Murphy Andrea L, Jacobs Lisa M, Gardner David M
College of Pharmacy Dalhousie University.
Contact Consulting, Halifax, NS.
Can Pharm J (Ott). 2020 Nov 16;154(1):42-51. doi: 10.1177/1715163520968120. eCollection 2021 Jan-Feb.
The Bloom Program, which began as a demonstration project, is an ongoing community pharmacy-based mental illness and addictions program funded by the government of Nova Scotia. To be eligible to offer the Bloom Program, interested pharmacists were required to complete a 9-part application on behalf of their pharmacies. A process evaluation was conducted to inform future program implementation changes of program components, including the application process.
Qualitative interviews from 24 pharmacists were inductively analyzed to determine the challenges and opportunities in the program's application process.
Key and impactful components of the application process included training, providing a mental health and addictions resource centre within the pharmacy and completing outreach activities with local mental health and addictions services and support organizations. The training content and format for the program was highly valued. Community outreach to local mental health and addictions resources, and other health care resources in the community, was particularly valuable in supporting patient navigation of the health care system and extending the pharmacists' networks. Components of the application process were challenging for many pharmacists but were beneficial personally and professionally. Dedicated resources (e.g., time and staffing) are required for the efficient completion of the application process.
Pharmacists viewed the Bloom Program application process as intensive yet necessary and relevant for preparing to deliver the Program. The demonstration project process evaluation was essential for elucidating the strengths of the application process and, importantly, identifying areas for improvement. 2021;154:xx-xx.
布卢姆项目最初是一个示范项目，是新斯科舍省政府资助的一个正在进行的基于社区药房的精神疾病和成瘾项目。为了有资格提供布卢姆项目，感兴趣的药剂师需要代表他们的药房完成一份由九个部分组成的申请。进行了一次过程评估，以便为项目组成部分（包括申请过程）未来的项目实施变更提供信息。
对24名药剂师进行定性访谈，并进行归纳分析，以确定该项目申请过程中的挑战和机遇。
申请过程的关键且有影响力的组成部分包括培训、在药房内提供一个精神健康和成瘾资源中心，以及与当地精神健康和成瘾服务及支持组织开展外展活动。该项目的培训内容和形式受到高度重视。与当地精神健康和成瘾资源以及社区中的其他医疗保健资源进行社区外展，对于支持患者在医疗保健系统中的导航以及扩展药剂师的网络特别有价值。申请过程的各个组成部分对许多药剂师来说具有挑战性，但在个人和职业方面都有益处。高效完成申请过程需要专用资源（如时间和人员配备）。
药剂师认为布卢姆项目的申请过程虽然密集，但对于准备实施该项目来说是必要且相关的。示范项目过程评估对于阐明申请过程的优势至关重要，重要的是，还能确定改进领域。2021年；154：xx - xx。
