Observation of the extent of smoking in a mental health inpatient facility with a smoke-free policy

dc.contributor.author Wye, Paula
dc.contributor.author Gow, Leanne Beth
dc.contributor.author Constable, Jude
dc.contributor.author Bowman, Jenny
dc.contributor.author Lawn, Sharon Joy
dc.contributor.author Wiggers, John
dc.date.accessioned 2015-05-05T00:41:19Z
dc.date.available 2015-05-05T00:41:19Z
dc.date.issued 2014-03
dc.description This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.description.abstract Background People with a mental illness experience a higher burden of smoking-related disease. Smoke-free policies in mental health facilities provide an opportunity to reduce smoking-related harms for patients and staff alike. Limited evidence regarding the effect of such policies on preventing smoking in mental health facilities has been reported. The aims of this study are to describe the extent of smoking and the provision of nicotine replacement therapy (NRT) to patients in a mental health facility with a smoke-free policy. Methods Cross-sectional studies of smoking (cigarette butt count and observed smoking) and nicotine dependence treatment (patient record audit) were undertaken over 9 consecutive weekdays in one mental health facility in Australia. A smoke-free policy incorporating a total smoking ban and guidelines for treating nicotine dependence among patients was implemented in the facility 4 years prior to the study. Results Two thousand one hundred and thirty seven cigarette butts were collected and 152 occasions of people smoking were observed. Staff members were observed to enforce the policy on 66% of occasions. Use of NRT was recorded for 53% of patients who were smokers. Conclusion Implementation of the smoke-free policy was less than optimal and as a consequence ineffective in eliminating smoking and in optimising the provision of NRT. Additional strategies to improve the provision of nicotine dependence treatment to patients and the monitoring of adherence are needed to ensure the intended benefits of smoke-free policies are realised. Keywords: Nicotine dependence treatment; Smoke-free policy; Mental health; Smoking en
dc.identifier.citation Wye P, Gow LB, Constable J, Bowman J, Lawn S and Wiggers J (2014) Observation of smoking in a mental health inpatient facility with smoke-free policy: a need to improve nicotine dependence treatment. BMC Psychiatry 14: 94-102 en
dc.identifier.doi https://doi.org/10.1186/1471-244X-14-94 en
dc.identifier.issn 1471-244X
dc.identifier.uri http://hdl.handle.net/2328/35375
dc.language.iso en
dc.publisher BioMed Central en
dc.rights © 2014 Wye et al.; licensee BioMed Central Ltd. en
dc.rights.holder Wye et al.; licensee BioMed Central Ltd. en
dc.rights.license CC-BY
dc.title Observation of the extent of smoking in a mental health inpatient facility with a smoke-free policy en
dc.type Article en
local.contributor.authorOrcidLookup Lawn, Sharon Joy: https://orcid.org/0000-0002-5464-8887 en_US
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