The history of mental health services in Mexico is traced from the time of the Spanish conquest to modern times. The present structure of mental health services is outlined as it relates to the overall social services and health\care system in Mexico. Inpatient, aftercare, partial hospitalization, and outpatient service are outlined and described. Levels of service and distribution of facilities and staff by region are given. Methods of intervention are described from traditional healers, to highly specialized modern psychiatry, to innovative community self-management programs. Key issues in the future are financial resources, distribution of services and staff, and ways to optimally use human resources.

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