The final report of the specialty in psychiatry, conducted by the CCSS Internal Audit in 2010, identifies specific mental health needs.It recommends the following to the medical management: 1. to perform a situational diagnosis of the major mental illnesses nationwide; 2. to adjust the Institutional Plan on Mental Health to what is established by the Ministry of Health in the National Health Plan; 3. to create a strategic timetable for the implementation of this action plan; 4. to develop guidelines of the procedures for psychiatric care at all three levels, 5. to make a disclosure schedule and training plan for the three levels based on these guidelines, 6. according to the Executive Decree No. 20665 -S October 29th, 1991 , in which psychiatry is declared as the fifth clinical specialty, to prepare a technical study to assess the availability of human, technological and economic resources for mental health; 7. to assess the appropriateness of removing the hierarchical dependence of psychiatry from the Chief of the Medicine Department, 8. to develop a strategy to strengthen regional mental health services in order to comply with the Declaration of Caracas.9. to update the projections defined in the document “Needs of Medical Specialists for the Costa Rican Social Security” CENDEISSS .
El informe final de la especialidad de psiquiatría, realizado por la Auditoría Interna de la CCSS en 2010, identifica necesidades específicas en salud mental.En este se recomienda a la gerencia médica lo siguiente: 1. realizar un diagnóstico situacional de los principales padecimientos mentales a nivel nacional; 2. ajustar el Plan Institucional en Salud Mental a lo establecido por el Ministerio de Salud en el Plan Nacional de Salud; 3. crear un cronograma de acciones estratégicas para el cumplimiento de este plan; 4. elaborar un manual de procedimientos para la atención psiquiátrica en los tres niveles; 5. confeccionar un cronograma del plan de divulgación y capacitación a los tres niveles con base en dicho manual; 6. de acuerdo con el Decreto Ejecutivo No.