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


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:
Divisions: College of Health & Life Sciences > Aston Pharmacy School
College of Health & Life Sciences > Chronic and Communicable Conditions
Additional Information: The original publication is available at
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
Publication ISSN: 2210-7711
Last Modified: 14 May 2024 07:08
Date Deposited: 11 Mar 2019 18:17
Full Text Link: http://www.spri ... 726mr742703h294
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2011-08
Published Online Date: 2011-05-04
Authors: Maidment, Ian D (ORCID Profile 0000-0003-4152-9704)
Brown, Patrick
Calnan, Michael



Version: Accepted Version

| Preview

Export / Share Citation


Additional statistics for this record