Crown Plaza Hotel. Avenida Libertador Bernardo O’Higgins 136. , .

Pan American Health Organization World Health Organization Ministry of Health, Chile

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WELCOMING REMARKS

25 years ago, during the Regional Conference of the Pan American Health Organization held in Caracas, the countries of the Americas started a reform of mental health care services on behalf of the dignity and rights of people. The document approved at this conference, better known as the Caracas Declaration, has become a technical and ethical reference that has guided plans and actions of the Region within the last years. Since then, many countries have been advancing. However, the majority still has not achieved the goals, due to ongoing social, political and economic changes that impact the context in which reform processes are developing in these countries of the Americas.

During the last decade, new exigencies and obligations based on human rights of people with disabilities were developed and, in turn determined the mission of each state and their society. These new missions led to technical exigencies and new normative standards for the development of practices concordant with human rights that translate into their everyday lives.

Recently and in accordance with the States, both the World Health Organization and the Pan American Health Organization developed Mental Health Action Plans for the present decade. In our region these plans represent a continuation of the reform composed in Caracas.

Today we assemble with the intent to review the achievements thus far, determine remaining steps, anticipate challenges and establish commitments that we as countries and as a Region will take on in order to accomplish objectives of the Mental Health Action Plan for the following decade.

For Chile, together with PAHO, it is an honor to receive the representatives of the countries of our region. During this Conference, we hope to share a congenial atmosphere with the historical collaborators of the process in the region, representatives of organizations and mental health workers of our countries.

We wish for you to feel at home and for this conference to create new momentum for mental health reform and human dignity as 25 years ago in Caracas.

Organizers: Mental Health Department, Public Health Sub Secretary, Ministry of Health of Chile. Mental Health Unit, Assistance networks Sub Secretary, Ministry of Health of Chile. Mental Health and Substance Use Unit, Pan American Health Organization.

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OBJECTIVES OF THE CONFERENCE

 To share progress and challenges in implementing the objectives presented in the Caracas Declaration, based on experiences of countries in the Region.  To discuss and analyze experiences in implementing PAHO’s Regional Plan of Action on Mental Health 2015‐2020 and WHO’s Comprehensive Mental Health Action Plan 2013‐2020.

PROGRAM OF THE CONFERENCE

SESSION 1: Tuesday, 13 October, 2015 Schedule Topic / Activity 08:30–09:00 Registration of participants 09:00–09:30 INAUGURATION Dr. Carmen Castillo Taucher, Minister of Health, Chile. Dr. Shekhar Saxena, Director, Mental Health and Substance Abuse Department, World Health Organization Dr. Anselm Hennis, Director, Noncommunicable Diseases and Mental Health Department, Pan American Health Organization Dr. Paloma Cuchi, Pan American Health Organization / World Health Organization Representative in Chile 09:30–09:45 INTRODUCTION to the Conference Chairperson: Irma Rojas/Pablo Norambuena, Mental Health Department, Ministry of Health of Chile 09:45–10:30 PRESENTATION: “Mental health: a global perspective” Dr. Shekhar Saxena, Director, Mental Health and Substance Abuse Department, World Health Organization 10:30‐11:00 COFFEE 11:00‐11:30 PRESENTATION: “Advances in mental health in the Region, 25 years after Caracas” Dr. Dévora Kestel, Chief, Mental Health and Substance Use Unit, Pan American Health Organization 11:30–12:30 PRESENTATION: “Advances in mental health in Chile, 25 years after Caracas” Dr. Mauricio Gómez, Chief, Mental Health Department, Public Health Sub Secretary, Ministry of Health of Chile Dr. Rafael Sepúlveda, Chief, Mental Health Unit, Assistance Networks Sub Secretary, Ministry of Health of Chile 12:30–13:00 QUESTIONS, OBSERVATIONS Chairperson: Irma Rojas/Pablo Norambuena, Mental Health Department, Ministry of Health of Chile 13:00–14:30 LUNCH 14:30–16:00 ROUNDTABLE: “Reflections on 25 years after Caracas: What has prevented us from advancing more? How do we move forward?” Presentations: Itzhak Levav. Consultant. Pan American Health Organization. “The partnership between human rights movements and mental health care

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SESSION 1: Tuesday, 13 October, 2015 Schedule Topic / Activity reform: Strategies to overcome human rights violations of commission and omission” Alberto Minoletti. School of Public Health, University of Chile “Mental health in Primary health care: Learning from our mistakes” Francisco Torres. Psychiatry Department, University of Grenada “Restructuring traditional psychiatric care. Resistance to change” Liliana Cabrera. Representative of service users and family members, . “Human rights of persons with mental disorders and the incorporation of users and family members”.

Comments: Eleanor Bennett, Belize Carmen Borrego Calzadilla, Cuba. 16:00–16:30 Coffee 16:30–17:30 ROUNDTABLE: “Advances in mental health in the countries of the Region, 25 years after Caracas” Presentation of audiovisual material.

Comments: María Edith Baca, National Consultant, Pan American Health Organization, Carlos Madariaga, School of Public Health, Universidad de Chile. 17:30–18:30 ROUNDTABLE: Confronting threats and obstacles. How do we protect our achievements? Alfredo Pemjean. Medical School, Diego Portales University Victor Aparicio. Consultant. Pan American Health Organization. Pedro Delgado. Federal University of Rio de Janeiro Chairperson: Irma Rojas/Pablo Norambuena, Mental Health Department, Ministry of Health of Chile

SESSION 2: Wednesday 14 October, 2015 Schedule Topic / Activity 09:00–09:10 INTRODUCTION to Session 2 Chairperson: Roberto Del Aguila, Advisor, Pan American Health Organization/ Chile 09:10–09:30 PRESENTATION: “Challenges from the Regional Plan on Mental Health 2015‐2020” Dévora Kestel, Chief, Mental Health and Substance Use, Pan American Health Organization 09:30–11:00 ROUNDTABLE: “Challenges and issues related to mental health in the Region” Jorge Rodríguez, Consultant, Pan American Health Organization. “Epilepsy and mental health.” Irma Rojas, Ministry of Health of Chile. “Original populations and migration” Claudina Cayetano, Advisor, Pan American Health Organization.

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SESSION 2: Wednesday 14 October, 2015 Schedule Topic / Activity “Emergencies and disasters.” Maristela Monteiro, Advisor, Pan American Health Organization “Alcohol Use Disorders.” Luis Alfonzo, Advisor, Pan American Health Organization. “Drug use with a public health approach.” 11:00–11:30 COFFEE 11:30–13:00 PARALLEL SESSIONS: ROUNDTABLES “Mental health challenges in the Region” Session 2A Presentations “Legislation, Javier Vasquez, Advisor, Pan American Health human rights and Organization. participation (area M. Virginia Gonzalez Torres, México. 1)” [Session in Raul Barroso, . Spanish] Session Chairperson: Francisco Cordeiro, Advisor, Pan American Health Organization/ . Soledad Cisternas, Chairperson of UN Commission on the Rights of Persons with Disability, Chile. Session 2B Presentations: “Primary health Rafael Sepúlveda, Chief, Mental Health Unit, care and Ministry of Health of Chile. specialized Elizabeth Lopez, United States.. ambulatory Roberto Tykanori, Brazil. services (area 2)” [Session in Session Chairperson: Spanish‐ English] Tomo Kanda, Advisor, Pan American Health Organization/Eastern Caribbean Countries/ECC. Cecilia Vera, Chief, Psychiatry Service, San Luis de Buin Hospital, Chile. Session 2C Presentations: “Hospital‐based Angel Almanzar, .. mental health Ricardo Goti, Panama. services (area 2)” Freddy Azanza Villacis, . [Session in Spanish‐English] Session Chairperson: Enrique Gil, Advisor. Pan American Health Organization/ Guillermo Vergara, Mental Health Unit Chief, El Pino Hospital, Chile. Session 2D Presentations: “Child and Lucia Murillo, Autism Speaks, United States. adolescent mental Maureen Irons Morgan, Jamaica. health (area 3)” Yuri Cutipe, Peru. [Session in Spanish‐English] Session Chairperson Enrique Pérez, Advisor, Pan American Health

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SESSION 2: Wednesday 14 October, 2015 Schedule Topic / Activity Organization/ Costa Rica. Juan Salinas, Psychiatric Service, Barros Luco Hospital, Chile. Session 2E Presentations “Suicide Guillermina Natera, Director of prevention (area Epidemiological and Psychosocial Research, 3)” [Session in National Institute of Psychiatry Ramón de la Spanish‐English] Fuente Muñiz, Mexico. Mosa Hutson, Guyana. Allan Rimola, Costa Rica.

Session Chairperson Vivian Perez, Advisor, Pan American Health Organization/ Cuba. Alejandro Gómez. Psychiatric Department, Universidad de Chile.

Session 2F Presentations “Registry and Robert Kohn, Department of Psychiatry and research systems Human Behavior, Brown University, United (area 4)” [Session States. in Spanish‐English] Pedro Zitko, Advisor, Ministry of Health, Chile. Ashvini Nath, Trinidad and Tobago.

Session Chairperson Blake Smith, Specialist, Pan American Health Organization. Sandra Saldivia. Psychiatry and Mental Health Department, Medical School, Universidad of Concepción.

13:00–14:30 Lunch 14:30–16:00 PARALLEL SESSIONS: GROUP WORK, TOWARDS A 2015 CONFERENCE POSITION AND RECOMMENDATIONS “Mental health challenges in the Region” Session 2A Session Chairperson: “Legislation, Francisco Cordeiro, Advisor, Pan American human rights and Health Organization/Brazil. participation (area Soledad Cisternas. Chairperson of UN 1)” Commission on the Rights of Persons with [Session in Disability, Chile. Spanish] Session 2B Session Chairperson: “Primary health Tomo Kanda, Advisor, Pan American Health care and Organization/Eastern Caribbean specialized Countries/ECC. ambulatory Cecilia Vera, Chief, Psychiatry Service, San services (area 2)” Luis de Buin Hospital, Chile. [Session in Spanish‐English]

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SESSION 2: Wednesday 14 October, 2015 Schedule Topic / Activity

Session 2C Enrique Gil, Advisor. Pan American Health “Hospital‐based Organization/Mexico mental health Guillermo Vergara. Mental Health Unit Chief, services (area 2)” El Pino Hospital, Chile. [Session in Spanish] Session 2D Session Chairperson “Child and Enrique Pérez, Advisor, Pan American Health adolescent mental Organization/ Costa Rica. health (area 3)” Juan Salinas. Psychiatric Service, Barros Luco [Session in Hospital, Chile. Spanish‐English] Session 2E Session Chairperson “Suicide Vivian Perez, Advisor, Pan American Health prevention (area Organization/Cuba. 3)” [Session in Alejandro Gómez. Psychiatric Department, Spanish‐English] University of Chile.

Session 2F Session 2F Chairperson “Registry and Blake Smith, Specialist, Pan American Health research systems Organization. (area 4)” [Session Sandra Saldivia. Psychiatry and Mental Health in Spanish‐English] Department, Medical School, University of Concepción.

16:00–16:30 COFFEE 16:30–17:30 Work group presentations. TBD: Session 2A Representative TBD: Session 2B Representative TBD: Session 2C Representative TBD: Session 2D Representative TBD: Session 2E Representative TBD: Session 2F Representative 17:30–18:30 COMMENTS AND CONCLUSIONS. Sonia de Fátima Rosa, Representative of Service Users and Family members, Brazil. Hugo Cohen. Consultant. Pan American Health Organization. Carlos Fayard, Behavioral Health Institute, Loma Linda University, United States. Session Chairperson: Roberto Del Aguila, Advisor, Pan American Health Organization/ Chile.

SESSION 3: Thursday 15 October, 2015 Schedule Topic / Activity 09:00–9:45 ROUNDTABLE: Tribute to mental health regional collaborators

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SESSION 3: Thursday 15 October, 2015 Schedule Topic / Activity Dévora Kestel, Chief, Mental Health and Substance Use, Pan American Health Organization Mauricio Gómez, Chief, Mental Health Department, Ministry of Health of Chile Itzhak Levav. Consultant. Pan American Health Organization.

09:45–11:00 ROUNDTABLE: Lessons from the 2015 Regional Conference “Achievements and challenges: 25 years after the Declaration of Caracas” Mauricio Gomez. Chile. Fernando Ramirez Campos. . Elizabeth Lopez, United States. Joanna Humphrey, Grenada. Mirta Mendoza. Paraguay. Karen Providence. St Vincent and the Grenadines. 11:00–12:00 COFFEE/CHECK‐OUT 12:00–13:00 ROUNDTABLE: Commitments and recommendations of the 2015 Regional Conference Dr. Dévora Kestel, Chief, Mental Health and Substance Use Unit, Pan American Health Organization Dr. Shekhar Saxena, Director, Mental Health and Substance Abuse Department, World Health Organization Dr. Jaime Burrows Oyarzún, Public Health Sub Secretary, Ministry of Health, Chile.

GENERAL INFORMATION

LOCATION OF THE CONFERENCE

The conference will take place at the Crown Plaza Hotel. The address is Avenida Libertador Bernardo O’Higgins 136. Santiago de Chile. Telephone: 56‐2‐26381042.

The activities will be carried out mainly in the “Salon Prieto” Conference Room of the Hotel. On the second day of the event, during the parallel sessions, both Conference Rooms “Salón Bulnes” and “Salón Montt” will be used.

LANGUAGE OF THE CONFERENCE

The main language of the Conference will be Spanish. However, all the main sessions on plenary (day 1, beginning and end of day 2, day 3) will have simultaneous translations in Spanish‐English. Transmission equipment and headphones will be delivered at the beginning of each session.

The parallel sessions of the day 2, will not have simultaneous translations. In these cases, it is pointed out in the program that the sessions are only in Spanish or are Spanish‐English bilingual sessions. We request bilingual participants to attend those sessions.

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TRANSPORTATION IN SANTIAGO

BAQUEDANO station can be found few steps from the Hotel. This station is a hub for two lines of the Santiago’s Metro, so that you can be transferred from the Hotel to the most important city sites, using that transportation system. If you prefer, you can also rely on taxis. The Hotel service can guide you in this regard and provide information on how to obtain the service.

SOCIAL PROGRAM AND ACTIVITIES

Crown Plaza HOTEL is located very close to important tourist, cultural and food sites in Santiago. You can walk to most of these, downtown, and it is usually safe to do so, taking the precautions common in big cities. Among other places that you may want visit are:

BELLAVISTA NEIGHBORHOOD Baquedano Square (commonly called Plaza Italy) is found one block from the Hotel, eastward (Mountain). From there, three blocks northward, Towards “Cerro San Cristobal” and crossing the Río Mapocho, you will find the Bellavista.Neighborhood This neighborhood is an important food and cultural pole, open every day. In addition to the several restaurants and bars, another site that could be of your interest is one of the three houses‐museums of the Chilean poet Pablo Neruda, call "La Chascona". The address is Fernando Márquez de la Plata 0192, Barrio Bellavista, Providencia, telephones: +56‐2‐2777 87 41/ +56‐2‐2737 87 12. http://www.fundacionneruda.org/es/la‐chascona/informacion‐visita

LASTARRIA/ BELLAS ARTES NEIGHBOORHOOD In the other direction, Westward, two blocks from the Hotel, you will find the GAM building, Center of the Arts Gabriela Mistral (http://www.gam.cl) that concentrates a broad offer of theater, dance, music and arts. Next to it, José Victorino Lastarria Street gives name to a Neighborhood that has also been transformed into an important food and cultural center. This street northward ends at Merced Street. Then, you can continue another two blocks to the west up to José Miguel de la Barra Street. You will find on one side Saint Lucia Hill, place of the foundation of Santiago, and toward its right, the Neighborhood Bellas Artes or Parque Forestal. In addition to restaurants and coffee shops, following those indications you will arrive at the “Museo Nacional de Bellas Artes” http://www.mnba.cl , and behind it, el “Museo de Arte Contemporaneo” http://www.mac.uchile.cl.

HISTORICAL CENTER Also towards the west, from the Hotel, following the Libertador Bernardo O'Higgins, 10 blocks away, you will arrive at the “Casa de Gobierno de Chile”, "La Moneda.", 15‐20 minutes within walking distance. Another option is to take the metro at "Baquedano" station, line 1 (red color), and get off at "La Moneda." Station. The “Casa de Gobierno” can be visited every day, but previous Guide visit coordination is required at [email protected] (http://www.gob.cl/visitas‐guiadas‐2). Below the “Casa de Gobierno” you can find the “Centro Cultural La Moneda” http://www.ccplm.cl/sitio with very interesting cultural options.

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From there, to the North, on Morandé Street, you will find the historical center of Santiago. On Morandé Street up to Compañia Street, and then a block to the right, you will arrive to the “Plaza de Armas of Santiago”. Another option to arrive there, from the Hotel, is to take the metro at "Baquedano" station, line 5 (green color) and get off at "Plaza de Armas" station. At the “Plaza de Armas” you will find the “Catedral de Santiago”, the “Museo Histórico Nacional” http://www.museohistoriconacional.cl, the historic building “Correos de Chile”, etc.

At the “Plaza de Armas” you will also find tourist information site that could be useful to discover other places.

Other sites A little farther from the Hotel, but important and with easy access, is the Yungay/Matucana Neighborhood. You can go there by metro, from "Baquedano" station, line 5 (green color), to "Quinta Normal" station. Upon arriving, facing the park that gives name to the metro station, you will find the “Museo de la Memoria y los Derechos Humanos”, that is a site designed to lend visibility to the violations to the human rights committed by the State of Chile between 1973 and 1990 (http://www.museodelamemoria.cl.) This Neighborhood, in addition, is a strong cultural space (and multicultural) in Santiago. It concentrates food and tourist options, as the “Cultural Center Matucana 100” (http://www.m100.cl.)

Outside Santiago Of course, we do not recommend leaving Santiago during the days of the Conference, but if you have some extra days, you may like to explore the City and Port of Valparaiso, approximately at 2 hours of Santiago. Also, near Santiago, 1 hour and 30 minutes away, in the Andes, there are some of the most important sky centers in the country. Consider, however, that at the moments of the Conference probably the sky season has already finished. At the Hotel front desk you can find much more information regarding these and other places.

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