Smoke-free policies in psychiatric services: identification of unmet needs.

Abstract:

INTRODUCTION:Smoke-free policies have been extended to enclosed workplaces in many countries; however, smoking continues to be commonly allowed on psychiatric premises. The aim of this study was to describe tobacco control strategies undertaken in psychiatric inpatient services and day centres in Spain. METHODS:This cross-sectional survey included all psychiatric service centres that offered public services in Catalonia, Spain (n=192). Managers responded to a questionnaire of 24 items that covered four dimensions, including clinical intervention, staff training and commitment, smoking area management and communication of smoke-free policies. RESULTS:A total of 186 managers (96.9%) completed the questionnaire. Results showed low tobacco control in psychiatric services: 41.0% usually intervened in patient tobacco use, 34.1% had interventional pharmacotherapy available and 38.9% had indoor smoking areas. Day centres showed the lowest implementation of tobacco control measures. Out of 186 managers, 47.3% stated that the staff had insufficient knowledge on smoking cessation interventions. CONCLUSIONS:The former Spanish partial law has not been sufficiently successful in promoting tobacco control in psychiatric services. There is room for improvement in tobacco control policies, specifically in smoking interventions, staff training and resource availability.

journal_name

Tob Control

journal_title

Tobacco control

authors

Ballbè M,Nieva G,Mondon S,Pinet C,Bruguera E,Saltó E,Fernández E,Gual A,Smoking and Mental Health Group.

doi

10.1136/tobaccocontrol-2011-050029

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

549-54

issue

6

eissn

0964-4563

issn

1468-3318

pii

tobaccocontrol-2011-050029

journal_volume

21

pub_type

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