Health Equity · 7 authors, 7 centres
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This narrative review and commentary describes connections between social determinants of health and medication-related outcomes in people with psychiatric disorders, and proposes a framework for pharmacists to help address these medication therapy problems through comprehensive medication management.
An expert panel appointed by the American Association of Psychiatric Pharmacists met monthly for over one year to explore the intersection of social determinants of health (SDOH), psychiatric disorders, and pharmacist roles. Using the Healthy People 2030 framework and input from public health officials, the panel conducted a narrative review identifying potential connections between SDOH and medication use in people with psychiatric disorders. The authors describe how comprehensive medication management can afford pharmacists opportunities to mitigate medication-related problems associated with SDOH. They highlight that cost, lack of insurance, home and food insecurity, and transportation barriers may not be readily identified but significantly affect medication adherence and outcomes. The panel recommends additional SDOH training for pharmacists and greater collaboration with social workers and public health professionals. As a narrative review without original clinical data, the article provides a conceptual framework rather than empirical evidence, and the authors acknowledge that more research is needed to evaluate the impact of pharmacist interventions addressing SDOH on medication-related outcomes.
