Gaining Autonomy & Medication Management (GAM): new perspectives on well-being, quality of life and psychiatric medication
Open accessAbstract
Autonomous Medication Management (GAM) is an innovative approach developed in partnership with medication users. It takes their subjective experience into account and strives to place the individual at the center of pharmacological treatment in psychiatry with a view to improving well-being and quality of life. It creates spaces of open dialogue on the issue of medication amongst users, physicians and their family and friends. This article is derived from a research study and presents the principles, practices and main impacts of GAM on how people relate to their medications and the physicians who prescribe them. The major positive effects were the users' clearer understanding of their experience of taking psychiatric medication and their rights, the reduction or elimination of sudden and unsupervised treatment interruptions and the users' sense of having more control over their treatment. It includes inner experience and life, an improved relationship with professionals and space for negotiation with the physician and, lastly, changes to prescriptions that significantly improved well-being and recovery. The distinguishing features of GAM are described and compared with other approaches, giving a voice to people who take medication.
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Evidence stresses the pivotal impact of therapeutic adherence on the quality of healthcare delivery, including increased demand for help and adherence to scheduled appointments, reduced rates of hospitalizations/rehospitalizations, reduction or elimination of sudden and unsupervised treatment interruptions, and decreased hospitalization costs.
“Evidence also stresses the pivotal impact of therapeutic adherence on the quality of healthcare delivery, including increased demand for help and adherence to scheduled appointments [49], reduced rates of hospitalizations/rehospitalizations [33,61,63,70], reduction or elimination of sudden and unsupervised treatment interruptions [46], and decreased hospitalization costs [63].”
From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [46]
Therapeutic adherence is described as a fluid process that reinforces collaborative approaches between the patient and the clinician and improves the relationship with professionals, affecting satisfaction with treatment.
“Some articles described therapeutic adherence as a fluid process that reinforces the collaborative approaches between the patient and the clinician [38,56,76] and improves the relationship with professionals [46], affecting satisfaction with treatment [34,45,62,77,78].”
From Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis (2023) · cites this paper as [46]
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- Authors
- del Barrio, L. R., Cyr, C., Benisty, L., & Richard, P.
- Affiliations
- Université de Montréal, Canada
- Université de Montréal (CA)
- Venue
- Ciência & Saúde Coletiva
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2013-10
- Volume
- 18
- Issue
- 10
- Pages
- 2879-2887
- ISSN
- 1413-8123 (ISSN-L)
- OpenAlex
- W2048347275
- Cited by
- 21
- References
- 14
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 6 · 2020: 3 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 1
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Ciência & Saúde Coletiva (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Americanae (AECID Library) (submittedVersion, cc-by-nc)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- psychiatric medication, medication adherence, patient autonomy, well-being, quality of life, patient-professional relationship, medication interruption, patient participation in treatment
- MeSH terms
- Mental Disorders, Humans, Psychotropic Drugs, Quality of Life, Self Care, Patient Satisfaction, Personal Autonomy, Medication Adherence
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