title: A theory-informed approach to mental health care capacity building for pharmacists.
abstract: BACKGROUND
  Pharmacists are knowledgeable, accessible health care professionals who can provide services that improve outcomes in mental health care. Various challenges and opportunities can exist in pharmacy practice to hinder or support pharmacists' efforts. We used a theory-informed approach to development and implementation of a capacity-building program to enhance pharmacists' roles in mental health care.
  
  
  METHODS
  Theories and frameworks including the Consolidated Framework for Implementation Research, the Theoretical Domains Framework, and the Behaviour Change Wheel were used to inform the conceptualization, development, and implementation of a capacity-building program to enhance pharmacists' roles in mental health care.
  
  
  RESULTS
  The More Than Meds program was developed and implemented through an iterative process. The main program components included: an education and training day; use of a train-the-trainer approach from partnerships with pharmacists and people with lived experience of mental illness; development of a community of practice through email communications, a website, and a newsletter; and use of educational outreach delivered by pharmacists. Theories and frameworks used throughout the program's development and implementation facilitated a means to conceptualize the component parts of the program as well as its overall presence as a whole from inception through evolution in implementation. Using theoretical foundations for the program enabled critical consideration and understanding of issues related to trialability and adaptability of the program.
  
  
  CONCLUSIONS
  Theory was essential to the underlying development and implementation of a capacity-building program for enhancing services by pharmacists for people with lived experience of mental illness. Lessons learned from the development and implementation of this program are informing current research and evolution of the program.
authors.affiliation: College of Pharmacy and Department of Psychiatry, Dalhousie University, 5968 College Street, PO Box 15000, Halifax, NS B3H 4R2 Canada.
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Murphy
authors.affiliation: Department of Psychiatry and College of Pharmacy, Dalhousie University, QEII HSC, AJLB 7517, 5909 Veterans' Memorial Lane, Halifax, NS B3H 2E2 Canada.
authors.forename: David M
authors.initials: DM
authors.lastname: Gardner
authors.affiliation: Sun Life Financial Chair in Adolescent Mental Health, Dalhousie University/IWK Health Centre, 5850 University Avenue, PO Box 9700, Halifax, NS B3K 6R8 Canada.
authors.forename: Stan P
authors.initials: SP
authors.lastname: Kutcher
authors.affiliation: School of Nursing, Dalhousie University, 5869 University Avenue, PO Box 15000, Halifax, NS B3H 4R2 Canada.
authors.forename: Ruth
authors.initials: R
authors.lastname: Martin-Misener
keywords: Behaviour Change Wheel; Community pharmacy; Consolidated Framework for Implementation Research; Mental illness