Provider perceptions of pharmacists providing mental health medication support in patient-centered medical homes

Coe, Antoinette B.; Bostwick, Jolene R.; Choe, Hae Mi; Thompson, Aleda

doi:10.1016/j.japh.2019.03.002

Cited by 10 publications

(6 citation statements)

References 20 publications

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“…Despite psychiatry's current status as the sixth largest medical specialty, the supply of available clinicians has not kept up with demand [18]. Outside of the diagnosis and treatment of depression, PCPs indicate a lack of comfort in treating PCMH patients with MH disorders [19]. Efforts to improve the outcomes of patients with mental illness often have involved incorporating the skills of a variety of health care professionals into collaborative care models.…”

Section: Fig-1: Changing the Conversation About Mental Health (Mh) [1]mentioning

confidence: 99%

Psychiatric Pharmacy: New Role of Pharmacists in Mental Health

Mohiuddin¹

2019

SARJPS

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Psychiatric disorders are one of the major causes of global burden of diseases. Stigma remains a major impediment in the delivery of mental healthcare. It has been found across various studies that attitudes of doctors of other specialties and other healthcare professionals also contribute to stigma due to their lack of knowledge and awareness about psychiatry and mental health problems. The number of mental health professionals remains abysmally low. Community pharmacists are accessible, knowledgeable, and capable of providing mental health promotion and care in communities. This may not be a role that is recognized by the public, and men in particular. However, psychotherapy paired with medication is the most effective way to promote recovery. Examples include: Cognitive Behavioral Therapy, Exposure Therapy, Dialectical Behavior Therapy, etc. Pharmacists can play a key role by providing mental health medication management support to improve access and address patients' mental health needs.

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Section: Fig-1: Changing the Conversation About Mental Health (Mh) [1]mentioning

confidence: 99%

Psychiatric Pharmacy: New Role of Pharmacists in Mental Health

Mohiuddin¹

2019

SARJPS

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“…Knowledge, attitude, and practice (KAP) surveys could provide information regarding the needs, issues, and challenges of developing effective public health programs and postintervention data for program evaluation [ 18 ]. Several studies have used KAP surveys both before and after MTM implementation [ 19 , 20 , 21 , 22 , 23 , 24 ].Each study uncovers findings that could be useful for program planning or further research. A previous review examined survey articles regarding MTM programs in 2012 that investigated the perspectives of healthcare professionals, students, and patients in the US only [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

Pharmacists’ Knowledge, Attitude, and Practice of Medication Therapy Management: A Systematic Review

et al. 2022

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Understanding pharmacists’ knowledge, attitudes, and practices (KAP) and their perceptions of challenges, barriers, and facilitators towards medication therapy management (MTM) provision are vital in informing the design and implementation of successful service delivery. Thus, this review examined pharmacists’ knowledge, attitudes, and practices, and their perceived challenges, barriers, and facilitators to MTM services provision, globally. A systematic search was conducted on 1–31 August 2022 to identify relevant studies on PubMed and EBSCO, supplemented with a bibliographic and a particular hand search. We focused on original research in quantitative survey form with the key concepts of “medication therapy management”, “pharmacists”, and “knowledge, attitude, practice”. We assessed the reporting quality using the Checklist for Reporting of Survey Studies (CROSS). Results are reported narratively and according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. From 237 articles identified, 17 studies met the eligibility criteria. Of the included studies, five reported that pharmacists had a considerable level of knowledge, seven suggested a positive attitude among pharmacists, and five revealed that pharmacists had been practicing some MTM elements. Factors associated with pharmacists’ KAP may include age, educational degree, additional qualification, income, years of practice, practice setting, and experience in patient care service. The challenges toward MTM provision were related to the pharmacist-patient and pharmacist-physician relationship. Insufficient time, staff, compensation, and training were the barriers, while patients’ willingness to participate and educational background were the facilitators of MTM provision. These findings of studies on KAP could help develop an MTM program and design an intervention to improve program effectiveness. Further research focusing on other quantitative and qualitative studies of KAP is needed to obtain a comprehensive approach to MTM provision.

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“…While primary care providers may be able to expand access when encountering conditions that they feel confident in managing, this may not apply to conditions that require treatment with antipsychotics or mood stablizers. 8 Even specialized MH clinics face barriers to managing medication therapy. There are reports of antipsychotic underutilization or misutilization owing to complex monitoring and coordination requirements as well as concerns for adverse events.…”

Section: Introductionmentioning

confidence: 99%

Perceptions of clinical pharmacy specialists' contributions in mental health clinical teams

Gillespie¹,

Kleinberg

Zogas

et al. 2022

Mental Health Clinician

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Introduction Mental health (MH) clinical pharmacy specialists (CPS) are increasingly functioning as integral providers in MH care teams. MH providers may delegate many medication management tasks to the CPS. As there is a shortage of primary care and specialist MH providers, CPS are increasingly being utilized in MH care clinics. We assess provider and CPS perceptions of the contributions of CPS to MH clinical teams in the Veterans Health Administration. Methods We examined the roles and functions of CPS in MH clinics through surveys (n = 374) and semistructured interviews (n = 16) with MH CPS and other members of MH clinical teams (psychiatrists, nurse practitioners, registered nurses, social workers) to gain insight into how CPS were integrated in these settings. We assessed perceptions of CPS contributions to MH teams, interactions between CPS and other providers, and challenges of integrating CPS into MH clinical teams. Results Contributions of CPS in MH were received positively by clinical team members. Clinical pharmacy specialists providing comprehensive medication management were especially valuable in the management of clozapine. The knowledge and training of CPS reassured providers who frequently referred to them with questions about medication and medication therapy management. MH CPS were also perceived to be received well by patients. Discussion The integration of MH CPS into MH teams was well received by team members and patients alike. The MH CPS have become important members of the MH team and are widely viewed as being able to improve access, quality, and workflow.

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Provider perceptions of pharmacists providing mental health medication support in patient-centered medical homes

Cited by 10 publications

References 20 publications

Psychiatric Pharmacy: New Role of Pharmacists in Mental Health

Psychiatric Pharmacy: New Role of Pharmacists in Mental Health

Pharmacists’ Knowledge, Attitude, and Practice of Medication Therapy Management: A Systematic Review

Perceptions of clinical pharmacy specialists' contributions in mental health clinical teams

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