Promoción de estrategias de motivación y adherencia terapéutica en usuarios con consumo problemático de un centro de salud pública

Abstract

This experience systematization work presents the analysis of the promotion of motivational strategies and therapeutic adherence in users with problematic consumption, to contribute to the theoretical reflection from the experience obtained in the pre-professional practices. Using a qualitative approach, various techniques such as participant observation, semi-structured interviews, focus groups and field diaries are explored to identify and modify behaviors that improve treatment outcomes. Recognizing that low adherence and lack of motivation have a negative impact on both the individual and the public health system. Therefore, the study seeks to improve therapeutic practices regarding problematic consumption, considering social, socioeconomic and mental health factors with emphasis on adherence to treatment. In the intervention, it was noted that motivation and adherence to treatment are processes influenced by individual, social and even emotional factors. It was observed that the therapeutic support group encourages the strengthening of the commitment to recovery, while the lack of a family support network can hinder it. Nevertheless, it was identified that adherence to treatment depends not only on the user's determination, but also on a comprehensive approach that considers his or her context and promotes self-efficacy. In conclusion, strengthening motivation and therapeutic adherence requires strategies adapted to the individual needs of users, integrating social and professional support to ensure sustainable processes. Through the intervention, it became evident that accompaniment and having a therapeutic space free of biases are key to the success of the treatment. Considering that it is essential to continue with the development of strategies that encourage the participation of users, involving their environments, strengthening their commitment to recovery, guaranteeing their quality of life and reducing the impact of problematic consumption, it is essential to continue with the development of strategies that encourage the participation of users, involving their environments, strengthening their commitment to recovery, guaranteeing their quality of life and reducing the impact of problematic consumption.