Abstract
The article describes the initial activities conducted by the Mental Health Team in Ciudad Sandino, an area or «psychiatric sector» in Managua, the capital of Nicaragua. It includes an evaluation of the area's Day Hospital, during the first one and a half years of function. During that period 100 patients were admitted, 48 were diagnosed as neurotic, 33 as psychotic, and 19 had organic syndromes. Half of the first 50 patients had previously been treated on some occasion at the National Psychiatric Hospital. These patients continued under treatment and control by the Mental Health Team in Ciudad Sandino. When necessary, they were readmitted to the Day Hospital instead of referred back to the Psychiatric Hospital. The team developed a methodology for its work that draws largely from the models for mental health care in the Third World which have been described as the community based model and the primary health care model.
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