Salud mental y políticas públicas: una revisión crítica de la normativa ecuatoriana

Tatiana Paola Vinces Sornoza; Reina Yadira Villavicencio Macías; José  André Cedeño Orejuela; Andy Hermógenes Luque Loor; Ariel Melis Sosa; Paola Ceciliana Añazco Moreira; Gema Paola Zambrano Zambrano; Silvia Cristina Pino Andrade

doi:10.53732/rccsalud/2025.e7501

Authors

Tatiana Paola Vinces Sornoza Universidad San Gregorio de Portoviejo, Carrera de Enfermería. Portoviejo, Ecuador https://orcid.org/0000-0002-8294-5977
Reina Yadira Villavicencio Macías Universidad San Gregorio de Portoviejo, Carrera de Enfermería. Portoviejo, Ecuador https://orcid.org/0000-0003-1649-1206
José André Cedeño Orejuela Universidad San Gregorio de Portoviejo, Carrera de Medicina. Portoviejo, Ecuador https://orcid.org/0009-0000-4754-0643
Andy Hermógenes Luque Loor Universidad San Gregorio de Portoviejo, Carrera de Medicina. Portoviejo, Ecuador https://orcid.org/0000-0002-0381-3838
Ariel Melis Sosa Universidad San Gregorio de Portoviejo, Carrera de Medicina. Portoviejo, Ecuador https://orcid.org/0009-0009-0671-2723
Paola Ceciliana Añazco Moreira Universidad Laica Eloy Alfaro de Manabí, Carrera de Medicina. Manta, Ecuador https://orcid.org/0009-0001-7499-6141
Gema Paola Zambrano Zambrano Nutricionista Dietista – Cosmiatra. Portoviejo, Ecuador https://orcid.org/0009-0000-8724-4494
Silvia Cristina Pino Andrade Hospital General Dr. Napoleón Dávila Córdova, Subdirección de Docencia e Investigación. Chone, Ecuador https://orcid.org/0009-0006-6822-0423

DOI:

https://doi.org/10.53732/rccsalud/2025.e7501

Keywords:

health policy, mental health, psychological well-being, mental health teletherapy, health programs and plans, public health

Abstract

In the present study, we analyzed how the nine purposes of Article 3 of Ecuador’s Organic Law of Mental Health are supported by national and international scientific evidence. Adopting a qualitative approach, we conducted an exploratory review of recent PubMed articles on psychosocial interventions, community-based care models, and telepsychology, alongside a critical documentary analysis of the legal text published by the National Assembly. The findings confirm that integrating mental health into health plans strengthens intersectoral coordination, that “just in time” interventions reduce stigma, and that community models minimize prolonged hospitalizations, while telepsychology expands access and adherence to treatment. We conclude that, to translate these directives into effective practice, it is essential to establish continuous monitoring systems, promote interdisciplinary training for health teams, and empower communities through co‑production mechanisms.

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