Uso do Guia GAM em serviços de saúde mental : uma revisão de escopo sobre desafios e estratégias de implementação

Abstract

Introduction: With the increasing number of people diagnosed with mental disorders, the need for support methods for this population has become evident. In this context, Psychosocial Care Centers (CAPS) offer care such as psychosocial rehabilitation and reintegration, as well as the safe use of psychotropic medications. However, due to the population's lack of knowledge about these medications, the Autonomous Medication Management (GAM) Guide was adopted. Objectives: To conduct a scoping review on the implementation of the GAM Guide in mental health services, focusing on challenges and strategies. Method: This is a descriptiveexploratory study with a qualitative approach, using a scoping review as its methodology. Results and discussion: The main challenges identified were the difficulty of adapting the guide to the Brazilian reality and the different profiles of health service users, as well as the qualification of health professionals. Strategies include reformulating the guide's terms, using dynamics and playful activities, and creating academic courses focused on GAM. Conclusion: There was a lack of detailed descriptions of the strategies, and a greater concentration of studies in the Central-West and South regions. Therefore, we suggest that research be conducted in other regions of the country to ensure the effective implementation of GAM and enable autonomy for users of these services.