Of the 10 hospitalizations registered at the Braulio Moyano Hospital in 2006, six were due to reentry of the patients. According to a report of the General Audit Office of the City of Buenos Aires (AGCBA, for its acronym in Spanish), the data shows the "deficiencies in the quality of the neuropsychiatric" and the lack of social reintegration activities, both during the stay of women in the center Health, such as when externations occur.
In 2006, 977 patients were admitted to the Hospital and 60% of that total was women returning to the Barracas neighborhood complex. According to the control body, in the same period there were 1,140 discharges, of which only 22% were medical discharges. In addition, 36 internees died "without a statistical record of the cause of death of these patients," said the report, which was approved in 2008.
The AGCBA reported the progress of the 47 observations made in a 2004 study and found that "only six were raised and 41 remain, among which there are nine with incipient progress."
The report also noted that the Government of Buenos Aires has responsibilities that "can not be attributed to the Hospital", and points out the paralysis of building works due to budget problems, lack of appointment of suitable personnel in critical areas and several irregularities in the content and control of the Contract that was signed with the Argentine Chamber of Clinics and Psychiatric Establishment (CACEP), by which it was decided to transfer to private clinics patients in the pavilions with "serious building failures".
According to the Audit, the agreement did not specify the hours and the periodicity of the benefits to be provided. This, added to the lack of supervision of the patients by the City Government, "made it impossible to evaluate the fulfillment of the contract."
Likewise, there was no specific description of care for each case, it was found that 66% of the sanatoria "did not provide the adequate benefits", and the rehabilitation and re-socialization activities were "insufficient, deficient or nonexistent" in two of each Three clinics.
The contract did not foresee the intervention of the control organisms established in the Argentine Constitution. Up to the closing of the AGCBA work, there were 125 inmates who remained in the clinics provided by CACEP.
With respect to the employees of the Moyano, the report noted that "failures can be seen throughout the system. It is necessary to incorporate administrative, health professionals, support staff and maintenance; "recommended the Audit, adding that" the situation of the staff who occupies higher positions without receiving the remuneration according to their function should be regularized."
When the control body finished its audit, in the Hospital there were works of remodeling that would cause a reduction in the number of existing beds. The AGCBA blamed the City's General Directorate of Mental Health because it did not plan measures to compensate for the decrease in beds, such as day hospitals or half-way houses.
According to Law 448 of Mental Health, the Directorate is the enforcement authority that must guide and regulate the whole system, besides enabling and controlling establishments, both public and private, and their benefits. Regarding the contract signed with CACEP, the Audit concluded that the Directorate "demonstrated inaction and breach of its duties entrusted by the legislation (al) to delegate responsibility for the care of patients to a private entity outside their jurisdiction."
Regarding the responsibilities of the Hospital itself, although the AGCBA acknowledged improvements in some aspects of the physical plant, it warned that "without proper maintenance, the refunctionalized pavilions will no longer be suitable for the care and shelter of patients in the short term." At the same time, the report pointed out that in terms of cleaning and disinsecting facilities, "inefficiencies" were detected that caused a "decrease in the quality of life of people hospitalized."