Abstract

BackgroundOne in four people experience a mental health problem every year and improving mental health care is an international priority. In the course of their work, pharmacists frequently encounter people with mental health problems. The experience of mental health teaching, including Mental Health First Aid (MHFA) training, in undergraduate pharmacy (MPharm) students in the UK and Ireland is not well documented. Students’ viewpoints, contextualised with curricular overviews provided by staff, were analysed to understand their experience.MethodsAn anonymous, online questionnaire was distributed to MPharm students and staff in the UK and Ireland. Students were asked closed questions regarding their course and exposure to MHFA, which were analysed using descriptive statistics. Open questions were included to enable explanations and these data were used to contextualise the quantitative findings. One member of staff from each university was invited to answer a modified staff version of the questionnaire, to provide a curriculum overview and staff perspective.Results232 students and 13 staff, from 22 universities, responded. Three-quarters of students did not agree with the statement that ‘mental health was embedded throughout the MPharm’. Most students (80.6%) stated that they were taught neuropharmacology whilst 44.8% stated that their course included communicating with people about their mental health. One-third (33.2%) of students stated that their degree ‘adequately prepared them to help people with their mental health’. Twenty-six students (11.6%) had completed MHFA training of which 89% would endorse inclusion of this within the MPharm. Of those who had not completed the training, 81% expressed a desire to do so. Those who completed MHFA training self-reported greater preparedness than those who did not, but student numbers were small.ConclusionsMental health teaching for pharmacy undergraduates is more focussed on theoretical aspects rather than applied skills. MHFA was viewed by students as one way to enhance skill application. The association of the increased self-reported preparedness of those who completed MHFA could be confounded by a positive environmental cultural. MPharm programmes need sufficient focus on real-world skills such as communication and crisis response, to complement the fundamental science.

Highlights

  • One in four people experience a mental health problem every year and improving mental health care is an international priority

  • The National Health Service (NHS) Long Term Plan [3] includes a specific focus on mental health, owing to the considerable morbidity, mortality and socioeconomic impacts of mental health problems

  • The aim of this research was to establish the attitudes and experiences of pharmacy students in relation to Mental Health First Aid (MHFA) and to: (i) determine if and how mental health teaching and MHFA is embedded into the MPharm from both student and staff perspectives; (ii) for those who have undertaken MHFA, evaluate students’ experience and application of the training, and for those who have not, assess the desire to participate; (iii) evaluate attitudes and preparedness of MPharm students to respond to mental health problems and whether this influences their engagement with mental health teaching

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Summary

Introduction

One in four people experience a mental health problem every year and improving mental health care is an international priority. Improving mental health is a worldwide priority in the World Health Organization (WHO) Mental Health Action plan (2013–2020) [1]. This is echoed in Gorton et al J of Pharm Policy and Pract (2021) 14:73. The National Health Service (NHS) Long Term Plan [3] includes a specific focus on mental health, owing to the considerable morbidity, mortality and socioeconomic impacts of mental health problems. One-quarter of adults in the UK experience a mental health problem [2], with comparable numbers in Ireland [5]. There are no nationally commissioned services to support this [7]

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