Pharmacists’ role and experiences with delivering mental health care within team-based primary care settings during the COVID-19 pandemic

Author:

Ashcroft Rachelle1ORCID,Mathers Annalise2ORCID,Gin Amanda3,Lam Simon1,Donnelly Catherine4,Brown Judith Belle5,Kourgiantakis Toula1,Mehta Kavita6,Rayner Jennifer7,Sur Deepy8,Adamson Keith1,Kirvan Anne1,Dolovich Lisa2

Affiliation:

1. Factor-Inwentash Faculty of Social Work, University of Toronto , 246 Bloor Street W., Toronto, ON M5S 1V4 , Canada

2. Leslie Dan Faculty of Pharmacy, University of Toronto , 144 College St., Toronto, ON M5S 3M2 , Canada

3. Cardiology, Women’s College Hospital , 76 Grenville Street, Toronto, ON M5S 1B2 , Canada

4. Faculty of Health Sciences, Queen’s University , Room 815, 18 Stuart Street, Kingston, ON K7L 2V5 , Canada

5. Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University , 1151 Richmond St., London, ON N6A 5C1 , Canada

6. Association of Family Health Teams of Ontario , 400 University Avenue, Suite 2100, Toronto, ON M5G 1S5 , Canada

7. Department of Research and Evaluation, Alliance for Healthier Communities , 970 Lawrence Ave W., Suite 500, North York, ON M6A 3B6 , Canada

8. Ontario Association of Social Workers , 180 Dundas Street W., Suite 2404, Toronto, ON M5G 1Z8 , Canada

Abstract

Abstract Objectives Pharmacists have been increasingly integrated into primary care teams, leading to improved health outcomes for patients. The two objectives of this study were (i) to describe how the COVID-19 pandemic impacted pharmacists’ role in mental health care within Canadian primary care teams and (ii) to describe Canadian pharmacists’ experiences collaborating with other healthcare providers in the delivery of mental health services during the COVID-19 pandemic. Methods Cross-sectional observational study utilizing an online survey consisting of closed-ended and open-ended questions. Primary care pharmacists in Ontario were eligible to participate. Descriptive statistics were collated, and qualitative data underwent thematic analysis. A total of 51 pharmacists participated in the study. Key findings The COVID-19 pandemic has led to the expanding role of pharmacists in attending to the mental health care of patients. Working within a collaborative, interprofessional healthcare environment, pharmacists support patients’ mental health in a variety of ways, including medication education and management, non-pharmacologic approaches and supportive conversations, and identification of resources, including referrals, wellness checks, and consulting with physicians. Increasing demand for mental health services has led to higher referrals to pharmacists, which will likely persist and require further education of pharmacists in mental health along with better access to deliver virtual care. Conclusion In response to the increasing mental health care needs of patients since the COVID-19 pandemic, primary care pharmacists reported increased attention spent on mental health care. Building capacity and ensuring support for pharmacists to continue to address the increasing mental health care demands is essential.

Funder

University of Toronto

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,Pharmaceutical Science,Pharmacy

Reference43 articles.

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2. Pharmacist services provided in general practice clinics: a systematic review and meta-analysis;Tan,2014

3. Activities performed by pharmacists integrated in family health teams: results from a web based survey;Gillespie,2017

4. Ontario pharmacists practicing in family health teams and the patient-centered medical home;Dolovich,2012

5. The evolving role and impact of integrating pharmacist into primary care team: experience from Ontario, Canada;Khaira,2020

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