Contribuições da Gestão Autônoma da Medicação e da Terapia Ocupacional para a construção de projetos de vida de usuários de saúde mental.

Abstract

Psychosocial Rehabilitation, as a new paradigm brought about by Psychiatric Reform, comes to propose an expanded concept of health establishing mental health care actions based on autonomy, proactivity and the exercise of citizenship. The strategy of Autonomous Medication Management (GAM), created in Canada, translated and adapted to the Brazilian environment, meets these guidelines, and creates spaces for reflection and effective proactivity, enabling the creations of new perspectives of life for users. Given this, this study is aimed to understand the effects of the GAM strategy in the lives of users, through their life stories and relating them to Occupational Therapy. It is a qualitative and phenomenological study, focused mainly on the participation of two subjects. Virtual meetings were held to collect life stories, which were recorded and transcribed, after this, narratives were constructed based on the objectives of the study. From the narratives, it was possible to perceive knowledge about their medication, recognition of their own experiences, the expansion of personal networks and participation in other spaces as the main impacts generated by the strategy in the stories of collected lives. As a result, GAM has become a powerful tool in mental health care, enabling care based on proactivity/liberty/self-determination and constructive citizenship, co-creating the work with the occupational therapist in the area, valuing subjectivity and social insertion, themes which are also recommended by Psychosocial.