Community pharmacists’ attitudes toward providing care and services to patients with severe and persistent mental illness

Watkins, Alicia; McKee, Jerry; Hughes, C. M.; Pfeiffenberger, Trista

doi:10.1016/j.japh.2017.02.020

Cited by 30 publications

(25 citation statements)

References 13 publications

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“…Nonetheless, pharmacists’ and GPs’ attitudes towards extended services in this review reflected international findings, where pharmacists in North America, Asia, Australasia, South America and Europe were also enthusiastic towards the concept of providing extended services (Dosea et al., ; Fang, Yang, Feng, Ni, & Zhang, ; Kinsey, Scahill, Bye, & Harrison, ; Kjome, Sandberg, & Granas, ; Schindel et al., ). Moreover, lack of awareness (Bjorkman, Viberg, Rydberg, & Stalsby Lundborg, ; Fakih, Marriott, & Hussainy, ; Freeman, Cottrell, Kyle, Williams, & Nissen, ; Wibowo, Sunderland, & Hughes, ), issues with community pharmacy premises (Babiker, Carson, & Awaisu, ; Bjorkman et al., ; Donald et al., ; Gray, Chamberlain, & Morris, ; Hattingh, Emmerton, Ng Cheong Tin, & Green, ; Murphy et al., ), lack of management support (Casserlie & Mager, ; Donald et al., ; Kinsey et al., ; Tsao et al., ; Watkins, McKee, Hughes, & Pfeiffenberger, ) and remuneration (Donald et al., ; Gray et al., ; Kinsey et al., ; Watkins et al., ) have also been found in other countries. Many pharmacists elsewhere also stressed the need for sufficient pharmacy staff (Casserlie & Mager, ; Gray et al., ; Kinsey et al., ; Murphy et al., ; Tsao et al., ), and pharmacists’(Donald et al., ; Jorgenson, Laubscher, Lyons, & Palmer, ; Watkins et al., ; Wibowo et al., ) and GPs’ (Bryant, Coster, Gamble, & McCormick, ; Dhillon et al., ; Tan, Stewart, Elliott, & George, ) views confirmed poor engagement between pharmacists and GPs.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, lack of awareness (Bjorkman, Viberg, Rydberg, & Stalsby Lundborg, 2008;Fakih, Marriott, & Hussainy, 2016;Freeman, Cottrell, Kyle, Williams, & Nissen, 2012;Wibowo, Sunderland, & Hughes, 2016), issues with community pharmacy premises (Babiker, Carson, & Awaisu, 2014;Bjorkman et al, 2008;Donald et al, 2017;Gray, Chamberlain, & Morris, 2016;Hattingh, Emmerton, Ng Cheong Tin, & Green, 2016;Murphy et al, 2016), lack of management support (Casserlie & Mager, 2016;Donald et al, 2017;Kinsey et al, 2016;Tsao et al, 2016;Watkins, McKee, Hughes, & Pfeiffenberger, 2017) and remuneration (Donald et al, 2017;Gray et al, 2016;Kinsey et al, 2016;Watkins et al, 2017) have also been found in other countries. Many pharmacists elsewhere also stressed the need for sufficient pharmacy staff (Casserlie & Mager, 2016;Gray et al, 2016;Kinsey et al, 2016;Murphy et al, 2016;Tsao et al, 2016), and pharmacists' (Donald et al, 2017;Jorgenson, Laubscher, Lyons, & Palmer, 2014;Watkins et al, 2017;Wibowo et al, 2016) and GPs' (Bryant, Coster, Gamble, & McCormick, 2009;Dhillon et al, 2015;Tan, Stewart, Elliott, & George, 2014) views confirmed poor engagement between pharmacists and GPs.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, it is apparent that pharmacists are eager to expand their roles but lack the confidence to do so. Implementing regular training and increasing opportunities to apply training could enhance their confidence and reassure them of their competence (Donald et al, 2017;Dosea et al, 2017;Sim, Hattingh, Sherriff, & Tee, 2017;Watkins et al, 2017). Pharmacists' confidence could also be enhanced by having the ability to witness improved outcomes for patients.…”

Section: Discussionmentioning

confidence: 99%

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Solidarity or dissonance? A systematic review of pharmacist and GP views on community pharmacy services in the UK

Hindi

Jacobs

Schafheutle

2018

Health Soc Care Community

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There has been a strong policy emphasis over the past decade on optimising patient-centred care and reducing general practitioners' (GPs') workload by extending community pharmacy services and collaboration between pharmacists and GPs. Our aim was to review current evidence of pharmacists' and GPs' views of extended community pharmacy services and pharmacists' roles in the United Kingdom (UK). A systematic review was undertaken looking at UK studies investigating pharmacists' and/or GPs' views of community pharmacy services or roles from 2005 to 2017. A range of databases were searched including EMBASE, PubMed, Scopus, Web of Science, International Pharmaceutical Abstracts (IPA), PsycINFO, Science Direct and The Cumulative Index to Nursing and Allied Health Literature (CINAHL). In addition, reference lists of included studies were screened and grey literature was searched. Following the application of inclusion/exclusion criteria, the quality of papers was critically analysed, findings were extracted into a grid and subjected to narrative synthesis following thematic analysis. The search strategy yielded a total of 4,066 unique papers from which 60 were included. Forty-seven papers covered pharmacists' views, nine combined both pharmacists' and GPs' views and four covered GPs' views. Study designs included interviews (n = 31, 52%), questionnaire surveys (n = 17, 28%) and focus groups (n = 7, 12%). Three main themes emerged from the data: "attitudes towards services/roles", "community pharmacy organisations" and "external influences". Pharmacists and GPs perceived a number of barriers to successful implementation and integration of pharmacy services. Moreover, collaboration between pharmacists and GPs remains poor despite the introduction of extended services. Overall, extending community pharmacy services require quality-driven incentives and joint working between community pharmacists and GPs to achieve better integration within the patient's primary care pathway.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Solidarity or dissonance? A systematic review of pharmacist and GP views on community pharmacy services in the UK

Hindi

Jacobs

Schafheutle

2018

Health Soc Care Community

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“…A survey of North Carolina community pharmacists substantiated that, while pharmacists were willing to engage with patients around mental health topics, they lacked comfort and confidence to address these needs. These authors outlined methods for pharmacists to address this clinical confidence gap, including participating in Mental Health First Aid (MHFA) training . MHFA is an 8‐hour course that builds mental health literacy and helps trainees identify, understand, and know how to respond to mental illness or signs of exacerbation or decompensation of mental illness.…”

Section: Discussionmentioning

confidence: 99%

“…These authors outlined methods for pharmacists to address this clinical confidence gap, including participating in Mental Health First Aid (MHFA) training. 27 MHFA is an 8-hour course that builds mental health literacy and helps trainees identify, understand, and know how to respond to mental illness or signs of exacerbation or decompensation of mental illness. Ott and McKee have specifically addressed the value of MHFA training for community pharmacists and staff.…”

Section: Discussionmentioning

confidence: 99%

Conducting depression screenings in a community pharmacy: A pilot comparison of methods

Ballou

Chapman²,

Roark³

et al. 2019

J Am Coll Clin Pharm

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Background Depression is one of the most common mental health disorders in the United States. Routine screening of all adult patients for depression is recommended, but current screening rates are in the single digits. Community pharmacists are the most accessible health care providers, making them uniquely positioned to screen patients for depression and, when necessary, refer patients to local health care providers. Objective The purpose of this study was to compare methods for administration of a depression screening tool in an independent, community pharmacy. Methods Fifty Patient Health Questionnaire‐9 (PHQ‐9) depression screening questionnaires were distributed to participants through each of three different methods: (1) as a bag stuffer with written instructions at prescription pick‐up, (2) personal ask with verbal instructions at prescription drop‐off, or (3) one‐on‐one conversation with the pharmacist at prescription pick‐up or during a previously scheduled medication therapy management appointment. Results There was a difference in the participation rate among each of the three methods: 1/50 in the bag stuffer group, 36/50 in the personal ask group, and 40/50 in the interview group. Of the 77 participants, 18 required referral for additional treatment. Of the participants surveyed, 93% indicated that offering depression screening in a community pharmacy was a valuable service. The average amount of time spent with each participant was approximately 4 minutes. Conclusion Administration of the PHQ‐9 screening tool that involved direct pharmacist intervention elicited a higher response from participants than bag stuffers and may be an effective strategy to engage patients in a conversation regarding their mental health.

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Perception of Community Pharmacists in Malaysia About Mental Healthcare and Barriers to Providing Pharmaceutical Care Services to Patients with Mental Disorders

Wong

Khan

Wong

et al. 2019

Community Ment Health J

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The aim of this study was to assess community pharmacists' (CPs) perceptions toward mental healthcare, and the barriers faced in providing pharmaceutical care (PC) services to these patients. A 40-item survey was posted to CPs. Ninety-six pharmacists participated. The majority (84.2%) agreed there is a role for CPs to play in mental health care, while approximately 60% agreed it is their responsibility to provide PC to these patients. The biggest barrier to providing this service is the lack of knowledge, cited by close to 50% of respondents. This corresponds with the revelation that close to 60% believe that they have a poor or fair understanding of mental disorders. About 30% of respondents said they do not stock psychotropic drugs at all, mainly due to medico-legal reasons, and low prescription requests. Our findings highlight the need for more training of CPs in managing patients with mental disorders.Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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Community pharmacists’ attitudes toward providing care and services to patients with severe and persistent mental illness

Cited by 30 publications

References 13 publications

Solidarity or dissonance? A systematic review of pharmacist and GP views on community pharmacy services in the UK

Solidarity or dissonance? A systematic review of pharmacist and GP views on community pharmacy services in the UK

Conducting depression screenings in a community pharmacy: A pilot comparison of methods

Perception of Community Pharmacists in Malaysia About Mental Healthcare and Barriers to Providing Pharmaceutical Care Services to Patients with Mental Disorders

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