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.
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.
| Original language | English |
|---|---|
| Pages (from-to) | 614-620 |
| Number of pages | 7 |
| Journal | International Journal of Clinical Pharmacy |
| Volume | 33 |
| Issue number | 4 |
| Early online date | 4 May 2011 |
| DOIs | |
| Publication status | Published - Aug 2011 |
Bibliographical note
The original publication is available at www.springerlink.comKeywords
- 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