Effects of a smoking ban on a general hospital psychiatric unit

Thorward, S.R.; Birnbaum, Stanley J.

doi:10.1016/0163-8343(89)90028-5

Cited by 28 publications

(23 citation statements)

References 3 publications

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“…The authors concluded that there was no difference in the aggressive behavior of patients before and after the implementation of partial restriction (Crockford et al, 2009). Similar results were found in studies conducted in the United States and Canada (Ryabik et al, 1994;Smith et al, 1999;Taylor et al, 1993;Thorward & Birnbaum, 1989).…”

supporting

confidence: 74%

“…However, the belief of an increase in the aggressiveness of psychiatric patients due to withdrawal from tobacco was challenged in several studies (Crockford et al, 2009;Longo et al, 1998;Ryabik et al, 1994;Smith et al, 1999;Taylor et al, 1993;Thorward & Birnbaum, 1989). The belief in the increased aggressiveness of psychiatric patients, with the removal of the tobacco, can involve the insecurity of the professional and the lack of a scientific basis for dealing with the issue.…”

Section: Discussionmentioning

confidence: 99%

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Impact and Barriers for the Restriction of Smoking During Psychiatric Hospitalization: An Integrative Review

Oliveira

Furegato

2014

Paidéia (Ribeirão Preto)

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The aim was to identify the barriers for implementing the restriction on smoking in psychiatric hospitalization services, its impact on the hospitalized smokers, and the positioning of the professionals. Integrative review of 19 articles published (1989-2011) in MEDLINE and SCOPUS. Descriptive analysis was carried out. The studies revealed that the main barriers for the implementation of the restriction were: beliefs in the patients’ increased aggressiveness, damage to the professional-patient relationship, and lack of preparation to address the theme. After the implementation, the restrictions showed a positive impact: reduction of cigarettes smoked, increased motivation to quit smoking, and more attempts to stop smoking. The professionals who smoked and those who did not believe that quitting smoking benefits mental health patients were those that least supported the implementation of the restrictions. In conclusion, the restriction on smoking is effective in psychiatric hospitalization, as it provokes an attitude of change in mental health patients.

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supporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Impact and Barriers for the Restriction of Smoking During Psychiatric Hospitalization: An Integrative Review

Oliveira

Furegato

2014

Paidéia (Ribeirão Preto)

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“…Effect of a smoking ban 513 Smith, Pristach, & Cartagena, 1999;Thorward & Birnbaum, 1989;Velasco et al, 1996), with one study reporting an increase in behavioral problems (Greeman & McClellan, 1991). Three of these studies (Resnick & Bosworth, 1989;Ryabik et al, 1994;Velasco et al, 1996) analyzed dependent variables almost identical to this study.…”

Section: Discussion Disruptive Behaviors: Comparison With Other Studiesmentioning

confidence: 80%

Effect of a total smoking ban in a maximum security psychiatric hospital

Hempel

Kownacki

Malin

et al. 2002

Behavioral Sci & The Law

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An archival study was performed in a maximum security forensic hospital to evaluate the effects of a total ban on smoking and all tobacco products. One hundred and forty patients were characterized as nonsmokers or light, moderate or heavy smokers. Patient records for the four weeks prior to the ban were compared with their records for the four weeks subsequent to the ban. Numbers of sick calls, total disruptive behaviors and verbal aggression declined markedly and significantly following the ban in those patients previously classified as moderate or heavy smokers. Weight increased significantly, but almost equally regardless of previous smoking status. Patients, and eventually staff, tolerated the smoking ban without significant negative effects. Patients relied very little on treatment modalities to alleviate nicotine withdrawal. Pre-ban apprehension by staff and patients dissipated with time after the smoking ban started.

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“…As such it is included in the diagnostic and statistical manual of mental disorders of the American Psychiatric Association, DSM-III-R [20], Cig arette smoking may decrease the plasma lev els of antipsychotic drugs [21,22], which causes patients who smoke to use a greater amount of these drugs. Few articles have been written regarding the subject of smoking in psychiatric hospitals [23][24][25], most of them favoring smoking restrictions. No evidence was found in these studies to suggest that hos pitalized psychiatric patients are less capable of cutting down on smoking than the general population.…”

Section: Introductionmentioning

confidence: 99%

Survey of Smoking Habits and Attitudes of Patients and Staff in Psychiatric Hospitals

Mester

Toren²,

Ben-Moshe³

et al. 1993

Psychopathology

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One hundred and six staff members and 150 patients of three psychiatric hospitals in Israel were administered a smoking habit and attitutes questionnaire. Upon analyzing the data, staff members and patients made up a very high percentage of smokers, 48.1 and 76%, respectively. The staff was not knowledgeable enough about the hazards of smoking. Nurses generously used cigarettes in order to appease the patients. Furthermore, the patients admitted being encouraged to smoke by the staff. According to these findings, a patient hospitalized in the psychiatric hospitals surveyed is significantly exposed to the pro-smoking atmosphere and the hazards of smoking.

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Effects of a smoking ban on a general hospital psychiatric unit

Cited by 28 publications

References 3 publications

Impact and Barriers for the Restriction of Smoking During Psychiatric Hospitalization: An Integrative Review

Impact and Barriers for the Restriction of Smoking During Psychiatric Hospitalization: An Integrative Review

Effect of a total smoking ban in a maximum security psychiatric hospital

Survey of Smoking Habits and Attitudes of Patients and Staff in Psychiatric Hospitals

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