title: Mapping the terrain: A conceptual schema for a mental health medication support service in community pharmacy.
abstract: OBJECTIVE
  Mental health-related problems pose a serious issue for primary care, and community pharmacy could make a significant contribution, but there is a dearth of information.
  
  
  METHODS
  This article reports synthesis of the literature on mental health interventions across a range of pharmacy models, and pharmacy services in contexts beyond mental health. To best inform the design of a community pharmacy medication support intervention for mental health consumers, the literature was reported as a conceptual schema and subsequent recommendations for development, implementation and evaluation of the service. A broad conceptualisation was taken in this review. In addition to mental health and community pharmacy literature, policy/initiatives, organisational culture and change management principles, and evaluative processes were reviewed. Key words were selected and literature reviews undertaken using EMBASE, PubMed, CINAHL and Web of Science.
  
  
  RESULTS
  Recommendations were made around: medication support intervention design, consumer recruitment, implementation in community pharmacy and evaluation. Surprisingly, there is a scarce literature relating to mental health interventions in community pharmacy. Even so, findings from other pharmacy models and broader medicines management for chronic illness can inform development of a medication support service for mental health consumers. Key learnings include the need to expand medicines management beyond adherence with respect to both intervention design and evaluation.
  
  
  CONCLUSIONS
  The conceptual framework is grounded in the need for programmes to be embedded within pharmacies that are part of the health system as a whole.
authors.affiliation: School of Management, Massey Business School, Massey University, Auckland, New Zealand; School of Pharmacy, University of Auckland, Auckland, New Zealand.
authors.forename: Shane
authors.initials: S
authors.lastname: Scahill
authors.affiliation: Griffith Health Institute, Griffith University, Brisbane, QLD, Australia.
authors.forename: Jane L
authors.initials: JL
authors.lastname: Fowler
authors.affiliation: Faculty of Health Sciences, Curtin University, Bentley, WA, Australia.
authors.forename: H Laetitia
authors.initials: HL
authors.lastname: Hattingh
authors.affiliation: School of Pharmacy, Griffith University, Gold Coast Campus, Brisbane, QLD, Australia.
authors.forename: Fiona
authors.initials: F
authors.lastname: Kelly
authors.affiliation: Mental Health, Population & Social Health Research Program, Griffith Health Institute, Griffith University, Brisbane, QLD, Australia; Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
authors.forename: Amanda J
authors.initials: AJ
authors.lastname: Wheeler
keywords: Community pharmacy; conceptual schema; mental health