The present study aims to reflect on the principles of psychiatric reform as an
opportunity for comprehensive care of the subject. Took place through a literature search in
electronic databases Medline and Lilacs (2001 to 2011), with the following keywords: mental
health policy, psychiatric reform and deinstitutionalization. This is the history of psychiatry in
Brazil and Pará by addressing the events that changed the service to people with mental
disorders, highlighting the process of psychiatric reform, which is a major focus with the
deinstitutionalization of mental hospitals and consequent deconstruction of paradigms that
support it. The progressive replacement of asylum practices by other therapeutic models
required and still requires efforts of society as a whole, which rely on mental health policies,
to ensure that the citizenship of the patient, their rights and attending to their uniqueness. This
issue has been the subject of discussion not only among health professionals, but also
throughout society. In Pará, the process of change in mental health care occurs with some
delay compared to other states, but gives the patient a more human model using substitute
care. The mental health care still has long way to go, we know the difficulties that exist in
network operation, can not be greater than the will to fight so that we can increasingly
improve the quality of care to these people, validating the efforts other generations and for the
Psychiatric Reform is not exhausted by passing laws, understanding that each one of them is
the beginning of another long journey to go.
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