Preparing for completely smoke-free mental health settings: Findings on patient smoking, resources spent facilitating smoking breaks, and the role of smoking in reported incidents from a large mental health trust in England

International Journal of Environmental Research and Public Health

Volumn 13, Issue 3, 2016, Pages

  Sohal, Harpreet ^a   Huddlestone, Lisa ^a   Ratschen, Elena ^a  

^a UNIVERSITY OF NOTTINGHAM   (United Kingdom)

Author keywords

Mental disorder; Mental health; NICE PH48; Nicotine dependence; Psychiatric settings; Smoke free policy ; Smoking; Smoking cessation; Tobacco dependence

Indexed keywords

MENTAL HEALTH; MORBIDITY; MORTALITY; PUBLIC HEALTH; SMOKING; TOBACCO;

ADULT; CONTENT ANALYSIS; DOCTOR PATIENT RELATION; FACILITATION; FRUSTRATION; HUMAN; INCIDENT REPORT; MAJOR CLINICAL STUDY; MENTAL HEALTH; SMOKE; SMOKING; SMOKING BAN; SMOKING CESSATION; STAFF; TRUST; AGED; ENGLAND; FEMALE; LEGISLATION AND JURISPRUDENCE; MALE; MENTAL HEALTH SERVICE; MIDDLE AGED; PROCEDURES; PSYCHOLOGY; RISK MANAGEMENT; STANDARDS; THERAPY; VERY ELDERLY;

ENGLAND; UNITED KINGDOM;

NICOTIANA TABACUM;

ADULT; AGED; AGED, 80 AND OVER; ENGLAND; FEMALE; HUMANS; MALE; MENTAL HEALTH SERVICES; MIDDLE AGED; RISK MANAGEMENT; SMOKE-FREE POLICY; SMOKING; SMOKING CESSATION;

EID: 84959211784     PISSN: 16617827     EISSN: 16604601     Source Type: Journal    
DOI: 10.3390/ijerph13030256     Document Type: Article

References (36)

1. Ratschen, E.; Britton, J.; Doody, G.; McNeill, A. Smoking attitudes, behaviour and nicotine dependence among mental health acute inpatients: An exploratory study. Int. J. Soc. Psychiatry 2010, 56, 107-118. [CrossRef] [PubMed]
2. Royal College of Physicians; Royal College of Psychiatrists. Smoking and Mental Health; RCP: London, UK, 2013.
3. Meltzer, H.; Gill, B.; Hinds, K.; Petticrew, M. The prevalence of psychiatric morbidity among adults living in institutions. Int. Rev. Psychiatry 2003, 15, 129-133. [CrossRef] [PubMed]
4. Breslau, N.; Schultz, L.R.; Johnson, E.O.; Peterson, E.L.; Davis, G.C. Smoking and the risk of suicidal behavior: A prospective study of a community sample. Arch. Gen. Psychiatry 2005, 62, 328-334. [CrossRef] [PubMed]
5. Banham, L.; Gilbody, S. Smoking cessation in severe mental illness: What works? Addiction 2010, 105, 1176-1189. [CrossRef] [PubMed]
6. Ashton, M.; Miller, C.L.; Bowden, J.A.; Bertossa, S. People with mental illness can tackle tobacco. Aust. N.Z. J. Psychiatry 2010, 44, 1021-1028. [PubMed]
7. Taylor, G.; McNeill, A.; Girling, A.; Farley, A.; Lindson-Hawley, N.; Aveyard, P. Change in mental health after smoking cessation: Systematic review and meta-analysis. BMJ 2014, 348, g1151. [CrossRef] [PubMed]
8. Lawn, S.J. Systemic barriers to quitting smoking among institutionalised public mental health service populations: A comparison of two Australian sites. Int. J. Soc. Psychiatry 2004, 50, 204-215. [CrossRef] [PubMed]
9. Wye, P.M.; Bowman, J.A.; Wiggers, J.H.; Baker, A.; Knight, J.; Carr, V.J.; Terry, M.; Clancy, R. Smoking restrictions and treatment for smoking: Policies and procedures in psychiatric inpatient units in Australia. Psychiatr Serv. 2009, 60, 100-107. [CrossRef] [PubMed]
10. Lawn, S.; Feng, Y.; Tsourtos, G.; Campion, J. Mental health professionals' perspectives on the implementation of smoke-free policies in psychiatric units across England. Int. J. Soc. Psychiatry 2015, 61, 465-474. [CrossRef] [PubMed]
11. Ratschen, E.; Britton, J.; Doody, G.A.; Leonardi-Bee, J.; McNeill, A. Tobacco dependence, treatment and smoke-free policies: A survey of mental health professionals’ knowledge and attitudes. Gen. Hosp Psychiatry 2009, 31, 576-582. [CrossRef] [PubMed]
12. Jochelson, K. Smoke-free legislation and mental health units: The challenges ahead. Br. J. Psychiatry 2006, 189, 479-480. [CrossRef] [PubMed]
13. Ratschen, E.; Britton, J.; McNeill, A. Implementation of smoke-free policies in mental health in-patient settings in England. Br. J. Psychiatry 2009, 194, 547-551. [CrossRef] [PubMed]
14. National Institute for Health and Care Excellence. Smoking Cessation in Secondary Care: Acute, Maternity and Mental Health Services. Available online: https://www.nice.org.uk/guidance/ph48 (accessed on 16 February 2016).
15. Lawn, S.; Campion, J. Achieving smoke-free mental health services: Lessons from the past decade of implementation research. Int. J. Environ. Res. Public Health 2013, 10, 4224-4244. [CrossRef] [PubMed]
16. Ratschen, E.; Britton, J.; McNeill, A. The smoking culture in psychiatry: Time for change. Br. J. Psychiatry 2011, 198, 6-7. [CrossRef] [PubMed]
17. Ratschen, E.; Britton, J.; Doody, G.A.; McNeill, A. Smoke-free policy in acute mental health wards: Avoiding the pitfalls. Gen. Hosp Psychiatry 2009, 31, 131-136. [CrossRef] [PubMed]
18. Hsieh, H.F.; Shannon, S.E. Three approaches to qualitative content analysis. Qual. Health Res. 2005, 15, 1277-1288. [CrossRef] [PubMed]
19. Personal Social Services Research Unit. Unit Costs of Health and Social Care 2015. Available online: http://www.pssru.ac.uk/project-pages/unit-costs/2015/index.php (accessed on 16 February 2016).
20. Patton, M.Q. Qualitative Research and Evaluation Methods, 3rd ed.; SAGE: London, UK, 2002.
21. Hadziabdic, E.; Heikkilä, K.; Albin, B.; Hjelm, K. Problems and consequences in the use of professional interpreters: Qualitative analysis of incidents from primary healthcare. Nurs. Inq. 2011, 18, 253-261. [CrossRef] [PubMed]
22. Elo, S.; Kääriäinen, M.; Kanste, O.; Pölkki, T.; Utriainen, K.; Kyngäs, H. Qualitative content analysis. SAGE Open 2014, 4. [CrossRef]
23. Prochaska, J.J. Ten critical reasons for treating tobacco dependence in inpatient psychiatry. J. Am. Psychiatr Nurses Assoc. 2009, 15, 404-409. [CrossRef] [PubMed]
24. Williams, J.M. Eliminating tobacco use in mental health facilities: Patients’ rights, public health, and policy issues. JAMA 2008, 299, 571-573. [CrossRef] [PubMed]
25. West, R.; McNeill, A.; Raw, M. Smoking cessation guidelines for health professionals: An update. Health Education Authority. Thorax 2000, 55, 987-999. [CrossRef] [PubMed]
26. Stapleton, J.A.; West, R. A direct method and ICER tables for the estimation of the cost-effectiveness of smoking cessation interventions in general populations: Application to a new cytisine trial and other examples. Nicotine Tob. Res. 2012, 14, 463-471. [CrossRef] [PubMed]
27. Public Health England. Smoking Cessation in Secure Mental Health Settings: Guidance for Commissioners; Public Health England: Wellington, UK, 2015.
28. Sharac, J.; McCrone, P.; Sabes-Figuera, R.; Csipke, E.; Wood, A.; Wykes, T. Nurse and patient activities and interaction on psychiatric inpatients wards: A literature review. Int. J. Nurs. Stud. 2010, 47, 909-917. [CrossRef] [PubMed]
29. Stockings, E.A.; Bowman, J.A.; Bartlem, K.M.; McElwaine, K.M.; Baker, A.L.; Terry, M.; Clancy, R.; Knight, J.; Wye, P.M.; Colyvas, K., et al. Implementation of a smoke-free policy in an inpatient psychiatric facility: Patient-reported adherence, support, and receipt of nicotine-dependence treatment. Int. J. Ment. Health Nurs. 2015, 24, 342-349. [CrossRef] [PubMed]
30. Wye, P.; Bowman, J.; Wiggers, J.; Baker, A.; Carr, V.; Terry, M.; Knight, J.; Clancy, R. An audit of the prevalence of recorded nicotine dependence treatment in an Australian psychiatric hospital. Aust. N. Z. J. Public Health 2010, 34, 298-303. [CrossRef] [PubMed]
31. Stockings, E.A.; Bowman, J.A.; Prochaska, J.J.; Baker, A.L.; Clancy, R.; Knight, J.; Wye, P.M.; Terry, M.; Wiggers, J.H. The impact of a smoke-free psychiatric hospitalization on patient smoking outcomes: A systematic review. Aust. N. Z. J. Psychiatry 2014, 48, 617-633. [CrossRef] [PubMed]
32. Lawn, S.; Pols, R. Smoking bans in psychiatric inpatient settings? A review of the research. Aust. N. Z. J. Psychiatry 2005, 39, 866-885. [CrossRef] [PubMed]
33. Cormac, I.; Brown, A.; Creasey, S.; Ferriter, M.; Huckstep, B. Impact of a total smoking ban in a high secure hospital. Psychiatrist 2010, 34. [CrossRef]
34. Hehir, A.M.; Indig, D.; Prosser, S.; Archer, V.A. Implementation of a smoke-free policy in a high secure mental health inpatient facility: Staff survey to describe experience and attitudes. BMC Public Health 2013, 13, 315. [CrossRef] [PubMed]
35. Etter, M.; Khan, A.N.; Etter, J.F. Acceptability and impact of a partial smoking ban followed by a total smoking ban in a psychiatric hospital. Prev. Med. 2008, 46, 572-578. [CrossRef] [PubMed]
36. Zabeen, S.; Tsourtos, G.; Campion, J.; Lawn, S. Type of unit and population served matters when implementing a smoke-free policy in mental health settings: Perceptions of unit managers across England. Int. J. Soc. Psychiatry 2015, 61, 700-710. [CrossRef] [PubMed]