Canadian Pharmacists Journal - May/June 2019 - 186

839424
research-article2019

CPHXXX10.1177/1715163519839424C P J / R P CC P J / R P C

ORIGINAL RESEARCH

PeeR-ReViewed

ORIGINAL RESEARCH * PEER-REvIEwEd

The patient experience in a
community pharmacy mental illness
and addictions program
AndreA L. Murphy

The Bloom Program
is a novel, community
pharmacy-based mental
illness and addictions
program provided by
approved pharmacies in
Nova Scotia. As part of
the program's mixedmethods evaluation, we
conducted patient interviews to explore their
experiences, with the goal
of using the findings to
guide program improvements.
Le programme Bloom est
un nouveau programme
communautaire de lutte
contre la maladie mentale
et la toxicomanie offert en
pharmacie en NouvelleÉcosse. Dans le cadre de
l'évaluation du programme basée sur diverses
méthodes, nous avons
réalisé des entretiens avec
des patients afin d'explorer
leurs expériences dans le
but d'utiliser les résultats
pour orienter les améliorations à apporter au
programme.

© The Author(s) 2019
Article reuse guidelines:
sagepub.com/journals-permissions
DOI:10.1177/1715163519839424
186



Andrea L. Murphy, BScPharm, PharmD;
Lisa M. Jacobs, MSW, RSW

David M. Gardner, BScPharm, PharmD, MSc;

AbstrAct
Background: the bloom Program was designed
to enhance pharmacists' care of people with lived
experience of mental illness and addictions in
Nova scotia. the Program's demonstration period
was from september 2014 to December 2016 and
included a qualitative evaluation of the patient
experience.
Methods: Patients were recruited for individual
interviews through bloom Program pharmacies. Interviews were transcribed verbatim and
analyzed following braun and clarke's 6-step
approach for thematic analysis.
Results: ten patients were interviewed between
May and June 2016. ten themes were determined
through data analysis and included medication

management, accessing pharmacists in a new
way, providing social support, bridging service
gaps, providing interim care, reducing financial barriers, navigation and advocacy, holistic
approaches, empowerment through knowledge
and awareness and collaboration.
Discussion: Pharmacists expectedly provided
medication management activities to patients for
both physical and mental health concerns in the
bloom Program. Many activities conducted with
bloom Program patients fell outside of dispensing roles and medication management. these
activities, such as social support, triage, navigation and increasing access, which were highly
valued by patients, are poorly measured and
assessed in pharmacy practice research.

Conclusion: Participants in the bloom Program reported the significant contributions of pharmacists and
pharmacy teams in their overall health and wellness. Future evaluations of interventions like the bloom
Program should include measurement of constructs valued by patients and also consider impacts on
inequalities and inequities. Pharmacy practice researchers can benefit from other research and evaluation
being conducted for primary care interventions. Can Pharm J (Ott) 2019;152:186-192.

Introduction

Pharmacists work with people with lived experience of mental illness and addictions to optimize medication management and other health
issues. Recognizing the potential opportunities
for pharmacists to play a more active role in
community-based mental health care, the Bloom
Program, also known as the Mental Health and
Addictions Community Pharmacy Partnership Program of Nova Scotia, was designed,

developed and implemented in 23 pharmacies
across Nova Scotia.
Funded by the Nova Scotia Department of
Health and Wellness Mental Illness and Addictions Strategy, the Bloom Program demonstration period was from September 2014 to
December 2016. The project's governance
structure included a multistakeholder steering
committee and an evaluation subcommittee.
People were eligible for enrollment in the Bloom
C P J / R P C  *  M ay / J u n e  2 0 1 9  *  V O L  1 5 2 ,  N O  3


https://us.sagepub.com/en-us/journals-permissions

Canadian Pharmacists Journal - May/June 2019

Table of Contents for the Digital Edition of Canadian Pharmacists Journal - May/June 2019

Regulation and innovation in practice – Not a “drug interaction”?
Dietary sodium and the health of Canadians
Professional abstinence: What does it mean for pharmacists?
Canada’s new Healthy Eating Strategy: Implications for health care professionals and a call to action
Report from the 2018 National Summit on Wicked Problems in Community Pharmacy
Medical abortion: A practice tool for pharmacists
Community-based management of epistaxis: Who bloody knows?
The pharmacist’s role in successful deprescribing through hospital medication reconciliation
Pharmacists to improve hypertension management: Guideline concordance from North America to Europe
The patient experience in a community pharmacy mental illness and addictions program
Community pharmacists’ experiences with the Saskatchewan Medication Assessment Program
Cross-Canada updates
The conference experience—Making it yours
Canadian Pharmacists Journal - May/June 2019 - Intro
Canadian Pharmacists Journal - May/June 2019 - Cover1
Canadian Pharmacists Journal - May/June 2019 - Cover2
Canadian Pharmacists Journal - May/June 2019 - 137
Canadian Pharmacists Journal - May/June 2019 - 138
Canadian Pharmacists Journal - May/June 2019 - 139
Canadian Pharmacists Journal - May/June 2019 - 140
Canadian Pharmacists Journal - May/June 2019 - 141
Canadian Pharmacists Journal - May/June 2019 - 142
Canadian Pharmacists Journal - May/June 2019 - Regulation and innovation in practice – Not a “drug interaction”?
Canadian Pharmacists Journal - May/June 2019 - 144
Canadian Pharmacists Journal - May/June 2019 - 145
Canadian Pharmacists Journal - May/June 2019 - 146
Canadian Pharmacists Journal - May/June 2019 - Dietary sodium and the health of Canadians
Canadian Pharmacists Journal - May/June 2019 - Professional abstinence: What does it mean for pharmacists?
Canadian Pharmacists Journal - May/June 2019 - 149
Canadian Pharmacists Journal - May/June 2019 - 150
Canadian Pharmacists Journal - May/June 2019 - Canada’s new Healthy Eating Strategy: Implications for health care professionals and a call to action
Canadian Pharmacists Journal - May/June 2019 - 152
Canadian Pharmacists Journal - May/June 2019 - 153
Canadian Pharmacists Journal - May/June 2019 - 154
Canadian Pharmacists Journal - May/June 2019 - 155
Canadian Pharmacists Journal - May/June 2019 - 156
Canadian Pharmacists Journal - May/June 2019 - 157
Canadian Pharmacists Journal - May/June 2019 - Report from the 2018 National Summit on Wicked Problems in Community Pharmacy
Canadian Pharmacists Journal - May/June 2019 - 159
Canadian Pharmacists Journal - May/June 2019 - Medical abortion: A practice tool for pharmacists
Canadian Pharmacists Journal - May/June 2019 - 161
Canadian Pharmacists Journal - May/June 2019 - 162
Canadian Pharmacists Journal - May/June 2019 - 163
Canadian Pharmacists Journal - May/June 2019 - Community-based management of epistaxis: Who bloody knows?
Canadian Pharmacists Journal - May/June 2019 - 165
Canadian Pharmacists Journal - May/June 2019 - 166
Canadian Pharmacists Journal - May/June 2019 - 167
Canadian Pharmacists Journal - May/June 2019 - 168
Canadian Pharmacists Journal - May/June 2019 - 169
Canadian Pharmacists Journal - May/June 2019 - 170
Canadian Pharmacists Journal - May/June 2019 - 171
Canadian Pharmacists Journal - May/June 2019 - 172
Canadian Pharmacists Journal - May/June 2019 - 173
Canadian Pharmacists Journal - May/June 2019 - 174
Canadian Pharmacists Journal - May/June 2019 - 175
Canadian Pharmacists Journal - May/June 2019 - 176
Canadian Pharmacists Journal - May/June 2019 - The pharmacist’s role in successful deprescribing through hospital medication reconciliation
Canadian Pharmacists Journal - May/June 2019 - 178
Canadian Pharmacists Journal - May/June 2019 - 179
Canadian Pharmacists Journal - May/June 2019 - Pharmacists to improve hypertension management: Guideline concordance from North America to Europe
Canadian Pharmacists Journal - May/June 2019 - 181
Canadian Pharmacists Journal - May/June 2019 - 182
Canadian Pharmacists Journal - May/June 2019 - 183
Canadian Pharmacists Journal - May/June 2019 - 184
Canadian Pharmacists Journal - May/June 2019 - 185
Canadian Pharmacists Journal - May/June 2019 - The patient experience in a community pharmacy mental illness and addictions program
Canadian Pharmacists Journal - May/June 2019 - 187
Canadian Pharmacists Journal - May/June 2019 - 188
Canadian Pharmacists Journal - May/June 2019 - 189
Canadian Pharmacists Journal - May/June 2019 - 190
Canadian Pharmacists Journal - May/June 2019 - 191
Canadian Pharmacists Journal - May/June 2019 - 192
Canadian Pharmacists Journal - May/June 2019 - Community pharmacists’ experiences with the Saskatchewan Medication Assessment Program
Canadian Pharmacists Journal - May/June 2019 - 194
Canadian Pharmacists Journal - May/June 2019 - 195
Canadian Pharmacists Journal - May/June 2019 - 196
Canadian Pharmacists Journal - May/June 2019 - 197
Canadian Pharmacists Journal - May/June 2019 - 198
Canadian Pharmacists Journal - May/June 2019 - 199
Canadian Pharmacists Journal - May/June 2019 - 200
Canadian Pharmacists Journal - May/June 2019 - 201
Canadian Pharmacists Journal - May/June 2019 - 202
Canadian Pharmacists Journal - May/June 2019 - 203
Canadian Pharmacists Journal - May/June 2019 - Cross-Canada updates
Canadian Pharmacists Journal - May/June 2019 - 205
Canadian Pharmacists Journal - May/June 2019 - 206
Canadian Pharmacists Journal - May/June 2019 - The conference experience—Making it yours
Canadian Pharmacists Journal - May/June 2019 - 208
Canadian Pharmacists Journal - May/June 2019 - 209
Canadian Pharmacists Journal - May/June 2019 - 210
Canadian Pharmacists Journal - May/June 2019 - 211
Canadian Pharmacists Journal - May/June 2019 - 212
Canadian Pharmacists Journal - May/June 2019 - Cover3
Canadian Pharmacists Journal - May/June 2019 - Cover4
Canadian Pharmacists Journal - May/June 2019 - CPH1
Canadian Pharmacists Journal - May/June 2019 - CPH2
Canadian Pharmacists Journal - May/June 2019 - CPH3
Canadian Pharmacists Journal - May/June 2019 - CPH4
Canadian Pharmacists Journal - May/June 2019 - CPH5
Canadian Pharmacists Journal - May/June 2019 - CPH6
Canadian Pharmacists Journal - May/June 2019 - CPH7
Canadian Pharmacists Journal - May/June 2019 - CPH8
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2020
https://www.nxtbook.com/nxtbooks/sage/psychologicalscience_demo
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2020
https://www.nxtbook.com/nxtbooks/sage/fai_202009
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_august2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2020
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2019
https://www.nxtbook.com/nxtbooks/sage/fai_201909
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_july2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2019
https://www.nxtbook.com/nxtbooks/sage/canadianpharmacistsjournal_05062019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2019
https://www.nxtbook.com/nxtbooks/sage/sri_supplement_201903
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2019
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2018
https://www.nxtbook.com/nxtbooks/sage/tec_20180810
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_julyaugust2018
https://www.nxtbook.com/nxtbooks/sage/fai_201807
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_april2018
https://www.nxtbook.com/nxtbooks/sage/sri_supplement_201803
https://www.nxtbook.com/nxtbooks/sage/slas_discovery_201712
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_february2018
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_december2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_november2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_october2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_september2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_julyaugust2017
https://www.nxtbook.com/nxtbooks/sage/fai_supplement_201709
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_june2017
https://www.nxtbook.com/nxtbooks/sage/hospitalpharmacy_may2017
https://www.nxtbook.com/nxtbooks/sage/fai_201706
https://www.nxtbook.com/nxtbooks/sage/fai_201607
https://www.nxtbookmedia.com