I visited many times the Mental Hospital in Asunción in 2003 and 2004; yes, doesn't look exactly as an hospital should be, but, the corruption is habitual in a lot of countries of this region and the social security is just for a minority.
In spite of the official unattention are there many people that try to change the conditions of this people (ONG's and proffesionals.
First time I was there for reportage of a local magazine and last time for EFE Agency, from Spain. in between other times I went there to talk with the people, leave some clothes and do some shots, trying to help showing the hard conditions, but currently it's almost the same thing, just promises. A good friend, Miguel Ángel Velázquez, neurosurgeon, wrote the following lines for introducing this gallery:

"The NeuroPsyquiatric Hospital of Asunción is the principal reference center about mental health in Paraguay. There’s no other public or private center with the purpose of the same one, which is not always accompanied for the resources and much less by its profits.
In which chronic patients are mixed (of prolonged treatment and by life although in different faces of their sickness, or in remission or latency) and acute patients (of buds or explosions of psychiatric upheavals in its greater imaginable diversity)
Of this sad and very little therapeutic practice results this center like one of the forgotten, left and damaged annually for the every estimated time budget assigned to Public Health in Paraguay that it is equivalent to less than the 10% of the Total Budget of Expenses of the Nation."

Dr. Miguel Ángel Velázquez
neurosurgeon