BackgroundCommunity pharmacists are accessible health care professionals who encounter people with lived experience of mental illness and addictions in daily practice. Although some existing research supports that community pharmacists’ interventions result in improved patient mental health outcomes, gaps in knowledge regarding the pharmacists’ experiences with service provision to this population remain. Improving knowledge regarding the pharmacists’ experiences with mental illness and addictions service provision can facilitate a better understanding of their perspectives and be used to inform the development and implementation of interventions delivered by community pharmacists for people with lived experience of mental illness and addictions in communities.MethodsWe conducted a qualitative study using a directed content analysis and the Theoretical Domains Framework as part of our underlying theory of behaviour change and our analytic framework for theme development. The Theoretical Domains Framework facilitates understanding of behaviours of health care professionals and implementation challenges and opportunities for interventions in health care. Thematic analysis co-occurred throughout the process of the directed content analysis. We recruited community pharmacists, with experience dispensing psychotropics, at a minimum, through multiple mechanisms (e.g., professional associations) in a convenience sampling approach. Potential participants were offered the option of focus groups or interviews.ResultsData were collected from one focus group and two interviews involving six pharmacists. Theoretical Domains Framework coding was primarily weighted in two domains: social/professional role and identity and environmental context and resources. We identified five main themes in the experiences of pharmacists in mental illness and addictions care: competing interests, demands, and time; relationships, rapport, and trust; stigma; collaboration and triage; and role expectations and clarity.ConclusionsPharmacists are not practicing to their full scope of practice in mental illness and addictions care for several reasons including limitations within the work environment and lack of structures and processes in place to be fully engaged as health care professionals. More research and policy work are needed to examine better integration of pharmacists as members of the mental health care team in communities.Electronic supplementary materialThe online version of this article (doi:10.1186/s13011-016-0050-9) contains supplementary material, which is available to authorized users.

According to the Task Support Hypothesis (TSH; Bowler et al. in Neuropsychologia 35:65-70, 1997) individuals with autism spectrum disorder (ASD) perform more similarly to their typically developing peers on learning and memory tasks when provided with external support at retrieval. We administered the California Verbal Learning Test-Children's Version to 15 high-functioning youths with ASD and 15 matched comparison participants. Although ASD and comparison participants had comparable levels of overall performance, the ASD group, but not the comparison group, improved significantly from free to cued recall, providing support for the TSH. These results indicate that verbal memory performance in youths with ASD is relatively intact, but may be facilitated by external supports.

Gaze direction plays a central role in face recognition. Previous research suggests that faces with direct gaze are better remembered than faces with averted gaze. We compared recognition of faces with direct versus averted gaze in male versus female participants. A total of 52 adults (23 females, 29 males) and 46 children (25 females, 21 males) completed a computerised task that assessed their recognition of faces with direct gaze and faces with averted gaze. Adult male participants showed superior recognition of faces with direct gaze compared to faces with averted gaze. There was no difference between recognition of direct and averted gaze faces for the adult female participants. Children did not demonstrate this sex difference; rather, both male and female youth participants showed better recognition of faces with direct gaze compared to averted gaze. A large body of previous research has revealed superior recognition of faces with direct, compared to averted gaze. However, relatively few studies have examined sex differences. Our findings suggest that gaze direction has differential effects on face recognition for adult males and females, but not for children. These findings have implications for previous explanations of better recognition for direct versus averted gaze.