Fabiola Tafoya-Ramos, Coordinación de Enseñanza, Comisión Nacional de Salud Mental y Adicciones, Ciudad de México, México
Nancy Martínez-Cerón, Comisión de Acción Social, Colegio Nacional de Químicos Farmacéuticos Biólogos de México, A. C., Consejo Consultivo de Indiscapacidad, Ciudad de México, México
Copytzy Cruz-Cruz, Servicios de Atención Psiquiátrica, Comisión Nacional de Salud Mental y Adicciones; Hospital Psiquiátrico Infantil Juan N. Navarro, Comisión Nacional de Salud Mental y Adicciones. Ciudad de México, México
Mental health care and research development has shifted towards a human rights approach, which requires overcoming the medical-rehabilitative model of healthcare and recognizing the dignity, autonomy and psychosocial functional diversity of persons. This paper presents a compilation and critical and conceptual analysis of the literature and current regulatory framework on mental health, incorporating a bioethical perspective and the social model of disability. Despite legislative advances, persistent structural barriers, dehumanizing practices, paternalistic dynamics and insufficient implementation of multidisciplinary teams and bioethics committees were identified, limiting the active participation of people with psychosocial functional diversity and thus undermining their well-being. Strengthening bioethics committees, adopting rights-based care models, and developing community-based, multidisciplinary, and autonomy-centered research, are key strategies for ensuring ethical, dignified and inclusive mental health care.
Keywords: Mental health. Human rights. Persons with psychosocial functional diversity. Bioethics. Personal autonomy. Community health services.