Smoking Control in a Psychiatric Setting

Dawley, Harold H.; Williams, Jayne L.; Guidry, Lawrence S.; Dawley, Linda T.

doi:10.1176/ps.40.12.1299

Cited by 5 publications

(2 citation statements)

References 4 publications

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“…Research employing reduction‐focused interventions has shown promise at reducing smoking or exposure to tobacco toxicants among those with schizophrenia (Barmann et al. 1980; Dawley et al. 1989; Roll et al.…”

Section: Empirical Evidence Supporting Smoking Reduction For Patientsmentioning

confidence: 99%

Would smokers with schizophrenia benefit from a more flexible approach to smoking treatment?

2002

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We evaluated literature that addresses the notion that flexible smoking treatment approaches are warranted for smokers with a diagnosis of schizophrenia. Understanding the biological and psychological mechanisms that increase the likelihood of smoking and decrease the motivation to quit for these individuals is addressed within the framework of a neurobiological model. We provide a brief overview of the limited smoking cessation treatment literature for patients with schizophrenia and compare abstinence‐focused versus reduction‐focused treatment modalities. The potential utility of the reduction‐focused approach to tobacco treatment for these smokers is evaluated. Suggestions for future research to address the utility and efficacy of reduction‐focused interventions for smokers with schizophrenia are put forth. We conclude with a consideration of the implications for the current understanding of smoking treatment among patients with co‐morbid psychiatric diagnoses.

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Section: Empirical Evidence Supporting Smoking Reduction For Patientsmentioning

confidence: 99%

Would smokers with schizophrenia benefit from a more flexible approach to smoking treatment?

2002

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“…15 Reasons why psychiatric institutions had difficulty in implementing the ban were concern that nicotine withdrawal may impair medical treatment 16 and the expectation that psychiatric patients will not comply with a ban. 17 Indeed, some studies reported that a smoking ban causes aggressive behaviour in addicted patients, 18 but given administrative commitment and freely accessible outdoor areas, banning smoking in psychiatric hospitals proved less difficult to implement and maintain than anticipated. 6 7 9-11 13 17 Staff attitude toward supporting a ban generally improved after introduction of the ban.…”

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confidence: 99%

Exposure to environmental tobacco smoke (ETS) and determinants of support for complete smoking bans in psychiatric settings

Willemsen¹,

Gorts²,

Soelen³

et al. 2004

Tob Control

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Objective: To measure environmental tobacco smoke (ETS) exposure in psychiatric settings and to assess determinants of support for complete smoking bans. Design: Cross sectional study Setting: Dutch psychiatric hospitals, outpatient care institutions, and sheltered home facilities. Subjects: A random sample of 540 treatment staff, 306 attendants/nurses, and 93 patients. Main outcome measures: Self reported ETS exposure, current smoking policy, compliance with smoking policy, beliefs about smoking bans. Results: 87% of respondents were exposed to tobacco smoke in psychiatric institutions; 29% said that on an average day they were exposed to ''a lot of smoke''. Although ETS originates mainly from smoking patients, both non-compliance from patients and employees with existing bans resulted in non-smokers being exposed to ETS. Due to non-compliance, ETS exposure was quite high when there is a general smoking ban (designated areas option). Only with a complete ban was compliance good and employees sufficiently protected from ETS exposure. Psychiatrists, psychologists, physicians, attendants, and nurses were most concerned about resistance from patients, partly because of the fear of infringing on patients' freedom to smoke. Conclusions: Complete smoking bans are the only way to fully protect those working in psychiatry from ETS exposure, mainly because general smoking bans are not sufficiently complied with. Communication strategies to improve compliance with complete bans are crucial to protect those working in psychiatry from ETS. Compliance could be improved by addressing the belief that the ban will effectively result in less ETS exposure and the issue of patients' freedom to smoke versus employees' right to work in a smoke-free environment.

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Helfen Rauchverbote wirklich? Der Einfluss von Tabakpolitik auf Patienten in Suchtrehabilitationskliniken

Donath¹,

Metz²,

Kröger³

2005

SUCHT

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Ziel: Ziel dieser Übersichtsarbeit ist es, die bisherigen Forschungsergebnisse zum Einfluss von Tabakkontrollpolitik auf Patienten in Suchtrehabilitationseinrichtungen zusammenzufassen. Methodik: Es wurde eine systematische Literaturrecherche mit neun Suchanfragen unterschiedlicher Schlagwortkombinationen in zwei Datenbanken durchgeführt. Ergebnisse: 11 Arbeiten wurden ausgewertet, die sich mit dieser Thematik beschäftigen. Restriktive Tabakkontrollpolitik kann sowohl positive Effekte, z. B. auf Veränderungsmotivation und Reduktion des Tabakkonsums, als auch negative Effekte, ausgedrückt in opponierendem Verhalten und Frustration, haben. Schlussfolgerungen: Die Ergebnisse beruhen auf einer schwachen Evidenzbasis. Die methodische Qualität der Studien ist niedrig. Die Arbeiten haben oftmals Fallberichtscharakter. Es bedarf weiterer, hochwertiger Forschung, um den tatsächlichen Einfluss von Tabakkontrollpolitik auf Patientenvariablen aufzudecken.

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Smoking Control in a Psychiatric Setting

Cited by 5 publications

References 4 publications

Would smokers with schizophrenia benefit from a more flexible approach to smoking treatment?

Would smokers with schizophrenia benefit from a more flexible approach to smoking treatment?

Exposure to environmental tobacco smoke (ETS) and determinants of support for complete smoking bans in psychiatric settings

Helfen Rauchverbote wirklich? Der Einfluss von Tabakpolitik auf Patienten in Suchtrehabilitationskliniken

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