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Jorge Chavez Bidart1, Germán Dorta2, Nicolás Rodríguez3

  • 1Doctor en Psicología. Prof. Titular de Facultad de Psicología (UdelaR). Montevideo, Uruguay. gdorta@psico.edu.uy.

Vertex (Buenos Aires, Argentina)
|April 11, 2026
PubMed
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Uruguay

Area of Science:

  • Mental Health Law
  • Public Health Policy
  • Human Rights in Healthcare

Background:

  • Uruguay's Mental Health Law N° 19.529 mandates notification of involuntary, judicial, and voluntary psychiatric hospitalizations exceeding 45 days.
  • Notifications are directed to the National Mental Health Care Oversight Commission and the National Human Rights Institution (INDH).
  • The study period covers the first three-year term of the Oversight Commission, starting in 2019.

Purpose of the Study:

  • To conduct a descriptive, cross-sectional, observational study of psychiatric hospitalization notifications received by the INDH.
  • To systematize and describe variables from the official notification form used by healthcare providers.
  • To evaluate the effectiveness of current notification procedures and identify areas for improvement in mental health care oversight.

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Main Methods:

  • Analysis of 194 systematically reviewed notification forms.
  • Descriptive statistics to characterize notification patterns and content.
  • Cross-sectional observational design focusing on data from the Oversight Commission's reporting form.

Main Results:

  • Notifications predominantly originate from public healthcare providers and are concentrated in the capital and surrounding areas.
  • A significant lack of notifications was observed in large parts of the country.
  • The current form's data richness is insufficient for effective hospitalization monitoring, highlighting the centrality of technical direction over interdisciplinary team input.

Conclusions:

  • There is a critical need to enhance the scope and depth of information collected in hospitalization notifications for effective monitoring.
  • The current system demonstrates a weak presence and impact of interdisciplinary teams in mental health care, with an over-reliance on technical direction.
  • Urgent improvements are required in the national mental health notification system to ensure comprehensive oversight and patient rights protection.