IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v61y2015i7p700-710.html
   My bibliography  Save this article

Type of unit and population served matters when implementing a smoke-free policy in mental health settings: Perceptions of unit managers across England

Author

Listed:
  • Sara Zabeen
  • George Tsourtos
  • Jonathan Campion
  • Sharon Lawn

Abstract

Background: Globally, smoking remains a significant issue for mental health populations. Many mental health trusts in England are facing challenges of implementing the National Institute for Health and Care Excellence guidance according to which all mental health settings, no matter the type, should be entirely smoke-free and provide comprehensive smoking cessation support. Aim: The aim of this paper was to determine if unit type and unit manager smoking status influence mental health smoke-free policy implementation. Method: This paper reports on the secondary analysis of data from a cross-sectional survey of 147 mental health inpatient settings in England, in 2010. The original study’s main aim was to understand unit managers’ perceived reasons for success or failure of smoke-free policy. Results: Unit managers ( n  = 131) held a positive stance towards supporting smoke-free policy and most perceived that the policy was successful. Non-smoker unit managers were more likely to adopt complete bans than smoker unit managers, whereas smoker unit managers were more likely than non-smoker unit managers to think that stopping smoking aggravated patients’ mental illness. Smoking rates for staff and patients remain high, as perceived by unit managers, regardless of unit type. Proportion of units offering nicotine replacement therapy and peer support to patients was significantly higher in locked units compared to semi-locked or residential rehabilitation. Applied strategies significantly vary by type of unit, whereas unit managers’ knowledge, attitude and practices vary by their smoking status. Discussion: There are nuanced differences in how smoke-free policy is enacted which vary by unit type. These variations recognise the differing contexts of care provision in different types of units serving different patient groups. Addressing staff smoking rates, promoting consistency of staff response to patients’ smoking and providing staff education and support continue to be key strategies to successful smoke-free policy. Conclusions: Our results demonstrate the importance of taking into account the type of unit and acuity of patients when enacting smoke-free policy and addressing staff smoking.

Suggested Citation

  • 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.
    • Handle: RePEc:sae:socpsy:v:61:y:2015:i:7:p:700-710
    DOI: 10.1177/0020764015575799
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764015575799
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764015575799?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    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. WHO World Health Organization, 2013. "Who Report On The Global Tobacco Epidemic, 2013," University of California at San Francisco, Center for Tobacco Control Research and Education qt5t06910t, Center for Tobacco Control Research and Education, UC San Francisco.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ruoyan Sun & David Mendez, 2019. "Finding the optimal mix of smoking initiation and cessation interventions to reduce smoking prevalence," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-12, March.
    2. Lin, Wanchuan & Sloan, Frank, 2015. "Risk perceptions and smoking decisions of adult Chinese men," Journal of Health Economics, Elsevier, vol. 39(C), pages 60-73.
    3. Daniel Kuehnle & Christoph Wunder, 2017. "The Effects of Smoking Bans on Self‐Assessed Health: Evidence from Germany," Health Economics, John Wiley & Sons, Ltd., vol. 26(3), pages 321-337, March.
    4. 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.
    5. Harsman Tandilittin, 2016. "What should the Government do to Stop Epidemic of Smoking among Teenagers in Indonesia?," Asian Culture and History, Canadian Center of Science and Education, vol. 8(1), pages 140-140, March.
    6. Nihaya Al-Sheyab & Mahmoud A. Alomari & Smita Shah & Patrick Gallagher & Robyn Gallagher, 2014. "Prevalence, Patterns and Correlates of Cigarette Smoking in Male Adolescents in Northern Jordan, and the Influence of Waterpipe Use and Asthma Diagnosis: A Descriptive Cross-Sectional Study," IJERPH, MDPI, vol. 11(9), pages 1-16, September.
    7. Ko, Hansoo, 2021. "Behavioral responses to the 2015 MERS epidemic in Korea," Economics & Human Biology, Elsevier, vol. 41(C).
    8. Frida Ngalesoni & George Ruhago & Mary Mayige & Tiago Cravo Oliveira & Bjarne Robberstad & Ole Frithjof Norheim & Hideki Higashi, 2017. "Cost-effectiveness analysis of population-based tobacco control strategies in the prevention of cardiovascular diseases in Tanzania," PLOS ONE, Public Library of Science, vol. 12(8), pages 1-20, August.
    9. 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.
    10. Noar, Seth M. & Francis, Diane B. & Bridges, Christy & Sontag, Jennah M. & Ribisl, Kurt M. & Brewer, Noel T., 2016. "The impact of strengthening cigarette pack warnings: Systematic review of longitudinal observational studies," Social Science & Medicine, Elsevier, vol. 164(C), pages 118-129.
    11. Hoe, Connie & Rodriguez, Daniela C. & Üzümcüoğlu, Yeşim & Hyder, Adnan A., 2016. "“Quitting like a Turk:” How political priority developed for tobacco control in Turkey," Social Science & Medicine, Elsevier, vol. 165(C), pages 36-45.
    12. 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.
    13. Karolien Adriaens & Dinska Van Gucht & Paul Declerck & Frank Baeyens, 2014. "Effectiveness of the Electronic Cigarette: An Eight-Week Flemish Study with Six-Month Follow-up on Smoking Reduction, Craving and Experienced Benefits and Complaints," IJERPH, MDPI, vol. 11(11), pages 1-29, October.
    14. Jan Schnellenbach, 2016. "A Constitutional Economics Perspective on Soft Paternalism," Kyklos, Wiley Blackwell, vol. 69(1), pages 135-156, February.
    15. Frida Soesanti & Cuno S P M Uiterwaal & Diederick E Grobbee & Aryono Hendarto & Geertje W Dalmeijer & Nikmah Salamia Idris, 2019. "Antenatal exposure to second hand smoke of non-smoking mothers and growth rate of their infants," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-10, June.
    16. Carrie L. Anderson & Heiko Becher & Volker Winkler, 2016. "Tobacco Control Progress in Low and Middle Income Countries in Comparison to High Income Countries," IJERPH, MDPI, vol. 13(10), pages 1-14, October.
    17. Madhur Verma & Soundappan Kathirvel & Milan Das & Ramnika Aggarwal & Sonu Goel, 2020. "Trends and patterns of second-hand smoke exposure amongst the non-smokers in India-A secondary data analysis from the Global Adult Tobacco Survey (GATS) I & II," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-18, June.
    18. Carlo Ciccarelli & Pierpaolo Pierani & Silvia Tiezzi, 2014. "Secular trends in tobacco consumption: the case of Italy, 1871-2010," Department of Economics University of Siena 700, Department of Economics, University of Siena.
    19. Maryam Mirza, 2019. "Advertising Restrictions and Market Concentration in the Cigarette Industry: A Cross-Country Analysis," IJERPH, MDPI, vol. 16(18), pages 1-17, September.
    20. 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.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:61:y:2015:i:7:p:700-710. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.