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

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  • Sharon Lawn
  • Yi Feng
  • George Tsourtos
  • Jonathan Campion

Abstract

Background: The original audit on which this 2013 secondary analysis is based, was conducted in 2010. It explored implementation of smoke-free policies from the perspective of unit managers in 147 psychiatric units across England comprising a randomly selected sample of nine different unit types. Material: Two main themes are presented: positive perspectives of smoke-free policy implementation, and barriers and problems with smoke-free policy implementation. Analysis of unit managers’ experiences and perspectives found that 96% of participants thought smoke-free policy had achieved positive outcomes for staff, patients, services and care. Discussion: Consistency of response was the most prominent factor associated with policy success. Quality of the physical environment and care delivery were clear positive outcomes which enabled the environment to be more conducive to supporting staffs’ and patients’ quit attempts. Lack of consistency and a prevailing culture of acceptance of smoking were identified as some of the most reported perceived continuing problems. Solutions included the need to acknowledge that this type of complex systems change takes time and ongoing staff education and training. Conclusion: Our results demonstrate the importance of taking into account the experiences and attitudes of staff responsible for enacting smoke-free policy.

Suggested Citation

  • 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.
    • Handle: RePEc:sae:socpsy:v:61:y:2015:i:5:p:465-474
    DOI: 10.1177/0020764014553002
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    References listed on IDEAS

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    1. 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.
    2. 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.
    3. 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.
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