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Published on: January 11, 2020
Pharmacist-led screening for mental illness: A systematic review
Kevin Ou1, Duha N Gide2, Sarira El-Den2
1Pharmaceutical Society of Australia, Sydney, NSW, Australia.
Pharmacists screen for mental illnesses, with community pharmacies most common. Current evidence is insufficient to prove improved outcomes, necessitating further research on pharmacist-led mental health screening effectiveness.
Area of Science:
- Mental Health
- Pharmacology
- Public Health
Background:
- Early identification and treatment of mental illnesses are crucial for patient outcomes.
- Pharmacists can play a significant role in mental healthcare by providing screening services.
Approach:
- A systematic review searched multiple databases (MEDLINE, CINAHL, Embase, APA PsycInfo) up to March 2023.
- Data was collected on mental illness, setting, population, screening tools, outcomes, and follow-up/referral systems.
Key Points:
- 26 studies were identified, primarily focusing on depressive and substance use disorders.
- Most studies (87.8%) were in community pharmacies, with 46.1% focusing on depression.
- Various follow-up and referral methods were reported, including verbal, written, and electronic health record communications.
Conclusions:
- Pharmacists screen for diverse mental illnesses across various settings, utilizing different referral pathways.
- Current evidence is insufficient to demonstrate improved early detection, treatment, or patient outcomes.
- Further large, well-designed studies are needed to validate the impact of pharmacist-led mental illness screening and optimize follow-up strategies.
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