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Systemic Barriers to Quitting Smoking among Institutionalised Public Mental Health Service Populations: A Comparison of Two Australian Sites

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  • Sharon J. Lawn

    (Flinders Mental Health/Flinders Medical Centre, Marion Community Care Team, South Australia, sharon.lawn@fmc.sa.gov.au)

Abstract

Background: This article reports the findings from a comparative study investigating smoking behaviours among institutionalised psychiatric populations from a sociological perspective. Method: The study involved participant observation of two separate Australian sites between 1999 and 2002, the second site serving to generalise the findings from the first site. Discussion and conclusions: Systemic barriers to quitting were identified, emanating from the mental health system in general. Cigarettes were identified as the currency by which economic, social and political exchange took place between participants who described an enculturation process that involved complex processes of reinforcement to smoke. Once entered into, escape from the smoking culture of the settings appeared to be extremely difficult for clients and staff.

Suggested Citation

  • Sharon J. Lawn, 2004. "Systemic Barriers to Quitting Smoking among Institutionalised Public Mental Health Service Populations: A Comparison of Two Australian Sites," International Journal of Social Psychiatry, , vol. 50(3), pages 204-215, September.
    • Handle: RePEc:sae:socpsy:v:50:y:2004:i:3:p:204-215
    DOI: 10.1177/0020764004043129
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    References listed on IDEAS

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    1. Trinkoff, A.M. & Storr, C.L., 1998. "Substance use among nurses: Differences between specialties," American Journal of Public Health, American Public Health Association, vol. 88(4), pages 581-585.
    2. Lawn, Sharon J. & Pols, Rene G. & Barber, James G., 2002. "Smoking and quitting: a qualitative study with community-living psychiatric clients," Social Science & Medicine, Elsevier, vol. 54(1), pages 93-104, January.
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    Cited by:

    1. Sharon Lawn & Yi Feng & George Tsourtos & Jonathan Campion, 2015. "Mental health professionals’ perspectives on the implementation of smoke-free policies in psychiatric units across England," International Journal of Social Psychiatry, , vol. 61(5), pages 465-474, August.
    2. Harpreet Sohal & Lisa Huddlestone & Elena Ratschen, 2016. "Preparing for Completely Smoke-Free Mental Health Settings: Findings on Patient Smoking, Resources Spent Facilitating Smoking Breaks, and the Role of Smoking in Reported Incidents from a Large Mental ," IJERPH, MDPI, vol. 13(3), pages 1-12, February.
    3. Sharon Lawn & Jonathan Campion, 2013. "Achieving Smoke-Free Mental Health Services: Lessons from the Past Decade of Implementation Research," IJERPH, MDPI, vol. 10(9), pages 1-21, September.
    4. Sharon Lawn & Joseph Van Agteren & Sara Zabeen & Sue Bertossa & Christopher Barton & James Stewart, 2018. "Adapting, Pilot Testing and Evaluating the Kick.it App to Support Smoking Cessation for Smokers with Severe Mental Illness: A Study Protocol," IJERPH, MDPI, vol. 15(2), pages 1-14, February.
    5. Elena Ratschen & John Britton & Gillian Doody & Ann Mcneill, 2010. "Smoking Attitudes, Behaviour and Nicotine Dependence Among Mental Health Acute Inpatients: an Exploratory Study," International Journal of Social Psychiatry, , vol. 56(2), pages 107-118, March.
    6. Ineke Keizer & Virginie Descloux & Ariel Eytan, 2009. "Variations in Smoking After Admission To Psychiatric Inpatient Units and Impact of a Partial Smoking Ban On Smoking and On Smoking-Related Perceptions," International Journal of Social Psychiatry, , vol. 55(2), pages 109-123, March.
    7. Sara Zabeen & George Tsourtos & Jonathan Campion & Sharon Lawn, 2015. "Type of unit and population served matters when implementing a smoke-free policy in mental health settings: Perceptions of unit managers across England," International Journal of Social Psychiatry, , vol. 61(7), pages 700-710, November.
    8. Sharon Lawn & Teri Lucas, 2016. "Addressing Smoking in Supported Residential Facilities for People with Severe Mental Illness: Has Any Progress Been Achieved?," IJERPH, MDPI, vol. 13(10), pages 1-24, October.

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