An exploratory study of the role of trust in medication management within mental health services

Maidment, Ian D, Brown, Patrick and Calnan, Michael (2011). An exploratory study of the role of trust in medication management within mental health services. International Journal of Clinical Pharmacy, 33 (4), pp. 614-620.

Abstract

Objective - To develop understandings of the nature and influence of trust in the safe management of medication within mental health services. Setting - Mental health services in the UK. Method - Qualitative methods were applied through focus groups across three different categories of service user—older adult, adults living in the community and forensic services. An inductive thematic analysis was carried out, using the method of constant comparison derived from grounded theory. Main Outcome - Measure Participants’ views on the key factors influencing trust and the role of trust in safe medication management. Results - The salient factors impacting trust were: the therapeutic relationship; uncertainty and vulnerability; and social control. Users of mental health services may be particularly vulnerable to adverse events and these can damage trust. Conclusion - Safe management of medication is facilitated by trust. However, this trust may be difficult to develop and maintain, exposing service users to adverse events and worsening adherence. Practice and policy should be oriented towards developing trust.

Publication DOI: https://doi.org/10.1007/s11096-011-9510-5
Divisions: Life & Health Sciences > Pharmacy
Life & Health Sciences
Additional Information: The original publication is available at www.springerlink.com
Uncontrolled Keywords: adult,aged,disease management,female,Great Britain,humans,male,medication adherence,medication errors,mental disorders,mental health services,middle aged,physician-patient rRelations,trust,young adult,adverse events,concordance,health behaviour,mental health,qualitative research,United Kingdom,Pharmacology (medical),Pharmaceutical Science,Pharmacology,Toxicology,Pharmacy
Full Text Link: http://www.spri ... 726mr742703h294
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
Published Date: 2011-08
Authors: Maidment, Ian D ( 0000-0003-4152-9704)
Brown, Patrick
Calnan, Michael

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