Addressing Smoking in Supported Residential Facilities for People with Severe Mental Illness: Has Any Progress Been Achieved?

dc.contributor.author Lawn, Sharon Joy
dc.contributor.author Lucas, T
dc.date.accessioned 2017-04-05T05:50:57Z
dc.date.available 2017-04-05T05:50:57Z
dc.date.issued 2016-10-10
dc.description © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/). en
dc.description.abstract Background: Smoking rates for people with severe mental illness have remained high despite significant declines in smoking rates in the general population, particularly for residents of community supported residential facilities (SRFs) where smoking has been largely neglected and institutionalized. Methods: Two studies undertaken 10 years apart (2000 and 2010) with SRFs in Adelaide, Australia looked at historical trends to determine whether any progress has been made to address smoking for this population. The first study was ethnographic and involved narrative description and analysis of the social milieu of smoking following multiple observations of smoking behaviours in two SRFs. The second study involved an eight-week smoking cessation group program providing tailored support and free nicotine replacement therapy to residents across six SRFs. Changes in smoking behaviours were measured using pre and post surveys with residents, with outcomes verified by also seeking SRF staff and smoking cessation group facilitator qualitative feedback and reflection on their observations of residents and the setting. Results: The culture of smoking in mental health SRFs is a complex part of the social milieu of these settings. There appears to have been little change in smoking behaviours of residents and attitudes and support responses by staff of SRFs since 2000 despite smoking rates declining in the general community. Tailored smoking cessation group programs for this population were well received and did help SRF residents to quit or cut down their smoking. They did challenge staff negative attitudes to residents’ capacity to smoke less or quit. Conclusions: A more systematic approach that addresses SRF regulations, smoke-free policies, staff attitudes and training, and consistent smoking cessation support to residents is needed. View Full-Text en
dc.identifier.citation Lawn, S.; Lucas, T. Addressing Smoking in Supported Residential Facilities for People with Severe Mental Illness: Has Any Progress Been Achieved? Int. J. Environ. Res. Public Health 2016, 13, 996. en
dc.identifier.doi https://doi.org/10.3390/ijerph13100996 en
dc.identifier.issn 1660-4601
dc.identifier.uri http://hdl.handle.net/2328/37089
dc.language.iso en
dc.publisher MDPI en
dc.rights © 2016 by the authors; en
dc.rights.holder the authors en
dc.rights.license CC-BY
dc.subject smoking cessation en
dc.subject mental illness en
dc.subject hostels en
dc.subject homelessness en
dc.subject ethnography en
dc.subject supported residential facilities en
dc.title Addressing Smoking in Supported Residential Facilities for People with Severe Mental Illness: Has Any Progress Been Achieved? en
dc.type Article en
local.contributor.authorOrcidLookup Lawn, Sharon Joy: https://orcid.org/0000-0002-5464-8887 en_US
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