Mental health professionals’ perspectives on the implementation of smoke-free policies in psychiatric units across England

Lawn, Sharon; Feng, Yi; Tsourtos, George; Campion, Jonathan

doi:10.1177/0020764014553002

Cited by 17 publications

(25 citation statements)

References 38 publications

(73 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There is clear evidence of the benefits of smoke‐free policies and environments however policy enforcement is the most important factor for their success [20]. In the mental health setting, a lack of consistency and a prevailing culture of acceptance of smoking have been identified as continuing problems for smoke‐free policy implementation [21]. It is important that staff in drug and alcohol treatment services feel confident to enforce smoke‐free policies and have the support of management.…”

Section: Discussionmentioning

confidence: 99%

‘The lesser of two evils’: A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings

Wilson

Bonevski

Dunlop

et al. 2015

Drug and Alcohol Review

View full text Add to dashboard Cite

Client and staff perceptions and attitudes about the treatment of tobacco, particularly those relating telephone support and nicotine replacement therapy, provided information, which will inform the design of smoking cessation programs for addiction treatment populations. [Wilson AJ, Bonevski B., Dunlop A., Shakeshaft A, Tzelepis F., Walsberger S., Farrell M., Kelly PJ, Guillaumier A. 'The lesser of two evils': A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings. Drug Alcohol Rev 2015].

show abstract

Section: Discussionmentioning

confidence: 99%

‘The lesser of two evils’: A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings

Wilson

Bonevski

Dunlop

et al. 2015

Drug and Alcohol Review

View full text Add to dashboard Cite

show abstract

“…However we know from previous research that smoking breaks are common in mental health settings (12). We relied on self-report of staff although the findings are broadly consistent with observational data from an earlier pilot study of forensic wards (16) and wards participating in the study were broadly representative of the organisation as a whole (e.g.…”

Section: Discussionmentioning

confidence: 74%

“…Smoke-free legislation was introduced in mental health settings in England and Northern Ireland in 2008, prohibiting smoking in buildings (11). However, smoking in outside designated areas is relied on to comply with the legislation rather than providing smokers with support to quit or manage nicotine withdrawal during a period of temporary abstinence (12). The National Institute of Health This study aimed to estimate resources devoted to facilitating smoking in one mental health organisation in London, England.…”

Section: Introductionmentioning

confidence: 99%

Time to Smoke: Facilitating Smoking Breaks in Mental Health Inpatient Settings: Table 1.

Robson

Yates

Craig

et al. 2016

NICTOB

View full text Add to dashboard Cite

This study is the first to estimate the time and opportunity costs of facilitating smoking across different wards in a mental health setting in the United Kingdom. Health care resources are scarce, including staff time. Every time staff facilitate smoking, clinical time is diverted away from therapeutic activities that contribute to improved patient health. Rather than suggesting any financial savings can be made through the introduction of smoke-free services, we present one metric of the value to mental health service providers of the hours of clinical time that could be released to provide therapeutic care.

show abstract

“…Some staff in mental health settings believe that implementing smoke‐free polices will detrimentally affect staff–patient interaction and will lead to an exacerbation of mental health symptoms and to an increase in violence (Lawn et al . ). Staff in psychiatric services are nearly three times more likely to oppose implementing smoke‐free policies compared to staff working in general hospital settings (McNally et al .…”

Section: Relevance To Clinical Practicementioning

confidence: 97%

Violence in mental health settings: A systematic review

Spaducci

Stubbs

McNeill

et al. 2017

Int J Mental Health Nurs

View full text Add to dashboard Cite

The introduction of smoke‐free policies is increasingly common in mental health settings, to improve health. However, a barrier to implementing smoke‐free polices is staff concern that violence will increase. We conducted a systematic review comparing the rates of violence before and after the introduction of smoke‐free policies in mental health settings. Two authors searched major electronic databases. We included studies reporting the prevalence of violence (verbal and/or physical or combined) before and after the introduction of a smoke‐free policy in a mental health, forensic, or addiction setting. We included 11 studies in the review. A narrative synthesis was used to describe the key results of each study. Six studies measured physical violence specifically; four reported a decrease or no change and two reported a short‐term increase. Five of these six studies also measured verbal violence; two found an increase, with one of the studies reporting that this increase was temporary. Three reported a decrease in verbal violence. A further five studies evaluated the rate of combined verbal and physical violence; four reported a decrease or no change and the other an increase. We conclude that the introduction of smoke‐free policies generally does not lead to an increase in violence. There is a need for more robust studies to support this finding. However, the conclusions from this review may be a step in reducing staff concerns.

show abstract

Mental health professionals’ perspectives on the implementation of smoke-free policies in psychiatric units across England

Abstract: Abstract:Background: The original audit on which this 2013 secondary analysis is based, was

Cited by 17 publications

References 38 publications

‘The lesser of two evils’: A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings

‘The lesser of two evils’: A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings

Time to Smoke: Facilitating Smoking Breaks in Mental Health Inpatient Settings: Table 1.

Violence in mental health settings: A systematic review

Contact Info

Product

Resources

About