title: An exploratory study of the role of trust in medication management within mental health services.
abstract: OBJECTIVE
  To develop understandings of the nature and influence of trust in the safe management of medication within mental health services.
  
  
  METHODS
  Mental health services in the UK.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Pharmacy Department, Kent and Medway NHS and Social Care Partnership Trust, Eastern and Area Coastal Office, St Martin's Hospital, Littlebourne Rd., Canterbury, Kent CT1 1AZ, UK. ian.maidment@nhs.net
authors.forename: Ian D
authors.initials: ID
authors.lastname: Maidment
authors.forename: Patrick
authors.initials: P
authors.lastname: Brown
authors.forename: Michael
authors.initials: M
authors.lastname: Calnan
mesh_terms: D000328:Adult; D000368:Aged; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008508:Medication Errors / Q000517:prevention & control / Q000523:psychology; D001523:Mental Disorders / Q000188:drug therapy* / Q000523:psychology*; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D010817:Physician-Patient Relations; D035502:Trust / Q000523:psychology*; D006113:United Kingdom; D055815:Young Adult