Smoking and quitting: a qualitative study with community-living psychiatric clients

Lawn, Sharon; Pols, René; Barber, James G.

doi:10.1016/s0277-9536(01)00008-9

Cited by 139 publications

(164 citation statements)

References 39 publications

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“…4,5 There was a trend of increasing cigarette consumption as the admission progressed and there is evidence to indicate that psychiatric admission can induce non-smokers to smoke. 7 It has been widely accepted that smoke-free policies are difficult to implement in mental health settings as a consequence of presumed cultural, institutional and clinical factors. 8 Professionals have traditionally used tobacco as a vehicle to establish rapport with patients and manage challenging behaviour.…”

Section: Discussionmentioning

confidence: 99%

The experience of a smoke-free policy in a medium secure hospital

2010

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Aims and methodA Trust-wide smoke-free policy was introduced in March 2007. This service evaluation retrospectively reviewed the outcome by focusing on recorded changes in behaviour, incidents and prescribing.ResultsThe majority of patients (89%) smoked before the smoke-free policy. There was no significant change in the rate of clinical incidents or the use of tranquillising medication at 3 months and 12 months post-implementation. Clozapine serum levels were raised significantly, necessitating dose reduction in 17% of patients. Fifty-four per cent of patients used nicotine replacement therapy and a small minority continued this treatment for 12 months.Clinical implicationsDespite initial concerns there were no significant problems in implementation of the smoke-free policy. This was assisted by extensive preparation, education, patient advocacy and access to treatment beforehand.

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Section: Discussionmentioning

confidence: 99%

The experience of a smoke-free policy in a medium secure hospital

2010

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“…The incidence of smoking among people with serious mental illness is significantly higher than the general population, but it is not clear why this is the case (Leonard et al, 2001). Smoking may function as a form of self-medication, particularly for people with schizophrenia (Lawn, Pols, & Barber, 2002). At the same time, smoking is a stigmatized activity, doubly so for people on social assistance, and several participants expressed concern that others would view their financial predicament less favorably because they smoked.…”

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confidence: 99%

Putting policy into practice? Poverty and people with serious mental illness

Wilton

2004

Social Science & Medicine

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This paper addresses the effects of chronic poverty on people with serious mental illness. More specifically, we are concerned with the extent to which welfare restructuring, by deepening the poverty facing people with serious mental illness, undermines the expressed intent of mental health policy to improve the quality of life (QOL) of this population. The province of Ontario in Canada forms the setting for the study. The paper first examines recent trends in mental health care and social assistance policy in Ontario. While income support is consistently recognized as a core element of mental health care, welfare restructuring has led to a significant decline in the real value of income supports received by people with serious mental illness. The paper then examines the implications of this trend for the QOL of residential care facility tenants in Hamilton, Ontario. Here, the case study is explicitly connected to QOL scholarship. In addition, the study is grounded in an analysis of the broader transformation of the welfare state in Ontario. Interview data suggest that tenants experience chronic poverty that has a deleterious impact on multiple life domains including basic needs, family, social relations, leisure and self-esteem. Implications for research and policy are discussed. r

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“…The moments when they smoke accompanied by those professionals are described as the most pleasurable during hospitalization, because they feel accepted (16) .…”

Section: Discussionmentioning

confidence: 99%

The opinion of patients with mental disorder about tobacco and its prohibition in psychiatric hospitalization

Oliveira

Furegato

2014

Rev. esc. enferm. USP

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RESUMENObjetivo: Identificar la opinión de los portadores de trastorno mental sobre el tabaco y su prohibición durante la hospitalización psiquiátrica. Método: Estudio exploratorio con 96 portadores de trastorno mental, tabaquistas, internados en el servicio psiquiátrico de un hospital general. Las entrevistas fueron realizadas individualmente utilizando un instrumento elaborado para este estudio. Se registró el contenido verbalizado en las entrevistas, que fueron transcritos y sometidos al análisis de contenido temático. Resultados: Los portadores de trastorno mental ven el tabaquismo en la hospitalización psiquiátrica como una ayuda para soportar la dificultad de la convivencia y la falta de actividades. La autorización del tabaquismo es visto como un signo de respeto a sus necesidades. Los sujetos refieren no aceptar la prohibición total del tabaquismo. Conclusión: El tabaquismo ayuda a enfrentar las dificultades y conflictos en la hospitalización psiquiátrica. Existe resistencia sobre la posibilidad de retirar por completo la autorización para fumar durante la hospitalización. DESCRIPTORES Tabaquismo Trastornos mentales Servicio de Psiquiatría en Hospital Áreas prohibidas a fumadores Enfermería psiquiátrica RESUMOObjetivo: Identificar a opinião dos portadores de transtorno mental sobre o fumo e sua proibição durante a internação psiquiátrica. Método: Estudo exploratório com 96 portadores de transtorno mental, tabagistas, internados em enfermaria psiquiá-trica de hospital geral. As entrevistas foram realizadas individualmente, utilizando-se o instrumento elaborado para este estudo. O conteúdo verbalizado nas entrevistas foi gravado, transcrito e submetido à análise de conteúdo temático. Resultados: Identificou-se que os portadores de transtorno mental veem o tabagismo na internação psiquiátrica como ajuda para suportar a dificuldade de convívio e a falta de atividades. A permissão do tabagismo é vista como sinal de respeito às suas necessidades. Os sujeitos relatam não aceitar a proibição total do tabagismo. Conclusão: O tabagismo ajuda a enfrentar dificuldades e conflitos na internação psiquiátrica. Existe resistência quanto à possibilidade de retirar totalmente a permissão para fumar na internação.

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Smoking and quitting: a qualitative study with community-living psychiatric clients

Cited by 139 publications

References 39 publications

The experience of a smoke-free policy in a medium secure hospital

The experience of a smoke-free policy in a medium secure hospital

Putting policy into practice? Poverty and people with serious mental illness

The opinion of patients with mental disorder about tobacco and its prohibition in psychiatric hospitalization

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