A qualitative study exploring opportunities for pharmacists to connect with young mental health consumers

McMillan, Sara Sinclair; Stapleton, Helen; Stewart, Victoria; Wheeler, Amanda; Kelly, Fiona

doi:10.1016/j.japh.2020.02.018

Cited by 5 publications

(6 citation statements)

References 48 publications

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“…Pharmacists reported a lack of privacy when consulting with patients about their mental health. 77 , 84 , 102 Young mental health patients described a lack of privacy due to pharmacies’ open plan spaces 49 which was exacerbated during busy periods. 37 Studies from England and New Zealand showed many pharmacy users were unaware of the presence of a private consultation area, 54 , 55 especially young people 103 and because sometimes pharmacists did not offer the consultation room to their patients.…”

Section: Resultsmentioning

confidence: 99%

Systematic review on the effects of the physical and social aspects of community pharmacy spaces on service users and staff

Dhital

Sakulwach

Robert

et al. 2022

Perspect Public Health

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Aim: This systematic review aimed to provide new insights into how pharmacy spaces, or the architecture of pharmacies, are experienced by pharmacy service users and staff. The review sought to identify environmental factors which may influence service users’ and staff participation in community-based pharmacy health services. Method: Ten databases were searched for English language publications, using a combination of search terms relating to pharmacy service users and staff; pharmacy spaces; and health and social care outcomes. Data from the final selected studies were extracted, thematically analysed using a narrative approach and the quality of each study assessed using the Integrated quality Criteria for the Review of Multiple Study designs (ICROMS). Results: 80 articles reporting 80 studies published between 1994 and 2020 were identified; they were from 28 countries, involving around 3234 community pharmacies, 13,615 pharmacy service users, 5056 pharmacists and 78 pharmacy health staff. Most studies (94%) met the ICROMS minimum score, and half did not meet the mandatory quality criteria. Four themes likely to influence service users’ and staff experiences of pharmacy health services were identified: (1) privacy; (2) experience of the physical environment; (3) professional image; and (4) risk of error. Conclusion: To optimise the delivery and experience of pharmacy health services, these spaces should be made more engaging. Future applied research could focus on optimising inclusive pharmacy design features.

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Section: Resultsmentioning

confidence: 99%

Systematic review on the effects of the physical and social aspects of community pharmacy spaces on service users and staff

Dhital

Sakulwach

Robert

et al. 2022

Perspect Public Health

View full text Add to dashboard Cite

show abstract

“…As the study was focused on other aspects of medication management, such as experiences obtaining medication from a community pharmacy, other data emerged that is reported elsewhere [40]. Following this period of concentrated data immersion, results were compared, anomalies resolved, and the dominant categories agreed upon by both researchers (SM, HS).…”

Section: Discussionmentioning

confidence: 99%

“…Data were managed using the software package NVivo© (version 12, QSR International Pty Ltd., Doncaster, Victoria, Australia) which enabled sophisticated filing, easy retrieval and complex interrogation across the dataset. Some of the minor themes and diverse cases identified in the analysis have been presented in the results; other themes are reported in another paper focused on pharmacy experiences [40].…”

Section: Discussionmentioning

confidence: 99%

Medication management in the context of mental illness: an exploratory study of young people living in Australia

et al. 2020

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Background: Young people face significant challenges when managing a mental illness, such as acquiring treatment autonomy, being inexperienced users of the healthcare system and associated peer-related stigma. While medication use can be challenging in its own right, there is comparatively little information about the associated experiences and needs of young people with mental illness, particularly in the Australian context. This exploratory study will provide valuable insight into how this group is currently supported in relation to medication use. Methods: Young people (aged 14-25 years) who had used a prescription medication for any mental illness for a minimum of 2 months were eligible to participate in this qualitative exploratory study. Semi-structured interviews were conducted between October 2017-September 2018 in consultation rooms at two youth-focused mental health support organisations in Brisbane, Queensland. Interview questions explored how participants managed their medication and related experiences. Interviews were transcribed verbatim and descriptively analysed using thematic analysis. Results: Eighteen young people discussed their lived experience during interviews averaging 50 min in duration. Finding the right medication that reduced symptom severity with minimal side-effects was identified as a complex experience for many, particularly when there was a lack of information, support or reduced financial capacity. Young people described a range of strategies to manage medication side-effects, changes and to support routine medication use. Conclusions: Young people persevered with taking medication to manage a mental illness within a healthcare system that does not adequately support this vulnerable population. There remains a clear directive for healthcare professionals to provide credible information that proactively engages young people as healthcare participants, and for policy makers to consider financial burden for this population with limited financial capacity.

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“…When postsecondary students obtain prescription medication from pharmacies, there are opportunities for the team of pharmacy professionals to support them with their psychotropic medication use and promote mental health. Previous research provides insight into the need for pharmacists to move towards a better approach to connect with, and support, postsecondary students 39–41. However, there is a research gap in the exploration of relationships among postsecondary students’ state of mental health, psychotropic medication management knowledge/needs and pharmacy services.…”

Section: Introductionmentioning

confidence: 99%

Protocol for a qualitative study exploring the pharmacist’s role in supporting postsecondary students with psychotropic medication management

McCracken,

Cleverley,

Sproule

et al. 2023

BMJ Open

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IntroductionFindings from the National College Health Assessment (2019) stated that anxiety and depression are the most prevalent diagnosed mental illnesses among Canadian postsecondary students with one-fifth of students self-reporting a lifetime diagnosis. Psychotropic medications can be an important component of a multifaceted approach to the management and treatment of mental illness and are the most commonly dispensed via community pharmacies. Community pharmacies provide an opportunity for pharmacists to have a prominent role in supporting patients’ psychotropic medication management. However, there has been limited exploration of how pharmacists can address patients’ psychotropic medication management needs, experiences and opportunities for improvements especially for emerging adults.Methods and analysisThis qualitative study will incorporate Thorne’s approach to interpretative description. Purposeful snowball sampling will be used to identify students (18–25 years) taking psychotropic medication(s) to manage their mental health. Participants will be interviewed one on one using a semistructured interview guide virtually. Inductive thematic analysis is underway with data analysis being iterative and reflexive using NVivo. Information provided from the interviews will be reviewed and summarised into key themes.Ethics and disseminationThis study was approved by the University of Toronto Health Sciences Research Ethics Board (REB #43185). It is expected that there will be a very low risk for mild psychological and social harm for participants as they will have the ability to stop the interview at any time and will be aware of confidentiality. The results from this study will be used to create or adapt healthcare team services including the role of pharmacists within the healthcare ecosystem at the university and contribute to developing the next stage of research to evaluate feasibility and effectiveness of programmes at the university that help postsecondary students to manage psychotropic medication.

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A qualitative study exploring opportunities for pharmacists to connect with young mental health consumers

Cited by 5 publications

References 48 publications

Systematic review on the effects of the physical and social aspects of community pharmacy spaces on service users and staff

Systematic review on the effects of the physical and social aspects of community pharmacy spaces on service users and staff

Medication management in the context of mental illness: an exploratory study of young people living in Australia

Protocol for a qualitative study exploring the pharmacist’s role in supporting postsecondary students with psychotropic medication management

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