complexity, pose questions that, if desired, can be general, allowing
construction for everyone.

Considers that this highlights the need for each province to have a provincial plan that can collect and contain the territorial
particularities of each place, given the great differences that exist between the different jurisdictions.

It states that it is necessary to consolidate a process that began 10 years ago and that there was very profound progress despite
there being a significant vacancy area and that the law is far from being fully implemented.

In relation to the draft plan that they were working on, he states that he will make some points. In particular lar about the fact that
draws attention and generates doubts, which is the so-called priority population. Within the framework of this population, people
who have been affected by Covid-19 appear. It states that the Covid-19 population would be a priority in terms of time and
situation, but that it is not the historically prioritized population.

He states that it is very important to express that it has to do with other variables or social determinants of health and proposes
how to locate people belonging to popular sectors as a specific population, because they have another degree of vulnerability for
certain situations that have to do with with health in general and mental health in particular. Consider that beyond the definition by
groups, there is something more transversal which is also a certain population directed towards which public policy has to be
oriented and which has to be thought of as a more transversal population in that sense.

It raises the need to review and rethink the sources of financing, understanding that there are different levels of management, and
the municipal, provincial and national levels must be differentiated and the first level of care must be strengthened.

He states that the province does not fully agree with the residences being maintained, but rather that they should begin to think
about supporting the process of adapting the modern institutions. novices, that are interdisciplinary residencies in mental health,
not in monovalent ones, but also in general hospitals.

On the other hand, he adds that a specific policy for long-stay users should be considered, related to the construction of supports,
seeing the possibility that the Nation can contribute through some program in the construction of housing and the construction of
devices. intermediate and for support with workers who can generate these liaison teams that allow the exit from the asylum and
the continuity of care in the community.

He then expresses that thinking about the place of the university is central. It suggests that 10 years after the Mental Health Law,
we cannot talk about adapting study plans, but rather that they must already be adapted, so work must be done quickly in this
regard, involving universities, and that they should be carried out now. specific tions, even suggesting to CONEAU that there is a
legislative disharmony between what the law proposes in terms of regulations. He adds that it would be important for the power
that can be released to be reflected in the plan. to fold from the university extension sector, which is to recover the social function
that universities have; and that there is a specific contribution that universities can make and that we must be able to concentrate
and capitalize on to direct it towards the interests of the system.

Finally, he states that he is concerned about addressing the urgency in issues with children and youth and problematic
consumption.

Next, the floor is given to Victoria Martínez representing the province of Córdoba, who has problems with the microphone, so it is
agreed that she sends the comments via the platform's chat, a text that is reproduced verbatim at the end of this Minute. .

Graciela Pianalto continues with the Directorate of Mental Health and Addictions of the province of Corrien. tes, who, due to
microphone problems, proceeds to send comments via the platform's chat, which is added verbatim at the end of this Minute.

Alejandro Ruiz from the General Directorate of Mental Health and Addictions of the province of Entre Ríos takes the floor. It states

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that the document sent contemplates the concerns and expectations that the Management has. He reports that they disseminated
the axes of the plan among the actors involved and that responses began to be generated. He reports that regarding projects with
financing, they have created an inter-ministerial table as a prelude to COPRISMA, which includes the Provincial Autonomous
Housing Institute – IAPV.

He expresses that there is an issue that makes them noise and that they have raised in various meetings related to the cum
compliance with security measures, and that when admitted to general hospitals, the same problem will arise; that there will be a
mandate to comply with security measures from the criminal sphere, so he considers that it could be anticipated with some
proposal.

He adds that they are developing a provincial Mental Health plan that they hope to have ready before the end of the year and that
follows the guidelines of the National Directorate of Mental Health and Addictions and the draft of the National Plan. Finally, he
points out that in the province residents are rotating through the areas of the three levels of care and that they have made
considerable progress in the inclusion of the National Mental Health Law in the study plans of the different careers related to this
area.

Miguel Fariz of the General Directorate of Mental Health of La Rioja then continues to use the word. He states that important work
is being done and that he considers the contributions he is hearing to be quite good. Considers that the identification of the
problems and the diagnoses must be articulated a little more. primary health care diagnostics, because situations can be
identified, but they must also be identified. identify some pathologies that, if not properly detected early, can cause problems in
the future, such as substance use in adolescents and motherhood in girls with generalized developmental disorders. Therefore, it
is important to make an accurate diagnosis within the guidelines of the law.

It highlights that it is important to prepare provincial plans following the guidelines of the national plan but incorporating the
particularities of the jurisdictions.

Immediately afterwards, Dr. Hugo Barrionuevo invites the Secretary of Mental Health and Addictions of the province of Salta, Dr.
Irma Silva, to speak.

He affirms that from the province of Salta they agree with the draft of the National Plan and that they share its axes, objectives
and theoretical framework. He adds that listening to pre-opinionated colleagues, there are interesting questions to update the
plan. Above all, with regard to the first axis and with regard to training, it is necessary that it be directed not only to the direct
effectors of mental health but to all those social actors who are involved. created.

Celebrate the discussion of the plan which is complex, and which will be improved with the contributions of each one.

It states that in relation to financing in general, they should not be thought only for mental health users. such, but to try to improve
the conditions and quality of life of the population in general.

Regarding residences, he reports that in Salta a complex and complete plan on Residen is being developed. ences both in
interdisciplinary mental health residences, in community residences and in Residences family ties.

Finally, they state that it is a plan to which they fully adhere, with the contributions made and especially those related to the first
level of care.

Elizabeth Liberal of the Directorate of Mental Health and Addictions of the province of Mendoza continues in the use of the word.
He states that in the province they have made progress with general hospitals, with admission in almost all hospitals and that they
are currently working in health centers - CAPS, thinking about health as a network issue.

Regarding the residencies, it reports that they have interdisciplinary residencies in 8 hospitals; and that currently The
monovalents continue to have their residences.

It raises the importance of proposing a dialogue with psychiatrists to add them to the National Mental Health Law and facilitate
progress within the meaning of the law, given the role that many psychiatrists have.

He states that in Mendoza there is still a need to advance in intermediate devices and that progress is being made in day
hospitals, especially with two projects aimed at groups of children and adolescents. He adds that it is very important to have an
intersectoral table to carry out the law, and that in the province, it is still an outstanding debt. Adheres to the need to update the
university curricula according to the National Mental Health Law.

They are currently working with the two monovalent hospitals in the province trying to carry out a comprehensive policy. He
considers that it is difficult to carry out a policy of transforming a monovalent from an isolated place. It must be through a joint

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comprehensive policy; and understands that with this plan and the commitment of the authorities, the financing to create more
intermediate devices is a way to open the doors to the community.

The floor is then given to Gonzalo Cabrera representing the province of Santa Cruz, who has audio problems, so Dr. Hugo
Barrionuevo proposes that due to the impossibility of connecting the audio, he sends the comments and proposals via chat or via
email.

Next, Verónica Machado of the Directorate of Community Mental Health and Adic continues to speak. tions from the province of
Río Negro who introduces himself and informs that the Director will not be present and that they will send the contributions.

He informs that he will send the contributions by email. They state that they agree with the guidelines of the plan. Clarify that they
have contributions to make. He thinks that with regard to the application of the national mental health law, 10 years from now,
emphasis must be placed on the full implementation of the law.

Regarding priority populations, it agrees with what was mentioned in the draft plan and believes it is essential that the axis of the
programs has to do with the social inclusion of mental health users. He states that it seems essential that the prioritized
population be the population with mental illness or mental health users, because for other population groups there are already
other organizations or areas that have specific programs.

Regarding axis 3 on monovalent establishments, he maintains that what is related to co-operations is important. therapeutic
communities that have a monovalent profile and it would be important to establish a position regarding this.

Next, the National Director of Mental Health and Addictions gives the floor to Matías Marzocchi de la Di Provincial Mental Health
Department of the province of Santa Fe.

Celebrate resuming this proposal and decision of the DNSMA to recover the mental health plan which is very ne Caesarius
Reports that they are waiting for confirmation of the creation of COPISMA and the provincial Review Body.

Regarding the plan, it seems important to generate a financing program, mainly at the municipal level, with province-municipality
inter-institutional work being very necessary.

It adheres to the training and awareness of the different actors in the community and does not limit it solely to the actors of the
health system. He adds that programs must be thought of that include other actors and other ministries.

With regard to addressing local crises, programs should be considered with home-based approaches to the population. tions, to
prevent boarding at the second and third level of care; and do it from the first level in homes.

He affirms that a group approach is very necessary through the different teams that work at the first level of care. Adds the need
to generate a social and labor inclusion policy.

It highlights the importance that the issue of identity should have and that the National Plan should be used to work on the training
and visibility of health teams on this issue. Regarding the study plans and training of professionals, he affirms that it is very
important that they be included. He adds that in the province they need to update psychiatrists and have them do medical clinics.

Regarding monovalent institutions, they need programs for long-stay users and incorporate other ministries in the topic of
inclusion. Regarding consumption problems, he highlights the importance of include the problems that arise for the future in the
next 10 to 20 years, such as technological consumption and digital devices that generate changes in coexistence and what has to
do with dependencies.

Immediately afterwards, the National Director of Mental Health and Addictions, Dr. Hugo Barrionuevo, takes the floor and states
that since there were jurisdictions that were not present, he proposes a second meeting for Tuesday for those who were not
present to participate, leaving the call open. for those who were present at today's meeting to participate again.

He then states that it coincides with the incorporation of training for other actors. Regarding the creation of the plan, in a federal
country like this, with such dissimilar socio-health realities, it coincides that each jurisdiction takes the lines and axes of the
national plan as a framework for the preparation of provincial plans and in turn reduce its reduction to the realities of the
municipalities.

He adds that the plan has to dialogue between the province and the Nation and establish what the Nation is committed to and
what the jurisdictions are committed to. Ex.: Creation of COPISMAs, Provincial Review Bodies. He affirms that they can be
promoted and promoted from the Nation, but concrete action must arise in the jurisdiction.

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Regarding financing, the plan must be brought into dialogue with the financing, and it is important to have the plan to build and
seek financing that is in line with the axes of the plan.

He reports that the Nation is working with the REMEDIAR Program to include essential psychotropic drugs for next year. And on
the side of the SUMAR Program to strengthen first level care benefits. With Healthy Municipalities and the REDES Program to
incorporate financing in mental health. On the side of the National Disability Agency -ANDIS and the State Property Administration
Agency to locate housing unoccupied days to be used for assisted housing. With the ANSES, a way is being sought to obtain
financing for users with prolonged institutionalization.

On the other hand, he reports that the budget of the National Directorate is being restructured and the increase is being
managed. ment of the same to be able to grant subsidies and the possibility of subsidizing the province is being sought, so that
they can manage it in turn with the effectors and/or users.

Currently, we are waiting for the Decree to be issued that re-establishes CONISMA in order to be able to work with the other
Ministries that can generate financing for the transformation of the system.

On the other hand, it clarifies that they are working on technological improvement to have better connectivity and work on Digital
Clinical History, which will be a way to have more information, and at the same time they are working on implementing mandatory
notification of hospitalizations. to the health authorities, so that user information can be obtained to track them throughout the
system.

Next, Andrea Demasi states that those who have documents with proposals to send and those who could not enable the audio to
express themselves, send their comments by email no later than tomorrow, November 20, 2020 so that they can be incorporated
into the draft of the plan.

He adds that the draft meeting minutes will be circulated via email to the jurisdictions to collect comments and that a meeting is
planned for Tuesday so that those who were not able to connect on that date have the opportunity to do so and express their
concerns. contributions.

Finally, Dr. Hugo Barrionuevo states that the contributions made by the jurisdictions have been very valuable and that in some
way they reflect local realities. These contributions will be incorporated in such a way that they can reflect the reality of all
jurisdictions; and then in the provincial plan, each jurisdiction can reflect it in more detail.

At 10:45 the meeting ends.

The contributions sent via chat are transcribed verbatim below:

Graciela Pianalto: Although I raised my assessment by email, I want to reinforce what Mariana Ojeda said: training at the first
level of care + dispensing psychotropic drugs at the first level should be priority actions to guarantee accessibility. And in that,
transversal work with programs such as chronicles, family health and networks is KEY.

Victoria Martínez: In principle, highlight the value of the Plan, with which we fully agree, as well as with many chas of the things
that the other colleagues have raised. We do find it interesting to be able to advance in the lines of action of the plan, as well as
the possibility of knowing what lines of financing support will be possible to add to the provincial plans.

ANNEX II

Contributions to the consultation of those responsible for jurisdictional Mental Health and Addictions areas and the National
Human Rights Secretariat – 2nd meeting

On the 24th day of November 2020, at 08:45 a.m. representatives of the Mental Health areas of the different jurisdictions of the
country, previously convened, meet via videoconference through the Telehealth platform via Webex in order to continue working
with the draft of the National Mental Health Plan, which has been sent in advance for analysis.

Dr. Hugo Barrionuevo, National Director of Mental Health and Addictions of the Ministry of Health of the Nation, welcomes those
present. It adds how important the contributions of the jurisdictions are to jointly build the National Plan, which is why this second
meeting was held to give the opportunity to the provinces that could not be present at the meeting on November 19, 2020.

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It informs that when the call is over, all the jurisdictions will meet again to transmit the latest draft of the National Mental Health
Plan, collecting the contributions made, and then producing the final text. He then informs those present that a Minutes of the
meeting will be prepared and that it will be recorded to record the contributions and interventions made during it.

Finally, it states that the representatives of the jurisdictions will be invited in alphabetical order to express present suggestions
and exchange opinions.

He then gave the floor to Victoria Bochatey and Juan José Codeni, for the province of Catamarca, who saluted They give
everyone present and state that last week they could not be present, but they met with the Prevention Policies Directorate headed
by Carmen Rodríguez to be able to think a little about the Plan. In relation to this, Victoria Bochatey takes the floor and states that
she is going to send by email all the considerations expressed in writing and that she will present them below. The first thing he
explains is that he did a reading in parallel with the previous National Mental Health Plan and the question arose as to why it was
carried out.

carry out this new Mental Health Plan, given that the previous Plan is very complete.

The leadership they felt in matters of mental health from the National Directorate of Mental Health and Adic stands out. tions by
Dr. Hugo Barrionuevo and the possibility of building a federal proposal, feeling very grateful to be part of it.

In relation to the draft of the National Mental Health Plan, one aspect that suggests is that communication and spaces for
consultation can be incorporated as a transversal axis, given that in the previous National Mental Health Plan in points 10.1 and
10.2 these aspects are detailed as fundamental aspects to take into account. Their teams consider that without communication,
mental health would continue to be subject to prejudice. cios. He adds that on this point, 10 (ten) years after the National Mental
Health Law, they know that quite a few campaigns have emerged that come to “taint” the law in a crude sense and that it is
essential to have a good communication campaign.

In relation to this, another point that is considered necessary to include within the National Plan is the problem of discrimination
and stigmatization of vulnerable populations (included in the previous plan).

There begins to be interference in the connection, so the National Director of Mental Health and Addictions gives the floor to the
next speaker. To then return to Victoria Bochatey and Juan José Codeni, representatives of the province of Catamarca.

Next, the floor is given to Victoria Martínez representing the province of Córdoba, who has problems with the microphone, so it is
agreed to continue with the next speaker Agustín Yécora for the province of Jujuy.

Agustín Yécora states that his contributions are in relation to the experience of said province on the subject. He adds that Jujuy
has its own Mental Health Plan that was in accordance with the National Plan. It stands out that said plan at the beginning had
many difficulties in terms of its operation, difficulties in terms of training and the quantity of human resources and finally difficulties
in terms of articulation with other programs and sources of financing that already exist.

Another point that stands out as interesting is including a first, comprehensive level of care.

Another issue raised is the training of human resources given that there are no training universities and there are few
professionals trained in the subject. He maintains that human resource training planning should be included in the draft National
Plan.

Another item that stands out is the development of the use of Telehealth, which was very useful to face the pandemic. demia we
passed through.

It proposes as fundamental the inclusion of other types of benefits within the Mandatory Medical Plan. That said portfolio is not so
limited and thus includes the private sector.

Finally, he states that it is important to achieve common technical teams within all existing programs. tes to be able to triangulate
the hospitalization and guarantee care.

Next, the floor is given to Marcela Lemaitre for the province of Tucumán.

Regarding the draft plan, it proposes including pre-existing conditions among the selected problems. valid to cover the focus on
everything that has to do with depressive disorders, linked to stress.

On the other hand, with respect to the targeted population, it is considered important to incorporate the group of adults.

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Another point that seems key to incorporate is the development of hospitalization in general hospitals.

Highlights the problem of access to psychotropic drugs at the first level of care.

Another issue he raises is the incorporation of the private sector in the plan.

Finally, he states that in terms of training this is a key aspect and that we must think about a mechanism nism so that this is not
an optional question. He adds that the person who occupies a public place would have to have this training.

He concludes that it is very important to carry out the development of the draft plan in consensus, together with the provinces,
universities and associations.

Next, the connection problem can be solved with the representatives of the province of Catamarca Victoria Bochatey and Juan
José Codeni and Dr. Hugo Barrionuevo gives them the floor again so that they can continue with their presentation.

Victoria Bochatey then takes the floor and, in accordance with what they had been expressing, states that in point 4.a of the draft
plan that deals with socio-health problems, they would add a point that was in the previous plan on stigmatization and
discrimination of vulnerable populations. Juan José Codeni takes the floor and in relation to point 4. b of the draft plan states that
they consider ne It is necessary to include within the targeted populations, people with severe, pre-existing conditions, women
victims of violence, people with consumption problems, people with disabilities and their families, children and young people in
conflict with Criminal Law and people affected by contingencies and disasters. Victoria Bochatey then takes the floor again and,
regarding the intermediate devices, states: They found it interesting that the proposal does not only cover healthcare and involves
territorial aspects, including education, social development, and justice.

Finally, the importance of financing and the issue of imputability and non-imputability stand out.

Next, the floor is given to Victoria Martínez representing the province of Córdoba, who with He continues to have problems with
the microphone and states through the chat that on this occasion he was attending as a listener since his contributions were
made in the previous meeting.

Dr. Hugo Barrionuevo then continues to speak, thanking those present for their participation and contributions and making some
comments on the topics that arose during the meeting.

As a first point in relation to the plan, I clarify that the previous plan that was for the period 2013-2018 has already expired and
that is why work is being done on the new one, because we are vacant in the plan and that in addition to the fact that more 7
(seven) years of that plan and many things have happened over time.

Regarding the prioritized populations, he states that it is a nuanced issue because if one prioritizes all, one ends up prioritizing
none. In any case, this point will be reviewed given that the main executors of the plan will be the provinces.

He clarifies that the objective of the draft plan on this point was to prioritize those populations that could escape the radar of the
health system, the usual radar of the gaze, which is why emphasis was placed on some po prioritized statements. He emphasizes
that the prioritized population is always a subset of the general population. In relation to the dispensation of psychotropic drugs at
the first level of care, he stated that the Nation is working with the REMEDIAR Program to include essential psychotropic drugs for
next year and adds that then each jurisdiction will have to see how to distribute the psychotropic drugs. from pharmacies to the
places where it is dispensed. Offers delivery against prescription.

He states that regarding financing, we must first identify and transform the major objectives and the more specific objectives, and
then reach the concrete actions to be able to identify from there what resources are needed and with what annual goals until the
plan is finished. From there, identify the source for the different actions and also the support that the nation will provide and then
each jurisdiction must look for its own source of financing.

He adds that REMEDIAR is a source of financing through access to and coverage of medications. And on the side of the benefits
of the SUMAR Program they are also going to be a source of financing and it highlights how important it is that these benefits are
used because today the benefits of this program are undersubscribed. used. He adds that you must have the management
capacity and demonstrate the results and reach as many people as possible and then, if necessary, ask for an extension of items.
Finally, he states that they are also working with the REDES Program to incorporate financing in mental health and highlights that
in order to carry it out, a lot of articulation, logistics and management between nations will be needed, but vincia and
municipalities; and between nation, province and effectors.

On the other hand, it reports that the nation is working with the IMPULSA program on the issue of digital medical history.

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Reports that work is being done with the National Directorate of Quality of Health Services on protocolizing practices, which will
be incorporated into the plan as a transversal axis in conjunction with the regulations, guidelines, quality and protection of rights
guides, protocols , since this axis goes hand in hand with training. Highlights the im It is important to generate care protocols
during hospitalization, which is a pending issue in our country, and also to work on non-insanitary practices in order to avoid the
reproduction of asylums in general hospitals and day centers. He highlights that a protective mesh must be created so that
traditional practices do not return and more inclusive practices are in place.

Regarding the modification of the PMO Nomenclature, he reports that this is planned and is more of a line of action than an
objective, he reports that he is thinking about understanding the system as a whole and it is a point that can be reviewed, as a line
of action. .

In relation to intermediate devices, he reports that this will be one of the most important axes because it will allow users with
serious problems to sustain themselves in the community. He adds that dialogue is being held with neighborhood and related
clubs so that they can make contributions to the new Mental Health Plan and be part of the strengthening of the first level of care.
Clarifies that with respect to the population focused on the b
The Plan's speaker did not include the prevalent, it was made pre-existing because it referred to problems with psycho sis and
more long-term problems, but informs that this point can be reviewed, given that post-pandemic what is prevalent will take
precedence over what is pre-existing.

Next, in relation to management training, he considers that it is a very important topic and that it will be in included in the draft
plan. He adds that in the country there is a very large deficit of professionals with knowledge and training in management.

Finally, in relation to the issue of cooperation with the provinces, he clarifies that they took this for granted and clarifies that it is
more of a tool than an objective and proposes the fact of prioritizing it in some way.

Ask those present if anyone has any comments/suggestions to make.

Immediately afterwards, Marcela Lemaitre from the province of Tucumán takes over.

In relation to the issue of training, he states that he believes it is important not only to train in management issues but also in the
rights approach and in the community model.

Finally, he adds regarding the issue of cooperation with the provinces, that previously it was not clear what the cooperation
approach was and that although this is the umbrella of the Law, it would be important to know what are the lines in which each
jurisdiction can work and cooperate.

It closes by highlighting the participation and openness on the part of the nation's National Directorate of Mental Health and
Addictions to the 24 (twenty-four) provinces.

Next, Andrea Demasi states that those who have documents with proposals to send, send their comments by email no later than
today, November 24, 2020 until 2:00 p.m., so that they can be incorporated into the draft plan because today This second draft
will be consolidated and circulated to 8 more actors and sectors that must take it and read it, which are the universities,
professional associations, advisory council, the national review body, national experts, national state agencies.

He adds that the draft meeting minutes will be circulated via email to the jurisdictions to collect comments and then the final one
will be circulated.

Report that these meetings are taxed.

Finally, Dr. Hugo Barrionuevo states that work will be done on the contributions made by the jurisdictions. tions and thanks those
present.

At 10:10 the meeting ends.

ANNEX III
Contributions to the National Review Body consultation

In the City of Buenos Aires, on the 9th day of December 2020, and at 2:15 p.m. The meeting with the Mental Health Law Review
Body begins through the Webex platform. Next, Fabián Murúa speaks on behalf of CELS. In relation to the CELS proposals, it

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informs that they decided to make a written presentation before December 15, 2020, the deadline for which the team is working.

Next, Andrea Demasi from the National Directorate of Mental Health states that the date of December 15 December is the
deadline given as the submission date for the round of consultations of civil society organizations, within which CELS also
participates; and that this meeting corresponds to the meeting of the National Review Body, of which CELS is also a part.

In relation to this clarification, Fabián Murúa states that this is indeed the case.

Next, Leonardo Gorbacz speaks on behalf of the National Human Rights Secretariat, who expresses satisfaction on behalf of said
organization for carrying out this round of consultations. participatory sults; and states that they have already sent the
contributions in a timely manner in the meeting in which they participated together with the provinces, which he reiterates. He
adds that there is a document from the Review Body that is being built over the 10 years that if it is finalized in the coming days,
even though it is not a direct contribution to the plan, it is an input that should be taken into account.

Next, the floor is given to Silvia Raggi representing the Argentine Mental Health Association, who has technical difficulties with the
microphone, so we continue with Graciela Natella representing Graciela Iglesias, who is experiencing internet connection
problems.

Continuing with the list of speakers, the Movida de Locos Association continues to speak, who ma nifiesta that they have already
sent the contributions via email, having nothing else to add at the meeting. Graciela Natella then continues to use the word, who
informs that they will surely send the contributions in writing, since she is representing Graciela Iglesias, who is the Head of the
Review Body, and the contributions will be prepared based on the opinions and what is institutionally built. Without prejudice to
this, he states that with respect to axis 1, in relation to the development of Primary Health Care Centers, he states that this aspect
is very welcome, and expresses the need to see if between axis 1 and axis 2 to install the possibility of the network concept, since
if the health center is not accompanied by direct articulation with the rest of the health devices, especially the hospitalization
device in the General Hospital, it seems that there could be a risk of identifies or detects that the mental health problem does not
have a corresponding territorial attention or referral, which is what happens in practice. In relation to this, he states that many
times the health center detects or identifies mental health problems early, but then ends up fueling mental hospitalization in
psychiatric hospitals due to lack of community instruments. For this reason, he thinks it is appropriate to incorporate this issue of
incorporating the devices that with They form a network on axis 1 or axis 2, or on both axes. Otherwise, it would happen, as is
currently the case, that hospitalizations are carried out extraterritorially.

On the other hand, he states that with regard to the general hospital, it seems important to develop in each jurisdiction tion of
hospitalization in general hospitals, so that each jurisdiction can have this territorial approach in accordance with what the law
requires, which is hospitalization in general hospitals, and guarantee the inclusion of people in the environment itself, in such a
way that all network services are installed in the jurisdiction itself.

He adds that he comments on these issues quickly since they will be sent in writing. Then mani party that with regard to axis 3, on
the replacement of monovalents, reports that the replacement of beds and admission seems to be a very important issue; and
that perhaps the plan can address the issue of deadlines to advance this. He adds that in addition to this deconcentration of beds
or substitution of beds, it is important to deconcentrate supplies and all material resources from budgets and human resources so
that it is not limited to a question of beds, but to all instances, including the formation of the re human courses. Next, and on the
same point, he states that the issue of refunctionalization has often had negative connotations in terms of an institutional
transformation and not in terms of a madhouse substitution. For this reason, he considers that it should be specified as an
adaptation until the replacement that the institutions have to go through. On the other hand, and in relation to surveillance, it
maintains that special attention should be paid to people with severe illnesses and high degrees of vulnerability, who should be
part of this surveillance, especially with regard to care and provision of medication. ; and also an outpatient population that is
neglected and does not have follow-up on their needs, and who may later end up hospitalized, implying double expenses and a
setback in their treatments.

Regarding axis 7, on the creation of review bodies in the jurisdictions, it states that it is very positive and that the Review Body is
responsible for the organization of local review bodies.

He then adds that everything mentioned will later be sent in more complete form in writing.

Immediately afterwards, Dr. Hugo Barrionuevo takes the floor, thanking him for his participation, pointing out that the
observations vations were very pertinent, and that the Plan will be reinforced with contributions.

Andrea Demasi takes the floor, who proposes establishing a deadline to receive contributions. Immediately afterwards, Hugo
Barrionuevo proposes that the deadline be Monday, December 14.

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Being 3:00 p.m., and there being no more speakers to present, the meeting ends.

ANNEX IV
Contributions to the consultation of Federations and Associations of Professionals and Qualified Persons

On the 1st day of December 2020, at 2:10 p.m. representatives of associations that bring together mental health professionals
and experts, previously convened, meet via videoconference through the Webex platform in order to begin working on the draft of
the National Mental Health Plan, which has been previously submitted for analysis.

The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo, welcomes
those present and asks each entity to make their contributions and opinions in a time of no more than approximately 8 minutes,
so that each of the 15 institutions have time to present. Without prejudice to this, it informs that a longer period will be set so that
they can send opinions and suggestions in writing. He reports that there are still a significant number of meetings ahead with
different institutions and organizations to continue working.

The floor is then given in alphabetical order to the Associations that are present.

The Argentine Mental Health Association is convened. For this institution, Alberto Trímboli takes the floor, who has connection
problems, so he gives the floor to Gustavo Bertrán on behalf of the same institution. titución, remembering that later when the
connection problem is solved, he will resume speaking.

Gustavo Bertrán affirms that more emphasis should be placed on outpatients, and not only on inpatients two, since the outpatient
clinics are very unprotected, especially financially. He argues that they should be helped with subsidies for rent and food. On the
other hand, and in relation to point 4 on internal devices The media states that it seems a bit summarized by what should be
defined as the Day Hospital. In that sense he affirms that he could be defined as an integrator of difference. He maintains that he
is confused with a dis positive to rehabilitate and resocialize and that it is not about that. He adds that another point that must be
developed further is the specificity of the human resource and the specific competitions for the sector, so that they are not a
distribution, but rather that the human resources have specificity and specific training in order to integrate the difference.

Marcela Torreiro then continues to speak on behalf of the Argentine Association of Occupational Therapists. He reports that due
to the short time they had, he will later send corrections to the draft Plan, but that on page 9, chapters 5 Care Criteria based on an
interdisciplinary approach, the mental health patient continues to be treated as a different patient. It is seen as very sectorized, so
the text should be changed so as not to stigmatize the mental health patient.

He states that on page 17, it talks about new treatments and does not talk about the long-term patient who often does not reach
the hospital but who can be treated at some CESAC and who seek medication at the hospital.

In relation to the psychotropic drug prescription protocols on page 18, he states that it would not be clear if a clinician can
prescribe them or if there will be a psychiatrist and what the medication delivery protocol will be like. He adds that many times
there is conflict because a mental health patient who arrives does not have someone to care for him in a timely manner or as they
intend, and sometimes they get nervous if the medication is not available.

On page 20, in the point about ensuring care with dignified treatment and respect for human rights, he asks what difference there
would be between any non-mental health patient with those who are mental health patients with respect to dignified treatment and
respectful of human rights.

Continuing with the text on page 20, indicate if the guide and protocol are considered the same; and on page 23, where it says
refunctionalization of the facilities according to the process of adapting the system to local needs, it leaves the question of
whether it is a guide, a protocol or whether both words are used synonymously.

Regarding the gender perspective, on page 10, it states that it is not very clear, because the genders that are named are
heterosexual and the others are lost. And regarding the community workshops in APS on page 14, it states that therapists are
used to doing this type of activities both in hospitalization and in outpatient clinics because it corresponds to their responsibilities;
and which in turn are relegated that this issue has a lot of prominence in the law, but that they are lacking places.

Continuing with the presentations, Cesar Lucchetti speaks on behalf of ADECRA. Thank the National Directorate for the
opportunity to allow work on the National Mental Health Plan.

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It states that there is a need to modify the Mandatory Medical Plan – PMO, so that the benefits are covered. open and aligned to
the new legal framework. There is a legal framework and a clinical reality that is changing. I have to improve and contextualize the
clinical reality in the most general way possible, fundamentally due to the fact that we are going through a pandemic that marks a
before and after for the entire system. He adds that we must talk about gradients of complexity and severity and to see what
healthcare responses correspond to these gradients of complexity. He states that we should think not so much about the territory
where the service is provided, but rather how appropriate the assistance response is. He adds that the situation changed radically
from February 2020 to date and that it is not known what will be appropriate in 2021; And for this reason, we must think about
how human resources are cared for, which is already suffering from the consequences of the pandemic.

Regarding the concept of a day hospital, two main axes emerge: on the one hand, crisis intervention and the appropriate
response to the crisis, and on the other, the day hospital as an alternative to hospitalization or post-intervention. With believes
that the concept of psychosocial reintegration is the more current concept than that of a day hospital, which would be limited to a
process of stabilization of the condition with which the crisis reached.

He adds that another issue is the lack of intermediate devices and the serious difficulty that ADECRA has in caring for patients
with serious mental health problems. And finally, he states that it is important to give priority to serious mental disorders and
illnesses and hence the articulation between the polyvalent and the institution. specialized training for a sufficient period of time.
The concept of high quality is a concept to work on. He states that discharge is not “yes” or “no,” because there are gradients
depending on complexity.

Next, Alberto Trímboli uses the word again by the Argentine Mental Health Association, who states that on page 13, point 3,
substitution of monovalent establishments, it is necessary to clarify that the law does not speak of substitution of monovalent
establishments but rather of hospitalization in hospitals. general, which is why it is the hospitalization that must be adapted in
monovalent establishments. He adds that what the law prohibits is confinement in monovalent establishments.

He maintains that we must focus on the social determinants of health to prevent people from getting sick and try to establish
intersectoral devices and actions that lead to this way of living in the community, all in relation to what appears on the page 14 on
promoting early identification and addressing. He adds that the empowerment of user and family associations must be taken into
account since users and family members are fundamental actors of change, so in his opinion it would be good to establish a
minimum network of devices based on the community where everything, taking into account the population of the community.
Emilio de Fazio continues to speak on behalf of the Argentine Association of Mental Health Institutions, who is grateful for the
invitation from the National Directorate of Mental Health and Addictions and for being able to share the debate. They state that
they have received the draft of the plan, and that they have not had much time but that they have analyzed it.

Reports that they make up a network of institutions that develop mental health activities throughout the country ape ged to the
precepts of the mental health law and who work in multidisciplinary teams without preeminence of one over the other, prioritizing
outpatient care, using all therapeutic devices in a rational manner and with a scientific basis that have managed to significantly
reduce the volume of pa patients who are in the hospitalization area; and they have recently established devices such as the
Community Integration Module that allows the patient to reintegrate into the community. These patients who previously had long
stays in hospital, today can clearly be seen reintegrated into the community.

It states that due to the fact that they are integrated into community-based mental health care networks, they consider that they
should participate in a debate in which the possibility that these institutions that meet all these parameters could develop all of the
therapeutic alternatives that mental health has today.

He proposes that social security representatives who have important arguments be included in the debates. ments to pour.

Next, Cora Luguercho speaks on behalf of the Association of Argentine Psychiatrists. tinos, who states that they have already
sent the observations in written form. Thank you on behalf of APSA and adhere to the reference that was already made in relation
to the difficulties to the PMO and what was raised about ambu approaches. latories. He then adds that the considerations that
must have special treatment are the issue of children and adolescents as well as the approach to older adults and treatment by
age groups. Also problematic consumption, especially with respect to alcohol, as it is a very important problem that should be
focused on. He states that focus should also be placed on the issue of the problem of urgency and emergency in mental health. It
suggests considering how you plan to budget for readjustments and whether it is contemplated.

Finally, he adds that APSA has been stating that we should not talk about closures but rather about openings and ending the
asylum logic. Readjust rather than close.

The floor is then given to Liliana González representing the Association of Mental Health Institutions of CABA - ASME, who
thanks the call and introduces the institution.

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Regarding the draft Plan, he states that he will raise some points on some axes. He states that with regard to substitution, it is a
very important issue to open working tables and discuss what it is about. It states that they are in absolute agreement with all
community devices and that they have community devices within their network such as outpatient clinics, day hospitals, liaison
psychiatry through 11 multipurpose institutions where patients with co-morbidity, home emergencies, home treatments, halfway
houses, where the community, gender and rights perspective is very important chos. He adds that all involuntary patients receive
the information in article 7, and know their rights.

He states that they disagree with asylum devices, because a patient not only becomes insane in a hospitalization, but in any
device to the extent that it does not progress and becomes chronic. He adds that for this it is very important to open a space for
dialogue about what the replacement of institutions means.

Finally, he adds that he is very concerned about point 7, axis 7 on authorizations due to the time it takes for public organizations
to process the procedures.

Next, the Federation of Psychologists of the Argentine Republic – FEPRA is summoned, which represents given by Alberto
Muñoz -, who states that they are not yet going to return the document due to the times; but he will make some comments about
some aspects that you have seen.

Understands that any adaptation process must have a vision of a territorial and federal nature, to have a real baseline of mental
health devices in all territories, since to be community-based, mental health has to be territorial, because It is very difficult if you
do not know the characteristics of the community; and a tactical agenda must be had with each of the territories due to the
different situation of each one.

He adds that there must be financial support within the framework of the territories to carry out mental health policies in the best
possible way and that users and family members must be thought of as active participants in the National Mental Health Plan,
also requiring strong policies. fight against social inequality as a central element to equalize rights based on health.

He states that it is important to work on two vulnerable age groups. These are boys, girls, adolescents and older adults.

He adds that as central aspects, it is particularly necessary that the plan be adapted to the greatest number of instances of
relationship with the entities that form human resources so that mental health is an instance of a transversal nature with anchoring
in the intervention devices. within the framework of the community you want to have.

Darío Sangineto continues with the exhibition on behalf of the Argentine Psi Association. Children's chiatry. He informs that the
Association is sending a series of considerations and contributions via email. Without prejudice to this, mention the importance
that they understand should be given to the problems of the child and youth population, which is why they should be expanded
further in the Plan. He adds that there are a series of issues related to community, therapeutic and rehabilitation devices that are
not contemplated for the child and adolescent population, including problems of substance consumption and articulation with the
area of disability. It suggests that addressing more severe conditions in the child and adolescent population at this time requires
greater work and complexity since they cannot be considered solely within the framework of what disability is. In relation to
residential devices, they observe that there is very little development in psychosocial rehabilitation for adults and for the child and
adolescent population, which is practically non-existent throughout the country. For this reason, it is considered necessary sary in
those severe cases where there are vulnerable families not only from the pathological point of view but also from the problems
important social issues, that approach devices are created that help reconnect children and adolescents with certain problems
with their primary family group; and this issue would not be contemplated in a plan.

Immediately afterwards, Gustavo Bertrán from the Argentine Mental Health Association takes the floor again and congratulates
the National Directorate of Mental Health and Addictions for allowing all sectors to be heard. He states that he wants to highlight
that in the subsector of social and prepaid works they cover psychotherapy sessions and day and inpatient hospitals per year very
poorly and for a short time, and if this situation is not modified, everything falls on the public sector. The other thing he wants to
add is to see the specificity of a specific batch of Covid vaccines for this type of patients because they have very significant
difficulties in following social distancing and care regulations, so it is essential that there are specific vaccines for this sector.

Marcela Torreiro then takes the floor again, representing the Argentine Association of Occupational Therapists, who thanks and
comments that the document arrived yesterday night and that there are a lot of things that they still could not see or think about,
so during The week they will send something in writing. Without prejudice to this, he appreciates the call.

Having concluded the presentations of the participants, the National Director of Mental Health and Addictions Hugo Barrionuevo
proposes taking until Friday 11/12 for everyone to send their contributions, in order to review the document and make the
appropriate comments.

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It being 3:30 p.m. the meeting is ended.

ANNEX V
Contributions to the consultation of National State Organizations

On the 9th day of December 2020, at 9:35 a.m. Representatives of national organizations meet via videoconference through the
Webex platform, which deals with the issue of mental health from different perspectives. different areas, previously convened, in
order to begin working on the draft of the National Mental Health Plan, which has been previously submitted for analysis.

The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo, welcomes
those present and asks each organization to make their contributions and opinions in a time of no more than approximately 8
minutes, so that each of the organisms present have time to present. Without prejudice to this, it informs that a longer period will
be set so that they can send opinions and suggestions in writing.

He reports that there are still a significant number of meetings ahead with different institutions and organizations to continue
working.

The floor is then given in alphabetical order to the organizations that are present.

First, the National Committee for the Prevention of Torture is convened. On behalf of said organization nism, Gustavo Palmieri
and Facundo Capurro Robles are present. Next Gustavo Palmieri takes the floor.

Gustavo Palmieri appreciates the invitation and above all appreciates that the issue of mistreatment and torture is taken into
account within the planning of the National Directorate of Mental Health.

He affirms that human rights came to the world of health as they came to other worlds and knowledge. With He continues by
saying that this arrival was not always peaceful and particularly in the world of mental health, a paradigm shift was often
proposed, as in reproductive health.

It expands by saying that since the end of the last century different international, regional and national organizations have raised
the issue of human rights and within that raising of human rights issues in ma In the area of mental health, there are specific
organizations that work on issues that have to do with the possibility that some practices developed in this area could result in
cruel treatment, mistreatment or be unworthy, not protect the dignity of people or in case of seriousness become constitutive of
situations of torture. He clarifies that it is not torture as imagined in the Assembly of the year National Mental Health Plan.

With respect to the National Plan, it raises six issues that, in its view, may have to do with or lead to situations of undignified
treatment or situations that, if very serious, can be cruel.

The first element that is mentioned that is included in the plan and may have to do with undignified or cruel treatment, is that of
interning people who do not have criteria for hospitalization or prolonging the hospitalization beyond what has to be done or
generated. forms of treatment that prolong that treatment. He adds that the same census states that there is a percentage of
more than 35% of people who do not have hospitalization criteria and are hospitalized, clarifying that the census was carried out
only on one of the parties.

He goes on to say that extending information from the entire mental health system to also include therapeutic treatment places is
essential to know what the general context is and improve control mechanisms for that. He affirms that the proposals presented in
the plan regarding interdisciplinary teams to determine These situations and the controls that are needed for this are also
important to accompany these teams, as are the local control bodies of the Mental Health Law as well as the Ombudsmen of
article 22 of the Law.

As a second issue, it states that the system allows forms of coercion, whether physical, clinical or medical, when a person is
affected in a motor way or may harm or harm another person. Now, continue saying that from international and national
recommendations this is exceptional. Therefore, he adds that what needs to be stated within the guidelines that the program has
is what these exceptional situations are, where these events will be recorded, what are the issues where it cannot be used and
how. He adds that it must be clearly stated that it can never be used as if it were punishment and that the forms of institution are
not for the government of institutions. He affirms that there are protocols but they are incipient, they are not unified and that a
discussion about what these situations of physical, clinical and medical coercion are is essential.

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As a third axis, it explains that it can also come to see undignified or cruel treatment in the building and treatment conditions, and
the lack of goods necessary to be able to have dignified treatment. Clarifies that they are not just talking not only the treatment
conditions, but also food, water, buildings, basic issues that are indicated in the plan and that are fundamental for him.

As a fourth axis, it states that the treatment itself always has or can have risks or has had risks of falling into situations of cruel or
undignified treatment. Below he presents three examples of these.

The first example he raises is about electroshock treatments, he says that there are works on this where national and
international bodies have begun to recommend their prohibition or regulation.

As a second example, he evokes the issue of medication, saying that there are cases where patients are undermedicated or
overmedicated, situations that are very serious. Therefore, it proposes including supervision mechanisms.

Finally, as a third example, it mentions certain addiction treatment practices, which although the Addictions Law and the
regulations of the Mental Health Law discourage, they do not prohibit, therefore they can be practiced. In this type of practices, it
clarifies that what must be controlled is how informed consent is guaranteed and that none of the practices carried out can involve
psychological abuse or physical abuse, that is, neither psychological violence nor physical violence.

As a fifth axis, it proposes that mental health populations have to be particularly protected and in all these groups/communities,
the registration of mortality, the reasons for mortality appear as a tool. protection, which in their opinion is essential to be included
in the Plan.

Finally, it adds the axis of people deprived of their liberty in the penitentiary system that the Plan includes. In relation to this, it
mentions that there are two serious problems with the undignified and inhuman or degrading treatment of people who find
themselves in said situation.

He continues by saying that on the one hand, the national system has not resolved what to do with unindictable people when the
penitentiary system is not prepared to receive them.

On the other hand, it proposes mental health care treatment for people who have been convicted or deprived of their liberty for
having committed criminal offenses.

Finally, it closes by saying that poor care or inattention to any health problem, including mental health, can constitute cruel
treatment, abuse, or indignified treatment.

It makes itself available to collaborate in whatever is needed for the implementation of these recommendations and appreciates
the attention.

Immediately afterwards, Dr. Hugo Barrionuevo reports that Esteban Bogani, undersecretary of the Undersecretary of Promo tion
of Employment of the Ministry of Labor, requests to explain first given that he has other commitments, which is accepted and he is
given the floor.

Esteban Bogani thanks the invitation and the colleagues who gave him the floor.

Below he shares two concerns/axes he has.

The first point refers to the target population of this health policy. In relation to this, he affirms that there is a common axis of work
which is the possibility of thinking about actions for labor insertion, socio-productive and socio-laboral of these people. He points
out that the Ministry of Labor has current programs that work on this issue. He adds that it is an issue that needs to be worked on
together and in a very careful manner.

As a second point, it refers to the workers in the sector, depending on the transfer of the hospitals. novalent. It emphasizes
accompanying this transformation and the reconversion and adaptation of workers.

Finally, it raises the issue of companies and entrepreneurs since the Law establishes the preservation of employment.

Close by thanking you for participating in the meeting.

Next, and returning to the proposed alphabetical order, the National Institute against Discrimination is convened. nation,
Xenophobia and Racism - Directorate of Anti-Discrimination Policies and Practices. Representing said organization, Erica
Almeida and Lorena Carignani are present. Next, Erica Almeida takes the floor.

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Thank you for your participation and the opportunity to be part of the meeting.

It emphasizes that discrimination is a constituent part of the suffering of people who suffer from it. mental disorder and they are
subject to stigmatization, discrimination and, in the case of addictions, even criminalization.

In relation to this, it seems important to include within the entire Plan a more comprehensive transformation when it comes to non-
discrimination and proposes adding, within the transformation of monovalent vehicles, and initiatives that contribute They promote
non-discrimination and stigmatization, transforming it into another line of work.

He affirms that there are groups that are historically discriminated against and in relation to this he states that in section vin culled
to the groups, it would have to be reviewed and that the different actors, referents of the communities should be part of it so that
the specific needs of each one are collected. He adds that the plan must contain plan how to eradicate racist and xenophobic
practices towards these groups.

It proposes that gender and diversity issues and their groups be made visible to the Plan.

He adds that he thinks the issue of accessibility is important in all its forms, from the care process, infrastructure, the way of
communicating and more transversality.

Regarding sexual and reproductive rights, it states that it is essential that they be contemplated in the National Plan in a general
way with emphasis on discriminated groups.

The SENNAF is then summoned. Alejandra Shana is present on behalf of said organization. They have been National Director of
Promotion and Comprehensive Protection of the SENNAF and immediately took the floor.

Celebrate and appreciate the participation and the meeting and the fact of working on the National Comprehensive Mental Health
Plan.

He reports that he would like to incorporate the particularity of childhood and adolescence into the plan and deepen it, given that
he considers that it has to be a transversal axis in the Plan. He states that it is important to work on this issue with local effectors
and organizations, for their articulated work.

He adds that it is essential to guarantee access to mental health services at local, municipal and municipal providers. cipal or
provincial, with measures to protect rights.

Finally, he highlights the importance of considering issues of childhood and adolescence in the Plan and thanks again for
participation.

The Ministry of Education is then summoned. Natalia González, Coordinator of the Prevention and Care Program in the
Educational Field, and Manuel Badino, member of the team, are present on behalf of said organization. Next Natalia González
takes the floor.

Thank you for the invitation to the space.

He states that it seems essential to be able to articulate at the local level with the different areas involved in the education, health
and rights system, to guarantee and protect rights and establish a corresponding criterion. sability.

He adds that the right to continuity of educational trajectories must be assured to people who are in They are included in mental
health and have joint support to guarantee it.

The Ministry of Labor is then summoned. Representing said organization, Ma estuary Cecilia Vitacco and Mauricio Capart. María
Cecilia Vitacco takes the floor.

He appreciates the participation, informs that he sent his comments via email and that he shares all the contributions made by the
other participants.

Continuing with the exhibitions, SEDRONAR is summoned. Marcelo Clingo, National Director of Research, and Claudia Cazabat,
National Director of Critical Care, are present on behalf of said organization. Marcelo Clingo then took the floor, thanking him for
his participation and expressing the importance of the meeting.

Reports that SEDRONAR recently modified its structure following mental health principles
.

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Regarding the Plan, as a first point, I would like to highlight some issues regarding the regulatory framework. In relation to this, it
seems essential to incorporate the IACOP Law, Law 26,934 of 2014.

In question, the primary care axis considers it essential to incorporate community-based devices into the network of territorial
primary health care actors.

In relation to general hospitals, he states that it is essential to continue with the policy of creating interdisciplinary guards.

Adds the possibility of incorporating detoxification spaces in general hospitals.

Regarding records, the creation of a single registry stands out to strengthen coordination, generate better levels of accessibility
and consolidate information regarding what is happening in terms of consumption and protection. mental health issues throughout
the territory of our country, achieving a more complete and comprehensive record. As a last point, he mentions the issue of
training and research, celebrates that it is included in the Plan and highlights that he believes it is essential to transform the study
plans of some of the professions mentioned in the National Mental Health Law and that state airlines invest in research.

Claudia Cazabat then takes the floor, thanking her for participating and stating that she is going to develop her presentation on
two issues.

She reports that she thinks it is very important to strengthen the gender perspective in all spaces and issues regarding
residences.

It states that a way should be found to eradicate unlicensed institutions, which violate rights of people.
Having concluded the presentations of the participants, the National Director of Mental Health and Addictions Hugo Barrionuevo
thanks those present for their participation and contributions. It is proposed to take until Monday 12/14 for everyone to send
contributions or expand those sent, in order to be able to review the document and make the appropriate comments.

It being 11:10 a.m. the meeting is ended.

ANNEX VI
Contributions to the consultation of the Honorary Mental Health and Addictions Advisory Council

On the 11th day of December 2020, at 9:30 a.m. representatives of the Honorary Advisory Council on Mental Health and
Addictions, previously convened, meet via videoconference through the Webex platform in order to begin working on the draft of
the National Mental Health Plan, which has been sent previously taken for analysis.

The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo, welcomes
those present and requests that they make their contributions and opinions in a time of no more than approximately 8 minutes, so
that each of them those present have time to present. Without prejudice to this, it informs that a longer period will be set so that
they can send opinions and suggestions in writing.

He then informs those present that a Minute of the meeting will be prepared and that it will be recorded to record the contributions
and interventions made during the meeting.

Next, María Marcela Bottinelli, President of the Council, takes the floor and states that she has more general questions than
specific contributions. He points out that the commissions that make up the Council do not function autonomously and that
everything is discussed in the plenary session of the Council. He warns that anything said at today's meeting has to be validated
by the plenary session of the Council so that it has the basis of the Advisory Council. He expressed that he had not understood
that he had to bring the definitive contributions today and that they also do not arrive with the procedure that this requires from the
Council.

Next, ask how much time the Council has to send its recommendations, what the rounds of consultations are like and how they
were structured.

It expresses the need for the latest version of the draft of the National Plan with the contributions of all actors to be reviewed by
CONISMA and the ADVISORY COUNCIL.

Andrea Demasi then takes the floor to answer the questions raised.

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He clarifies that given the dynamics of its operation, the Advisory Council was given as much time as possible so that they have
the greatest number of days so that they can review the plan, unlike other actors where they were only given five days. I continue
by stating that the actors who did not arrive with their contributions on the day of the meeting were given the opportunity to send
them a few days later by email. He stressed that the objective of this work is for this to be a process of collective construction, not
a mere bureaucratic process.

It proposes setting today the date for sending the definitive contributions of the Advisory Council.

María Morillo then consulted which of the associations were consulted and called for the meetings.
Below Andrea Demasi answers the question by asking Martin Cagide to please list the associations tions that were called and
clarifies that if the Council knows of any that have not been named and should be invited, please send the data and they will be
called without any problem.

Martin Cagide lists the associations called.

Iris Valles then takes the floor and states that she agrees with what was stated and reiterates the possibility. ability to convene
associations that have not been convened until now.

Tatiana Moreno then takes the floor.

It states that emphasis must be placed on the training of human resources involved in the field of mental health. He highlights that
the transformation of monovalent vehicles cannot be done only from within.

Reports the lack of human resources in small towns as well as the impossibility of housing ment of the users of the system in said
locations.

Requests that users of the mental health system and the associations that represent them have more participation within the
Plan.

The leadership of CONISMA in matters of addictions stands out.

Finally, he proposes that the census carried out in 2018 be taken as a starting point for the new National Plan.
María Morillo then takes the floor, reporting on the mental health situation in the province of Córdoba.

It states that the state does not care about users or professionals and there is a lack of professionals.

He highlights the need to have mental health workshops given that those that were there were closed.

He adds that there should be temporary asylum houses and halfway houses.

He exclaims that the situation in Córdoba in terms of mental health is worrying and that there is a lack of resources of all kinds.

Miguel Tollo then takes the floor, stating that he believes this call is essential because we must return to a direction and build a
participatory policy.

He states that it is positive that the plan has a centrality in the person but he would add that it must also be focused on the
community and on rebuilding the social bond.

It states that the plan must also target the sectors most affected by the COVID-19 pandemic and emphasis must be placed on the
hospitalized population and intersectionality.

Finally, he declares that the plan should place more emphasis on the issue of childhood.

Continuing with the presentation, Natalia da Silva speaks.

He states that he highly values what is reflected in the plan regarding the training axis and with respect to this it would only
reinforce the centrality that CONISMA has on the issue.

Expresses the importance of integrating mental health with other initiatives of the Ministry of Health.

In relation to the axis of information systems and the census, it seems that it is necessary to evaluate the possibility of carrying out
another census that resumes the previous one and adding people with problematic consumption.

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He closes by saying that the federal level must be reinforced, when thinking about progress indicators that allow us to show how
the jurisdictions are progressing.

Paula Abregu then takes the floor, stating that she has some concerns as a contribution.
As a first point, ask about the budget.

Then check if the jurisdictions' adaptation plans have to be related to the national plan.

Dr. Hugo Barrionuevo then takes the floor to answer the questions asked.

He clarifies that in the province of Buenos Aires what was announced was not the closure of admissions to single-use vehicles,
but rather the entry of users into long-stay wards.

Regarding the adaptation plans of the provinces, it informs that they can advance in the plan without waiting for the closure of the
National Plan. He emphasizes that the provinces have direct responsibility for their territory. In relation to the consultation on the
Census, it states that article 35 of the regulations of the National Law of Sa lud Mental, establishes that the census has to be
done with the provinces and the information has to be provided by the provinces and that what the law proposes in this regard is a
floor, a minimum.

It then reports that the National Directorate of Mental Health and Addictions is working on a rule where the Ministry of Health is
informed of mandatory and immediate notification of hospitalizations.

Immediately afterwards, María Marcela Bottinelli, asks if the National Directorate of Mental Health and Addictions takes ron the
inputs provided from the document sent on the closure of the previous Advisory Council and adds that we must think about
planning processes with continuous evaluation that can be reviewed/supervised jointly between the State and social
organizations.

It highlights the importance of coordination with the Superintendency of Health Services for the adaptation of benefits.

Next, Hugo Barrionuevo reports that everything sent in a timely manner was taken into account for the draft Plan.

He comments that they are working with several areas of the Ministry of Health, with the REMEDIAR program for the
incorporation of psychotropic drugs, with the SUMAR program where eleven new mental health benefits have been incorporated,
with the networks program, with the impulse program for everything related to the digitization of clinical history, with the National
Quality Directorate for Guidelines and for quality processes for international nes, with the National Directorate of Human Talent for
the issue of training and residencies and with the Directorate of Non-Communicable Diseases for the alcohol program.

Clarifies that SEDRONAR cannot be part of CONISMA because it is not a ministry. If your participation in work tables is planned.

It states that with respect to the coordination with the Superintendency of Health Services for the adaptation of benefits, a joint call
is being carried out with the participation of ANDIS, ANSES and PAMI to strengthen the issue of benefits.

He adds that work is also being done on the security forces protocol for boarding people. nas with problems in mental health and
consumption, with the update of the existing one approved by Resolution 506/2013 of the Ministry of Security.

He states that all suggestions sent will be welcomed and that the idea is to present the National Mental Health Plan in the month
of March.

Andrea Demasi then reminds those present to send the list of organizations that the Council Con sultivo considers that they
should be present in the rounds of consultations. It was then agreed that the Council would send its conclusions and contributions
in a consolidated document between now and December 23.

It being 11:15 a.m. the meeting is ended.

ANNEX VII
Contributions to the consultation of User Associations, Users and Family Members, Non-Governmental Organizations mental and
Civil Society Organizations

On the 15th day of December 2020, at 9:40 a.m. representatives of Social Organizations linked to Mental Health, previously
convened, meet via videoconference through the Telehealth platform of the Ministry of Health of the Nation, via Webex, in order
to begin working on the draft of the National Mental Health Plan, which has been previously submitted for analysis.

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The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo, welcomes
those present and asks each speaker to make their contributions and opinions in a time of no more than approximately 8 minutes,
so that each one present has time to present. Without prejudice to this, it informs that a longer period will be set so that they can
send opinions and suggestions in writing. Inform those present that a Minute of the meeting will be prepared and that it will be
recorded to record the contributions and interventions made during the meeting.

The floor is then given in alphabetical order to the Social Organizations that are present. tes.

First of all, the Civil Association for Equality and Justice is called. On behalf of said organization Eduardo Quiroga and Celeste
Fernández are present. Next Eduardo Quiroga takes the floor. Appreciates the participation and proposes giving mental health
users greater participation in the Plan.

It adds including greater participation of people with disabilities in the Plan, either as an axis or as a more detailed activity.

It exposes the need to have a larger budget to carry out these actions.

Celeste Fernández then takes the floor, expressing the need to incorporate indicators into the Plan. It proposes incorporating into
the Plan the strengthening of public sector controls over the private sector.

States to include within the foundations of the Plan the International Convention on the Rights of Human Rights. You are disabled.

In relation to the point of general hospitals, it proposes adding infrastructure issues such as the adaptation of rooms.

In relation to support systems, it highlights the need to work in relation to the supports chosen by the person themselves.

Finally, regarding the training axis, it states that it could be included that professional practices no longer take place in psychiatric
hospitals.

Next, the Civil Association of Users, Relatives and Friends organization is called. Representing said entity, Mirta Elvira is present,
who takes the floor and states that it would be very good to share the nation's budget with community devices.

Next, the Argentine Association for Helping Persons Suffering from Schizophrenia and their Family is summoned. Beatriz Lopez
and Eduardo Herrera are present on behalf of said entity. Next, Beatriz Lopez takes the floor.

He states that the value that the family has when they are informed is very important, which is why they must be recognized as a
resource and proposes adding them in greater detail to the Plan.

Eduardo Herrera then takes the floor, stating that the issue of resources is fundamental.

He adds that the integration of the family with society in the Plan needs to be complemented.

Next, the Federation of Non-Governmental Organizations of Argentina for the Pre vention and Treatment of Drug Abuse. Fabián
Tonda is present on behalf of said entity. Next, Fabián Toda takes the floor.

Reports that the problem of addictions is not well presented in the Plan, considers that it should be a plan considered as a specific
problem.

He adds that the addiction problem should be in the title of the Plan.

On the other hand, it suggests that when talking about civil association, reference should be made to civil society organizations
that work preventively on mental health problems related to substance use.

It states that the Plan should explicitly incorporate the private sector and give it an explicit role and it should be triangulated gulate
their actions with the public sector and associations.

Finally, he proposes to review the issue of resources.

Immediately afterwards, the Argentine LGBT Federation and the Psychology and Mental Health Team of the Argentine LGBT
Federation are summoned. Magali Sosa and Pablo Cruz are present on behalf of said entity. Next, Magali Sosa takes the floor.

He states that these meetings are very important and enriching.

He adds that more training should be incorporated for health professionals on the LGBT community and the Gender Identity Law.

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Next, Pablo Cruz takes the floor, explaining that the biggest problem that the LGBT community has is access to health without
discrimination.

It highlights greater training in relation to non-discrimination and dignified treatment of the LGBT community.

Finally, it exposes the need to include the trans community within the mental health group.

Next, the Movement for Demanicomialization in Romero is called. Camila Azzerboni is present on behalf of said entity. Next,
Camila Azzerboni takes the floor.

Thank you for your participation and share what was previously stated by the other colleagues regarding the incorporation.
poration of families and associations of Mental Health users.

He adds that a historical overview of Mental Health in Argentina must be incorporated into the Plan.

In relation to primary care, he states that it is necessary to strengthen and clearly explain the relationship with the municipalities.
principles and prioritize the municipal level from the Nation as a policy.

Regarding the point of disciplines, ask how the incorporation of non-traditional disciplines will be in the field of mental health.

Regarding the point of general hospitals, it states adding within these the devices for access to justice to guarantee access to the
right of defense mainly.

In relation to axis three, which is deinstitutionalization, it seems important that the damage caused by prolonged
institutionalization to people be included in the plan. He adds that deinstitutionalization must be accompanied by compensation
measures, actions of non-repetition and guarantees of access to health.

It proposes including asylum victims in awareness campaigns.

He states that all teams must work on deinstitutionalization.

He adds that a clear position must be proposed regarding the closure of confinement institutions, whether public public or private.

It proposes the incorporation of memory spaces in all institutions.

Regarding the point about user monitoring, it seems prudent to change the name of that axis.

In relation to point five, which deals with epidemiological surveillance, it seems important to expand on the data that is collected,
whether a particular system is used and what the consents will be like.

Finally, it highlights the importance of having a registry of children given up for adoption by women who are institutionalized.

Next, the NETWORK OF SOCIAL COOPERATIVES is called. Representing said entity, Federico Bejarano is present, who
immediately takes the floor.

Thank you for participating in the call.

It states that from the general reading of the draft of the National Plan, the vision of an integrated system must be strengthened in
a balanced manner between the health and social health strategies.

He adds that the creation and participation of user associations within the mental health network must be strengthened and a
federal social cooperative network must be established.

Raises the need to establish agreements with areas of extension and university training with cooperatives tives of civil society.

It states that we must strengthen and promote the cooperative relationship between the different sectors of the state and user
associations.

Add that a bridge accompaniment device must be created for each rehabilitation project.

It proposes including greater socio-labor inclusion actions.

It highlights the need to clarify in detail the point of training mental health teams.

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Finally, it proposes that each jurisdiction can evaluate the operating devices in a joint process with the organizations, establishing
reasonable deadlines and adaptation actions.

Immediately afterwards, you are summoned to the Assembly of Mental Health Users for Our Rights in Rosario. On behalf of said
entity, Andres Matkovich is present, who takes the floor.

It states that the participation of user associations requires resources and support.

He adds that it would be interesting to have a national registry of mental health users, with minimum data divided into communes
and centralized.

It states that a fundamental issue to address is the articulation between the three levels of care.

In relation to psychotropic drugs, it seems necessary to ensure them, he reports that the nation has an important role and that we
must think about treatments that do not put them in the center or that aim for their low dosage.

He states that it is important to strengthen training in crisis situations at all levels of care.

Highlights the need to have specific resources in mental health to carry out inclusion sion of the people who are outsourced.
Next, the Mutual Aid Groups Organization is called. Alan Robinson is present on behalf of said organization and takes the floor.

Alan Robinson, greets those present, thanks the invitation and appreciates that the participation of the associations is taken into
account.

It states that mental health user associations must be included in the Plan as trainers.

It adds that the perspective of sexual, mental and physical diversity must be incorporated, guaranteeing accessibility of care.

Finally, it requests that repair policies be taken into account.

Hugo Barrionuevo then takes the floor and thanks those present for their participation and highlights that all the contributions
provided are essential to strengthen the preparation of the Plan.

Regarding the budget, he reports that it will be completed when the Plan is in place, stating that you cannot have a budget without
first having a Plan that marks the path to follow.

Regarding the issue of indicators, he states that they will be incorporated later, as will the goals. He states that the inclusion of
family members in mental health is very valuable.

It reports that there is a deficiency in terms of hospitalization processes, for which it is working with the Di National Health Quality
Section in a standard that regularizes this situation.

He states that they are also working on a notification standard for hospitalizations given that in the current tuality is not notified to
the Ministry of Health of the Province or the Ministry of Health of the Nation.

Next, Andrea Demasi states that those who have documents with proposals to send, send their comments by email so that they
can be incorporated into the draft plan.

Having concluded the presentations of the participants, the National Director of Mental Health and Addictions Hugo Barrionuevo
thanks those present for their participation and contributions, and highlights the importance of sending them, as well as the
expansion of those already sent, in order to be able to review the document and make appropriate comments.

It being 11:30 a.m. the meeting is ended.

ANNEX VIII
Contributions to the consultation of teachers, researchers from universities and national institutes

On the 18th day of December 2020, at 9:40 a.m. representatives of national Universities meet via videoconference through the
Webex platform, who deal with the issue of mental health from different areas, previously convened, in order to begin working on

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the draft of the National Mental Health Plan, which has been previously submitted for analysis.

The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo, welcomes
those present and asks each speaker to make their contributions and opinions in a time of no more than approximately 8 minutes,
so that each one present has time to present. Without prejudice to this, it informs that a longer period will be set so that they can
send opinions and suggestions in writing.

Inform those present that a Minute of the meeting will be prepared and that it will be recorded to record the contributions and
interventions made during the meeting.

The floor is then given in alphabetical order to the National Universities that are pre feel.

Firstly, the Faculty of Medicine of the University of Buenos Aires is summoned. Ignacio Brusco is present on behalf of said
university and takes the floor.

Ignacio Brusco, greets those present, thanks the invitation and appreciates that the participation of academic entities is taken into
account.

It states that Psychiatry professionals are being left aside and that their role in the field of mental health is fundamental.

He reports that he is concerned about how the transformation of monovalents will be carried out and affirms that this issue is not
well raised in the National Mental Health Law.

Finally, he raises the issue of hospitalization and states that there must be halfway houses and it must be reorganized. nize the
same.

Next, the Faculty of Social Sciences of the University of Buenos Aires is summoned. Flavia Torricelli, Milagros Oberti and Pablo
Cymerman are present on behalf of said entity. Flavia Torricelli then takes the floor.

It states that user participation is included in the participatory rounds.

He adds that emphasis must be placed on everything that is interdisciplinary, intersectoral and interministerial, in order to
dismantle the asylums.

In relation to the operational framework contemplated in the Plan, it informs that it should be detailed at that point who would be
the ones who would have to enable, evaluate, supervise, that is, who would be the appropriate instances for the design, control
and planning of this point.

Finally, it proposes to make a special mention of children and adolescents in the National Plan.

He then gave the floor to Milagros Oberti, who thanked her for her participation and proposed incorporating the word problematic
consumption in the name of the plan.

Next, the University of Chubut is summoned. Representing said entity, Anibal Aguaisol and Ingrid Ruscitti are present. Next
Anibal Aguaisol takes the floor.

He states that he finds it essential to defocus the focus on Buenos Aires and centralize logic in a territorial perspective. torial.

Reports that the intersectoral approach reflected in the Plan is key to carrying it out.

It challenges other actors not included, such as users, and their family and friends, to carry out the Plan.

He adds that the Plan must have a perspective that includes gender, childhood, adolescence, women, people with disabilities,
and indigenous populations.

Finally, he adds that we must think about a Comprehensive Drug Plan, which includes a debate on the decriminalization of
substances and the inclusion of a device for users who find themselves in this situation.

He then gave the floor to Ingrid Ruscitti, who thanked her for her participation and proposed working on the full regulation of labor
inclusion programs.

Next, Hurlingham National University is summoned. Marcela Vidondo is present on behalf of said entity, who takes the floor and
thanks her for participating.

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It states that more social actors must be incorporated since intersectorality is fundamental.

He adds that the field of mental health research must be promoted.

Finally, he expresses that the impact that the pandemic is having on the field of mental health must be taken into account.

Next, the National University of Lanús is summoned. On behalf of said entity, pre sentes, Cecilia Ros and Alejandro Wilner. Next
Alejandro Wilner takes the floor.

It proposes the inclusion in the Plan of two axes, one referring to the health of workers and another referring to the mental health
of people deprived of their liberty.

He adds that the Plan must contain goals, indicators and deadlines.

Reports that in relation to the Mental Health axis at the first level of care, the Plan should address the problems of childhood and
youth and, in addition to the problems that are linked to gender violence, those linked to sexual diversity. and cultural, educational
problems.

It states to incorporate into the Plan a strong axis referring to the promotion and prevention of mental health.

It states that an axis on matrix supervision should be added at the first level of care.

Finally, he adds that the focus on diversity, crossing gender and culture, and another on the reorientation of spending that
involves financing different intermediate and sociola devices be included in the human rights axis. borales.

He then gave the floor to Cecilia Ros, who thanked her for her participation and stated that the Plan should include an axis linked
to people that includes care for those they care for, not only aimed at training, but also including other lines of action. linked to
working conditions and other actions linked to support actions to address the suffering and obstacles suffered by mental health
workers.

Finally, it proposes to expand and complement the term Human Resources contemplated in the Plan.

Next, the National University of Villa María is summoned. Elizabeth Theiler and Silvana Pons are present on behalf of said entity.
Elizabeth Theiler then takes the floor and thanks the cipation.

He states that we must think about transversality in the application of the Bread.

He reports that at the university they receive demands regarding the few instances that provide a comprehensive view of
regarding mental health when it comes to professional practice and adds that this topic must be reinforced in the different
curricular instances and include some type of practice associated with the spaces of epistemology, with the spaces of theoretical
construction that can be built through through research processes.

It informs that communication must be added to the axis of prevention and protection.

Finally, he reports that in terms of training strategies, it is necessary to incorporate other disciplines.
He then gave the floor to Silvana Pons, who thanked her for her participation and stated that in terms of ongoing training, she
thought it was important to point out the generation of strategies and actions to formalize and train health personnel.

He adds that in relation to communication it must be strengthened and thought more transversally in terms of the media and
networks.

Finally, it proposes the inclusion and generation of control bodies in local and provincial bodies.

Hugo Barrionuevo then takes the floor and thanks those present for their participation and highlights that all the contributions
provided are essential to strengthen the preparation of the Plan.

He adds that both users and civil associations were summoned to prepare the Plan.

It reports that there is a deficiency in terms of hospitalization processes, for which it is working with the Di National Health Quality
Section in a standard that regularizes this situation.

He states that they are also working on a notification standard for hospitalizations given that in the current tuality is not notified to

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the Ministry of Health of the Province or the Ministry of Health of the Nation.

He explains that the National Directorate is working hard on the issue of training.

Next, Andrea Demasi states that those who have documents with proposals to send, send their comments by email no later than
December 23, 2020 so that they can be incorporated into the draft plan.

Having concluded the presentations of the participants, the National Director of Mental Health and Addictions Hugo Barrionuevo
thanks those present for their participation and contributions, and highlights the importance of sending them as well as the
expansion of those sent, in order to be able to review the document and make the comments that respond.

It being 11:10 a.m. the meeting is ended.

ANNEX IX
Contributions to the consultation of national experts and international organizations

On the 22nd day of December 2020, at 9:35 a.m. Experts who deal with the issue of mental health from different areas, previously
convened, meet via videoconference through the Telehealth platform of the Ministry of Health of the Nation, via Webex, in order
to begin working on the draft of the National Plan of Mental Health, which has been previously sent for analysis.

The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo, welcomes
those present and asks each speaker to make their contributions and opinions in a time of no more than approximately 8 minutes,
so that each one present has time to present. Without prejudice to this, it informs that a longer period will be set so that they can
send opinions and suggestions in writing. Inform those present that a Minute of the meeting will be prepared and that it will be
recorded to record the contributions and interventions made during the meeting.

The floor is then given in alphabetical order to the exhibitors who are present.

First, the floor is given to Alejandra Barcala. Then Alejandra Barcala takes the floor.

Greet those present, thank you for their participation and congratulate the National Directorate of Mental Health and Addictions for
the proposal.

It states that the issue of childhood and childhood must be included in more detail in the Plan, giving it a clear generational focus.

He adds that greater promotion and protection actions must be incorporated in relation to children and childhood and especially
for those who have severe mental disorders.

It informs that we must work together in the process of deinstitutionalization of children and adolescents.

Next, the floor is given to Alfredo Carballeda who takes the floor.

He states that we must think about an integrated mental health system and affirms that what can contribute the most to this
comprehensiveness is territoriality.

It coincides with what was stated above regarding the care of children.

He adds that the first level of care must adequately articulate with the other levels, thinking of the territory as a device, as the
place of care, containment and the place of accompaniment.

It once again highlights the importance of territoriality, in the field of community health, mental health and the need for an
integrated mental health system.

Next, the floor is given to Beatriz Janin, who takes the floor.

Greet those present and thank them for their participation.

In relation to the Plan, it states that it is very important that issues related to children and adolescents are present.

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He reports that today the view of boys and girls was based on pathologies.

Finally, he adds that more resources and spaces must be allocated to address mental health issues in children and adolescents
and, above all, that there are people trained in the matter.

Next, the floor is given to Carlos Tisera, who takes the floor.

He greets those present, thanks them for their participation and explains that it is an honor for him to participate in this space.
In relation to the Plan, it states that we must have a comprehensive view of childhood from birth.

In relation to the training of residencies, he states that a basic restructuring of them must be carried out.

Finally, he explains that a serious and comprehensive approach must be carried out that encompasses virtuality in the field of
medicine.

Next, the floor is given to Claudia Molina, who takes the floor.

Greet those present and emphatically thank you for participating in this space.

Regarding the Plan, it states that it includes a comprehensive system of care and attention for older adults.

He adds that professionals must be prepared to care for the elderly. Report missing for mation at the undergraduate and graduate
levels on this topic.

He explains that today there are no spaces for the elderly and we must think of intermediate spaces for their care.

Finally, he states that we must rethink residences.

Immediately afterwards, the floor is given to Liliana Colauti, who takes the floor.

It states that psychological care in general hospitals should be added to the Plan.

It informs that a comprehensive view is essential and that we must have a more constitutive view of health.

In relation to training, he affirms that there is a deficit both in undergraduate and postgraduate degrees and emphasis must be
placed on the approach to the patient.
Close by thanking you for your participation.

Next, the floor is given to Sandra Merlo, who takes the floor.

Thank you for your participation and celebrate the fact that these spaces are being held.

The incorporation of federalism in the Plan stands out and that it has been marked as a central point.
Highlights the inclusion of gender perspectives in the Plan.

He states that the budget is a central issue and that he did not see it stated in the Plan.

In relation to the preparation of guides and protocols contained in the Plan, it suggests that the various differences be taken into
account. The particularities of our country's federalism at the time of its writing.

Regarding the point on awareness and stigmatization policies, he considers that it is central and that it must be developed more
widely.

It highlights that the socio-labor inclusion contained in the Plan is an important axis.

Finally, he proposes expanding the point on access for people with mental illness in conflict with the
Penal law.

Immediately afterwards, the floor is given to Federico Falk, who takes the floor.

Highlights the importance of having a National and Federal Plan.

With respect to the first level of care, it highlights that we must have an intersectoral view and provide it with greater resources.

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It expresses the importance of true training for care agents.

In relation to the second level of care, it adds to include everything that has to do with work stress and form comprehensive work
teams.

Depending on the third level of care, he highlights the inclusion of interdisciplinary work in the Plan and adds that more
articulation with the other levels should be incorporated.

He closes his presentation by informing that epidemiological surveillance must be thought of as a general support strategy.

The floor is then given to Silvia Faraone, who takes the floor.

Regarding the Plan, it suggests that in the background part, it be briefly based on the existing problems.

He states that the Plan must be very clear about the deinstitutionalization processes, and proposes that the perspective of ethics
and permanent surveillance in transinstitutionalization be included in it.

He informs that he understands the operational framework as another issue different from how it is reflected in the Plan, and that
his contributions in relation to it were sent by email.

Regarding the axes, it states that the problem of problematic consumption must be made more visible in the Plan.

He adds that he finds it interesting to reinforce actions in agreement with Universities and research teams.

tion.

It states that the sexual and reproductive rights of people hospitalized with conditions must be incorporated. mental cough

Finally, it states that the Plan should contain the lines of interdisciplinary training that professionals who work in the field of mental
health should have.

Next, Beatriz Janin asks to speak. He is then given the floor.

It states that the issue of the certificate of disability in children should be included in the Plan.

Hugo Barrionuevo then takes the floor and thanks those present for their participation and highlights that all the contributions
provided are essential to strengthen the preparation of the Plan.

Regarding the budget, he reports that it will be completed when the Plan is in place, stating that you cannot have a budget without
first having a Plan that marks the path to follow.

Regarding the territory, he states that the PMO must be reformed. He adds that the National Directorate of Mental Health and
Addictions is working on this reform with the incorporation of benefits.

It states that as a result of the contributions provided, an axis will be incorporated into the Plan referring to the promotion of
Mental Health.

It reports that there is a deficiency in terms of hospitalization processes, for which it is working with the Di National Health Quality
Section in a standard that regularizes this situation.

He states that they are also working on a notification standard for hospitalizations given that in the current tuality is not notified to
the Ministry of Health of the Province or the Ministry of Health of the Nation.

Next, Andrea Demasi informs that those who have documents with proposals to send, send their comments by email no later than
January 12, 2021 so that they can be incorporated into the draft plan.

Having concluded the presentations of the participants, the National Director of Mental Health and Addictions Hugo Barrionuevo
thanks those present for their participation and contributions, and highlights the importance of sending them, as well as the
expansion of those already sent, in order to be able to review the document and make appropriate comments.

It being 11:45 a.m. the meeting is ended.

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ANNEX
Contributions to the consultation of unions that represent Health workers

On the 21st day of December 2020, at 10:00 a.m. Union representatives, previously convened, meet via videoconference through
the Webex platform in order to begin working on the draft of the National Mental Health Plan, which has been previously
submitted for analysis.

The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo, welcomes
those present and informs those present that a Minute of the meeting will be prepared and that it will be recorded to record the
contributions and interventions made during the meeting.

Next, Andrea Induni and Alejandro Todaro take the floor, who are present on behalf of the Union of National, Provincial and
Municipal Public Workers, Union of Civil Personnel of the

Nation (UPCN).

Andrea Induni then greets those present and informs that she will make a brief presentation and that in these days she will send
her contributions in writing.

He states that health workers are going through a very distressing time and that it would be necessary to expand the use of
licenses for health personnel.

He affirms that health workers must be prepared not only with supplies but with a certain strength. lece to carry out their practices.

Next, Alejandro Todaro takes the floor and expresses the work stress that all mental health workers are suffering and requests
that group devices be implemented to address this issue and that of substance use among health personnel.

Finally, he adds that extra-jurisdictional mental health territorial approach teams should be created.

Having concluded the presentations of the participants, the National Director of Mental Health and Addictions Hugo Barrionuevo
thanks those present for their participation and contributions.

It being 10:40 a.m. the meeting is ended.

ANNEX XI
Contributions to the consultation of National State Organizations – complementary round

On the 14th day of January 2021, at 10:07 a.m. Representatives of national organizations that deal with the issue of mental health
from different areas, previously convened, meet via videoconference through the Telehealth platform of the Ministry of Health of
the Nation, via Webex, in order to begin working on the draft. of the National Mental Health Plan, which has been previously
submitted for analysis.

The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo welcomes
those present, thanks them for their participation and gives the floor to Lic. Andrea Demasi.

Andrea Demasi asks each speaker to make their contributions and opinions in a time of no more than approximately 8 minutes,
so that each of those present has time to present. Without prejudice to this, it informs that a longer period will be set so that they
can send opinions and suggestions in writing.

Inform those present that a Minute of the meeting will be prepared and that it will be recorded to record the contributions and
interventions made during the meeting.

The floor is then given in alphabetical order to the organizations that are present.

First of all, the National Defender of the Rights of Girls, Boys and Adolescents is summoned. In represents tion to said
organization, Clarisa Adem is present, who takes the floor.

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Greet those present, thank you for their participation and congratulate the National Directorate of Mental Health and Addictions for
the proposal.

It states that it is necessary to highlight the issue of girls, boys and adolescents in the Plan.

It states that it is important to have a registry of girls, boys and adolescents in mental health facilities. Finally, he informs that he
will send his contributions in writing.

Next, the Ministry of Women, Gender and Diversity is summoned. Florencia Yellati is present on behalf of said organization and
takes the floor.

It mentions that the diversity perspective and intersectional approach must be reinforced in the Plan.

Makes available for inclusion in the Plan, the National Action Plan against violence produced by the Ministry River of Women,
Gender and Diversity.

Finally, he adds that the gender and diversity perspective must be mainstreamed at different moments in public policy and that it
be from a non-dichotomous approach.

Next, the Ministry of Security is summoned. Representing said organization is present Mariano Copo, who takes the floor.

Greet those present, thank you for their participation and congratulate the National Directorate of Mental Health and Addictions for
the proposal.

He states that from his point of view the draft Plan is very good and reflects the guidelines of the National Mental Health Law.

It mentions that the Plan would expand the approach to suicide prevention and the strengthening of support and assistance
networks at the national level.

Finally, the incorporation into the Plan of awareness-raising topics about the stigmas suffered by people with mental illnesses or
in mental health treatments stands out.

Next, the National Institute of Social Services for Retirees and Pensioners (PAMI) is summoned. Laura Acevedo and Juan José
Costa are present on behalf of said organization. Laura Acevedo then takes the floor, thanking her for the invitation and giving the
floor to Juan José Costa.

Juan José Costa takes the floor, greets those present and thanks them for the invitation.

It states that we must work hard on the implementation of intersectoral policies.

He states that there are obstacles to obtaining authorizations for assisted housing for people who are discharged.

He reports that PAMI is working on the formalization of therapeutic accompaniment as a practice to be able to resume and
strengthen ties.

Laura Acevedo then takes the floor and highlights the importance of the Community Integration Modules. taria that depend on the
providers contracted by the institute and adds that coordination with other organizations is necessary to expand the offer that their
users can make.

Finally, he states that there is a lot of resistance to the installation of care homes for outsourced users.

Next, the Superintendency of Health Services is summoned. Andrea Carbone is present on behalf of said organization and takes
the floor.

Greet those present and congratulate the National Directorate of Mental Health and Addictions for the draft Plan.

Inform those present that the problem that the Superintendency of Health Services has is the part of the providers and the
economic part. He adds that it is very difficult for said organization to approve the hospital regime. public hospitals with
decentralized management, mental health devices.

He highlights that the communication part is very important for the provider to incorporate new benefits.
Finally, he informs that he will send his contributions by email.

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Next, Andrea Demasi informs that those who have documents with proposals to send, please send their comments by email no
later than January 22, 2021 so that they can be incorporated into the draft plan.

Hugo Barrionuevo then takes the floor and thanks those present for their participation and highlights that all the contributions
provided are essential to strengthen the preparation of the Plan. It communicates that to date more than 90 contributions have
been received from different actors.

It informs that the National Directorate of Mental Health and Addictions is working on the preparation of the Guidelines for the
Organization and Operation of Mental Health Services.

Having concluded the presentations of the participants, the National Director of Mental Health and Addictions Hugo Barrionuevo
thanks those present for their participation and contributions, and highlights the importance of sending them, as well as the
expansion of those already sent, in order to be able to review the document and make appropriate comments.

It being 11:20 a.m. the meeting is ended.

ANNEX XII
Contributions to the consultation of User Associations, Users and Family Members, Non-Governmental Organizations mental and
Civil Society Organizations – complementary round

On the 15th day of January 2021, at 10:10 a.m. They meet via videoconference through the platform Telehealth taforma of the
Ministry of Health of the Nation, via Webex, representatives of different Civil Society Organizations, who deal with the issue of
mental health from different areas, previously convened, in order to begin working on the draft of the National Health Plan. Mental
Health, which has been previously referred ity for analysis.

The National Director of Mental Health and Addictions of the Ministry of Health of the Nation, Dr. Hugo Barrionuevo welcomes
those present, thanks them for their participation and gives the floor to Lic. Andrea Demasi.

Andrea Demasi asks each speaker to make their contributions and opinions in a time of no more than approximately 8 minutes,
so that each of those present has time to present. Without prejudice to this, it informs that a longer period will be set so that they
can send opinions and suggestions in writing.

Inform those present that a Minute of the meeting will be prepared and that it will be recorded to record the contributions and
interventions made during the meeting.

The floor is then given in alphabetical order to the Civil Society Organizations that are found. they are present.

First of all, the Gualeguaychú Club House Association is called. Edith Rosa Amores is present on behalf of said association and
takes the floor.

Greet those present and thank them for their participation.

It proposes incorporating into the Plan the inclusion of therapeutic companions for people with disabilities.

Next, the Confluir Civil Association is called. María Morillo is present on behalf of said association.

Next, María Morillo takes the floor and reports on the mental health situation in the province of Cór doba.

It states that the State does not care about users or professionals and there is a lack of professionals.

He mentions that the children sent away in the province of Córdoba have nowhere to go and that to solve this situation tion it is
necessary to have temporary asylum houses and halfway houses.

He exclaims that the situation in Córdoba in terms of mental health is worrying and that there is a lack of resources of all kinds.

Next, the Civil Association of the Grandparents of the Frenchman is summoned. Norma Montenegro, Daiana Manzi, Alejandro
Mantero and Estela Altalef are present representing said association. Daiana Manzi then takes the floor.

Greet those present and thank them for their participation.

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States that it is necessary to include within the legal framework of the Plan the Inter-American Convention on the Protection tion
of the Human Rights of Older People.

He adds that it is important to convene PAMI to address the issue of benefits for the elderly.

Immediately afterwards he gives the floor to Alejandro Mantero, who takes the floor and informs that the elderly must be made
visible and that it is also necessary to coordinate through the National Directorate of Mental Health and Addictions with the PAMI
in order to be able to apply the Law together. National Mental Health.

Next, the Permanent Assembly of Users of Mental Health Services is convened. In represent tation to said organization are
present Mariana Biaggio and Barbara Kunicki.

Mariana Biaggio then takes the floor and gives the floor to Barbara Kunicki.

Barbara Kunicki takes the floor and thanks you for your participation.

Highlights the importance of the reintegration of discharged people into society.

It states that there are people who have homes and people are still hospitalized.

He exclaims that support for people with mental illnesses is fundamental and necessary.

He mentions that the example that the province of Buenos Aires is giving with the closure of asylums should be done at the
national level.
Finally, it exposes the need to review the issue of the incompatibility of pensions and other forms of compensation. neration.
Next, the Association for Mental Health Rights is summoned. On behalf of said organization
Guadalupe Granja is present, who takes the floor.
It proposes including gender language within the Plan.

He states that there are many administrative obstacles within the first level of care and considers it necessary to strengthen the
teams that comprise them.

It informs that accessibility to mental health services must be promoted and a sufficient supply of services must be promoted to
cover the needs of the population in charge.

It states that the creation of mobile crisis care services with 24-hour care would reinforce the first care service.

He adds that the generation of protocols and standards to address crisis situations is also essential.

In relation to children and adolescents with serious illnesses, he states that the offer of services must be strengthened given that it
is very low.
Finally, in relation to the item on mental health training in educational settings, it proposes that training tion is included in all
educational levels from initial, primary, secondary and tertiary level teachers and that the entire paradigm of human rights in
mental health is incorporated into ethical matters or its equivalent. lens at the secondary level.

Next, Civil Association Exchanges are called. Pablo Cymerman is present on behalf of said association and takes the floor.

Greet those present and thank them for their participation.

In relation to the Plan, in the third paragraph of page 1, which details who will be involved in the consultative rounds, it suggests
adding other user organizations.

It states that without decriminalization there is no mental health, therefore it proposes incorporating within the regulatory
framework established on page 11 of the draft Plan to promote modifications to the narcotics law.

It states that the IACOP Law, Law 26,934, must be included in the Plan.

It informs that interdisciplinary coordination with other health professionals should be encouraged.

Regarding the axes stipulated in the Plan, it suggests detailing with which State actors and organizations it will be articulated and
how.

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Finally, it states that the Plan must specify the actions to be carried out with the provinces and include actions nes with
international mental health organizations.

Next, the Movement of Users and Workers is called to defend the National Mental Health Law. Representing this movement, Iris
Valles is present, who takes the floor.

It states that the reality of the provinces must be taken into account in the Plan.

He states that home confinement must be strengthened.

He reports that the concept of CONISMA's stewardship must be reinforced.

It highlights the importance that the first and second levels of care are articulated in the production of shared therapeutic projects.

Regarding the Epidemiological Surveillance item, it is proposed to carry out constant training for health teams.
Next, the Córdoba Mental Health and Human Rights Observatory is summoned. Martin Pasini and Jacinta Burijovich are present
on behalf of said observatory. Immediately afterwards, Martin Pasini takes the floor.

It states that the perspective of disability, from the social model of disability, must be highlighted within the conceptual framework
of the Plan.

It states that the State must assume a role so that users with disabilities have more tools. lies to be able to organize.

It mentions that the disability perspective must also be translated into training lines and programs. training programs for mental
health professionals.

Reports that we must have a more active mental health communication policy.

Points out the need to implement historical recognition/reparation for people who have suffered the

madhouse for a long time.

He then gave the floor to Jacinta Burijovich, who took the floor and expressed the need to think about shadow reports in order to
give greater participation to user associations.

Next, the Argentine Network of Art and Mental Health is summoned. Natalia Gómez and Pablo Cunningham are present on behalf
of said Network. Immediately afterwards, Natalia Gómez takes the floor.

He states that artists and art teachers must be incorporated into interdisciplinary teams. He states that the budget must be
expanded and include art workshops.

It proposes promoting a link with the Ministry of Culture to finance artistic festivals.

He expresses that it would be necessary to create other legal figures in AFIP so that professionals can charge for their work and
that this does not impact pensions.

Finally, it adds to include within the background of the Plan the practices, theories and experiences of the 60's and 70's that the
dictatorship tried to erase and could be recovered.

Hugo Barrionuevo then takes the floor and transmits a message from the Social and Economic Observatory of Neighborhood and
Related Clubs represented by Ricardo Albero Mayor, who for reasons of connectivity could not be present. The message is
transcribed verbatim: “Protocols are needed in the Clubs to know where to go in matters of addictions and there is an increase in
psychotic outbreaks and aggression in children and young people.”

Immediately afterwards, Hugo Barrionuevo thanked those present for their participation and highlighted that all the contributions
provided are essential to strengthen the preparation of the Plan.

He reports that the end of asylums is a management objective.

In relation to the issue of assisted housing, he informs those present that the National Directorate of Mental Health and Addictions
is working together with ANDIS, on a financing program for the remodeling and equipping of assisted housing and with the PMO.
for these to be incorporated as benefits.

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It states that the National Directorate of Mental Health and Additions is working on the development of the Guidelines for the
Organization and Operation of Mental Health Services, which will be the basis for the authorizations.

He mentions that they are also working on a notification standard for hospitalizations given that currently ity is not notified to the
ministries of Health of the provinces or to the Ministry of Health of the Nation.

Next, Andrea Demasi informs that, please, those who have documents with proposals to send, send their comments by email no
later than Friday, January 22, 2021 so that they can be incorporated into the draft plan.

Having concluded the presentations of the participants, the National Director of Mental Health and Addictions Hugo Barrionuevo
thanks those present for their participation and contributions, and highlights the importance of sending them, as well as the
expansion of those already sent, in order to be able to review the document and make appropriate comments.

Being 12:20 p.m. the meeting is ended.

ANNEX XIII
Buenos Aires, September 24, 2021

Dir. Dr. Hugo Barrionuevo

National Directorate of Mental Health and Addictions Ministry of Health of the Nation

HONORARY ADVISORY COUNCIL ON MENTAL HEALTH AND ADDICTIONS ON PRELIMINARY FINAL VERSION OF THE
NATIONAL MENTAL HEALTH PLAN 2021-2025

Based on the request for contributions by the National Directorate of Mental Health and Addictions to the “National Mental Health
Plan 2021-2025-Final Preliminary Version” and considering that the Advisory Council is the body that by law has the function of
making recommendations for the design, implementation and evaluation of public policies mental health and addictions policies in
Argentina, it was agreed at the 39th Extraordinary Plenary Meeting of the CCHS-MyA held on September 20 and 21, 2021, to
send below agreements regarding political and methodological guidelines to be considered and some specific contributions on the
submitted version. In this sense, the CCHSMyA recognizes the centrality of having an action plan that guides transformations in
the field of mental health in Argentina in accordance with the current regulatory framework. It was also possible to observe the
incorporation of a set of suggestions made by this Council. Notwithstanding this, we identify some weaknesses and make
suggestions so that they can be considered.

General considerations that we suggest incorporating:

- It is vitally important to make the budget allocation explicit, since, as we indicated before Primarily, we understand that it
is the first definition necessary to determine a plan and evaluate its viability. ity and sustainability.

The topic of problematic consumption should be treated in greater depth in the document and appear cer clearly on axis 9.
with the respective objectives, indicators, goals and articulations for the approach in the health and socio-community field.

- Explicitly throughout the document the references for the public, private and social security subsector.

- Mention the risks of transinstitutionalization (creation and transfer to small asylums but of a different order, for example,
small nursing homes, institutions for minors, penitentiary settings, devices that are presented as substitutes and reproduce
asylum logic).

- The human rights approach should be presented as a transversal perspective across disciplines, approaches and levels
of care.

- Given that intersectorality constitutes one of the founding principles of the community mental health paradigm, the
implementing authority should promote the construction of commitments from various organizations. nisms of state
management as well as providing for the creation of spaces for articulation at the various jurisdictional scales and at all
levels of care.

- We recommend emphasizing that not only is the transformation of knowledge and practices promoted in pursuit of a
community mental health model, it is also promoted to guarantee access to an effective and quality care and attention
network throughout the entire national territory. The transition processes between models require special attention from
the application authority aimed at preventing the transformative processes towards a community mental health paradigm
from resulting in its opposite: inhospitalization. lization, with abandonment and non-attendance as a consequence.

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 - Given that a paradigm shift towards a model of mental health assistance and care implies a cultural transformation that
involves all the actors that make up the social fabric, it is crucial to attend to the forms of representation not only with
respect to people and their eventual sufferings.

but also the forms of attention and care.

Furthermore, we understand that it is essential that the Plan incorporates the following specific considerations:

- Conceptual and referential framework: when the Plan refers to the conceptual framework (par. 4, page 9) refers to
disciplines and perspectives “especially linked to Human Rights.” We consider it of great importance It is important to
incorporate this aspect in the historicization of mental health in Argentina, but we point out that the human rights approach
is a transversal approach to all disciplines and not exclusive to a particular set of disciplines.

- In the same section, (par. 1, page 12), the plan refers to the 2015-2019 management period and its impact on the
country's mental health field. We understand that, although it had indications and some methodological limitations, the
National Mental Health Census constituted a reference that would need to be recovered as it serves as a basis for the
formulation of a general diagnosis of mental health problems in Argentina. In the same sense, we reiterate our
recommendation on the need to complete the 2019 Census, taking into account the institutions that were not incorporated
into the census design on that occasion. salt (such as therapeutic communities, penitentiary units and gerontopsychiatric
institutions). It is noteworthy that the carrying out of a national census in all mental health inpatient centers, both public and
private, is established in art. 35 of Law 26,657, which also explains that it must be reiterated with a maximum periodicity of
two years.

- Development of management actions on pages. 25 to 27, we understand that it is not relevant to the formulation of a
plan since the actions stated are disjointed with respect to the Conceptual Framework and the work axes proposed in the
Plan.

- In the statement of the Principles: (page 12), we recommend explaining the scope of application of the Plan in
accordance with the provisions of Law 26,657. Considering it necessary to specify at this point that this includes the areas
of public, private and social security providers, also including the area of NGOs and other organizations that manage
therapeutic communities for the treatment of problematic consumption. Given that the item corresponding to the Budget is
addressed insufficiently (page 33), referring only verbatim to art. 32 of Law 26,657, we consider that the Plan will be
strengthened if it is incorporated in items 7 and 9. a detailed approach to budget expenditures to consolidate the feasibility
of the plan.

- In the Conceptual Framework, Principles section: we recommend clearly and explicitly referring to art. 4 of Law 26,657
which establishes that: “Addictions must be addressed as an integral part of mental health policies. “People with
problematic drug use, legal and illegal, have all the rights and guarantees established in this law in their relationship with
health services.”

- In the Territoriality axis (page 18) it is based on art. 11 of the LNSM that it is necessary that the sitives are part of the
network of community-based mental health services, but the work cooperatives explicitly named in said art are not
included. Work cooperatives constitute appropriate devices for socio-labor inclusion, such as halfway houses.

- In item 3, Social inclusion, Obj 3.1., it is recommended to include other intermediate devices, such as halfway houses,
coexistence houses, in addition to assisted housing. Obj 3.3.1 recommends menu Also include day hospitals and all those
mental health and addictions devices and/or services that guarantee community life and continuity of care for people.

- Point 5.4.2 should include, in addition to hospitalization processes, comprehensive care in health, illness, care and
attention processes in people's lives - With respect to item 6.a Instances of specific intervention in point 6.aa Children and
Adolescents believe that, since childhood and its institutions are a neglected sector of mental health, budgetary priorities
and greater programmatic specifications should be assigned. For example, it is necessary to integrate into the hos
pediatric hospitals and also in general emergency care spaces, in crisis situations in accordance with the characteristics
and needs of N,NyA. Also the creation of more day hospitals in

those that N,NyA may have different types of approaches, as well as various workshops, specialized home care, the
creation of a network of game libraries articulated with mental health and education providers, as spaces in which they can
be detected, prevented and accompanied situations of girls and boys that can go unnoticed until they take on a more
complicated aspect, the creation of a network of mobile devices that accompanies highly complex situations: children,
adolescents and adolescents living on the street, abuse, problematic consumption, self-harm, suicide attempts, various

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 homelessness, etc. .

- In item 9 Monitoring and Evaluation: “Minimum necessary joints” are considered, we understand that the discretion with
which the reference to an organization such as the CCHSMyA is included or not in each specific objective, limits the
transversality that characterizes the functions of this advice.

- In item 9: the table of indicators, goals and articulations should also include a formulation of deadlines, stages and
corresponding budget allocation.

We recommend the incorporation of an additional axis that addresses the quality and access to mental health care and attention
with protection of the rights of people housed in confinement institutions (penal, geriatric institutions, gerontopsychiatric
institutions, juvenile institutes). We consider that it is essential to reinforce the need for the devices to address mental health
problems in confinement institutions in different jurisdictions to be in accordance with the postulates of Law 26,657, as well as
other international instruments. human rights, both mental health and those specific to the penal field, such as the Mandela Rules
(especially especially No. 24, 109 and 110). The Athens Oath of 1979 also becomes relevant.

With reference to mental health interventions in penal institutions:

a) It is urgent to differentiate the dependency and functions of the professionals in charge of “Trafficking.” Criminological
Procedure”, framed in the Criminal Execution Law No. 24,660, of the teams in charge of the mental health treatments of
people deprived of liberty of the different penitentiary units. Rias. To this end, we consider that the professionals of the
health teams in general, and mental health in particular, are not members of the Penitentiary Services (both Federal and
Provincial), but rather depend functionally on health authorities (which may be municipal, provincial or national).

b) The nature of the approach devices must be interdisciplinary, comprehensive, intersectoral and respectful of the
Human Rights of the detained persons. It becomes necessary for professional teams to be trained on the specificity of the
criminal field and the mental health problems in this area. Along these lines, emphasis should be placed on mechanisms
for identifying, analyzing and reporting situations of violation of human rights and torture, where the victims are people
deprived of their liberty.

c) It is essential that mental health approaches in prisons are not limited to the mere provision of psychotropic drugs, as
indicated by multiple investigations and reports carried out on the subject of prisons.

d) It is necessary to implement policies and programs related to problematic substance use in a comprehensive manner.
Although the prevalence of consumption situations in the penitentiary environment is higher than in the rest of society
(recognizing that it does not necessarily imply consumption that re want health approaches), the existing devices in prison
units have a very small capacity, with a strongly abstentionist character. At this point, we consider it important to point out
that Law 26,657 includes problematic consumption as an integral part of mental health policies and in Regulatory Decree
603/13, promotes an approach based on risk and harm reduction models.

e) It is necessary to coordinate with local health workers who can address situations of people deprived of liberty with
mental health problems that imply certain and imminent risk for themselves or for third parties, in the event that a specific
device is not possessed inside. of penitentiary units.

f) Inter-power dialogues must be generated to problematize the use of mental health reports, of the Clinical Records of
people detained in different judicial processes, including criminal ones. Result The training of judicial operators in the
LNSM paradigm is relevant. Along these lines, a role

mental health professionals who perform forensic functions (Forensic Medical Corps, in the National Justice, as similar
devices in the different provincial justice systems) possess.

Finally, since the recommendations of this Council are not binding, we consider it advisable to publish them since, as a
product of a process of discussion and consensus among the organizations nizations that make up said organization, are
a fundamental contribution to the visualization of numbers problematic cleuses in the field of mental health, the recognition
and addressing of which will allow the implementation of Law 26,657 to be deepened.

Without further ado, we cordially greet you.

Honorary Mental Health and Addictions Advisory Council

- Confluir Civil Association

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- Association of Social Service Professionals of the Government of the Autonomous City of Buenos Aires (APSSGCABA) –
- Association for Mental Health Rights (ADESAM) –
- Inter-Chair Space Chair of Public Health and Mental Health (I and II) of the Faculty of Psychology of the University city of
Buenos Aires
- Argentine Association of Parents of Autistics (APADEA).
- Argentine Mental Health Association (AASM) –
- Forum Childhood Civil Association
- Civil Association Exchanges –
- Civil Association The Grandfathers of French –
- Association of Psychologists of the Government of the Autonomous City of Buenos Aires (APGCABA) -
- Argentine Psychoanalytic Association (APA)
- Association of Argentine Psychiatrists (APSA) –
- Harm Reduction Association of the Argentine Republic (ARDA)
- Association of Occupational Therapists of the Government of the Autonomous City of Buenos Aires (ATOGBA) –
- Open and Solidarity Hands Association (AMAS)
- Council of the College of Psychologists of the Province of Buenos Aires –
- Basaglia Argentina Conference –
- La Huella Work Cooperative –
- Federation of Neighborhood Centers of the Grande Hogar de Cristo Family
- Study Group on Mental Health and Human Rights (GESMYDH), Gino Germani Research Institute, Faculty of Social Sciences,
UBA.
- Internal Board of Delegates of the State Workers Association (ATE) Secretary of the Government of Health of the Nation –
- Master's and Doctorate in Community Mental Health from the Department of Community Mental Health at the Uni National
University of Lanús (UNLa)
- Observatory of Mental Health and Human Rights of Córdoba
- Santa Fe Experience Network –
- Strategic Network for Social Development (REDES) –
- Argentine Society for the Study of Problematic Substance Use and Other Addictions (SAEA) – - Union of Civil Personnel of the
Nation, National Public Section and the Government of the Autonomous City of Buenos Aires (UPCN)

12. Collaborations
The following participated in the collaborative formulation process of this National Mental Health Plan:

- Pan American Health Organization

- UNICEF
- Secretary of Human Rights of the Nation
- Mental Health and Addictions Areas of the 24 jurisdictions of the country
- National Review Body of the Mental Health Law 26,657
- Honorary Advisory Council on Mental Health and Addictions

- User organizations and family members (in alphabetical order):

Assembly of Users and Survivors of Mental Health Services
Permanent Assembly of User Organizations
Argentine Association for Helping People Suffering from Schizophrenia
Argentine Association of Parents of Autistics
Gualeguaychú Club House Association
Confluir Civil Association
Association for Mental Health Rights
Open Road
Commission to Support the Day Hospital and other Mental Health facilities of Traslasierra
Mutual Aid Group
The Grandfathers of French
Open and Solidarity Hands
Crazy Move
Melchor Romero's Demanicomialization Movement
Movement of Users and Workers in defense of the National Mental Health Law
Observatory of Mental Health and Human Rights - Córdoba
Argentine Network of Art and Mental Health
Network of Family Members, Users and Volunteers

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- Public Organizations (in alphabetical order):
National Disability Agency
ANSES
National Committee for the Prevention of Torture
Ombudsman for Boys, Girls and Adolescents
National Hospital in Laura Bonaparte Network
National Institute against Discrimination, Xenophobia and Racism
Ministry of Education
Ministry of Women, Gender and Diversity
Ministery of security
Ministry of Labor
PAMI
Secretariat of Children, Adolescents and Family
Secretariat of Comprehensive Drug Policies
Superintendence of Health Services

- Professional Associations (in alphabetical order):

Argentine Association of Mental Health Institutions
Argentine Association of Child and Adolescent Psychiatry
Argentine Mental Health Association
Association of Clinics of the Argentine Republic
Association of Argentine Psychiatrists
Association of Occupational Therapists of the Govt. of the City from Buenos Aires
Federation of Psychologists of the Argentine Republic
Network of Mental Health Institutions of the City. Aut. from Buenos Aires

- Civil Society Organizations (in alphabetical order):

Civil Association Exchanges
Civil Association for Equality and Justice
Argentine Federation of Lesbians, Gays, Bi and Trans
Argentine Federation of NGOs for the Treatment and Prevention of Drug Abuse
Social and Economic Observatory of Neighborhood and Related Clubs
Network of Social Cooperatives

- Unions (in alphabetical order):

Federation of Associations of Argentine Health Workers
Union of Civil Personnel of the Nation

- Universities and Research Institutes (in alphabetical order):

Social Work Career - University of Buenos Aires
Preventive Psychology and Epidemiology Chair – Prof. Graciela Zaldúa – Faculty of Psychology – University of
Buenos Aires
“Mauricio Goldenberg” Community Mental Health Center
Faculty of Medicine - University of Buenos Aires
Gino Germani Research Institute – Mental Health and Human Rights Study Group
National University of General Sarmiento
National Hurlingham University
National University of Lanús
National University of Río Negro
National University of Villa María
National University of Chubut

- Experts in the field of Mental Health and problematic consumption

- Technical teams of the National Directorate for Comprehensive Approach to Mental Health and Problematic Consumption.

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National telephone line for emergencies in Mental Health

0800.999.0091
Available 24 hours

Ministry of Health first

Argentina
agent
 Argentine Republic - National Executive Branch
1983/2023 - 40 YEARS OF DEMOCRACY

Additional Signature Sheet

Exhibit

Number: IF-2023-101271315-APN-DNAISMYCP#MS

BUENOS AIRES CITY

Wednesday August 30, 2023

Reference: NATIONAL MENTAL HEALTH PLAN

The document was imported by the GEDO system with a total of 112 page/s.

Digitally signed by Electronic Document Management

Date: 2023.08.30 10:52:06 -03:00

Mariana Elisabeth Moreno

National Director
National Directorate for Comprehensive Approach to Mental Health
and Problematic Consumption
Ministry of Health

Digitally signed by Electronic Document

Management
Date: 2023.08.30 10:52:07 -03:00