Abstract

PALOMBINI, Analice de Lima et al. Groupality production and autonomy exercise in GAM: Rio Grande do Sul experience. Rev. Polis Psique [online]. 2020, vol.10, n.2, pp. 53-75. ISSN 2238-152X.  http://dx.doi.org/10.22456/2238-152X.104142.

This study starts with the introduction of the GAM-BR Guide as a tool for mental health policy in Rio Grande do Sul. In order to evaluate the repercussions of its implementation, an evaluation study was conducted with workers, users, managers and family members involved with the GAM strategy in services in three regions of Rio Grande do Sul. Conversation rounds were held and its transcription was transformed into narratives submitted for discussion with all segments. In this article, two of the eight thematic axes that guided the analysis of the set of narratives are pointed out: GAM's strategic function between guardianship and care and strategies and methodologies for groupality production. In GAM groups, exercises of autonomy and tutelage coexist, and it produces speaking spaces, exchanges between participants and dialogues with professionals. The cogestive management of groups indicates strategies and methodologies for groupality production, which results in the active and critical participation of users.

Keywords : autonomous medication management; mental health; psychiatric reform; autonomy; health service evaluation; participation.

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