Complete smokefree policies in mental health inpatient settings: results from a mixed-methods evaluation before and after implementing national guidance

BMC Health Services Research
Lisa HuddlestoneElena Ratschen

Abstract

Tobacco smoking is extremely prevalent in people with severe mental illness (SMI) and has been recognised as the main contributor to widening health inequalities in this population. Historically, smoking has been deeply entrenched in the culture of mental health settings in the UK, and until recently, smokefree policies tended to be only partially implemented. However, recent national guidance and the government's tobacco control plan now call for the implementation of complete smokefree policies. Many mental health Trusts across the UK are currently in the process of implementing the new guidance, but little is known about the impact of and experience with policy implementation. This paper reports findings from a mixed-methods evaluation of policy implementation across 12 wards in a large mental health Trust in England. Quantitative data were collected and compared before and after implementation of NICE guidance PH48 and referred to 1) identification and treatment of tobacco dependence, 2) smoking-related incident reporting, and 3) prescribing of psychotropic medication. A qualitative exploration of the experience of inpatients was also carried out. Descriptive statistical analyses were performed, and the feasibility of colle...Continue Reading

References

Jul 1, 1992·Health Care for Women International·B Downe-Wamboldt
Jan 22, 2000·BMJ : British Medical Journal·C PopeN Mays
Nov 15, 2000·Administration and Policy in Mental Health·J QuinnP Fadow
Dec 4, 2002·Psychiatric Services : a Journal of the American Psychiatric Association·Nady El-GuebalySusan Gloster
Sep 20, 2005·The Australian and New Zealand Journal of Psychiatry·Sharon Lawn, Rene Pols
Jun 15, 2007·The Australian and New Zealand Journal of Psychiatry·David OlivierRichard Fraser
Sep 16, 2008·BMC Medical Informatics and Decision Making·Anneke L FranckePatriek Mistiaen
Mar 10, 2009·General Hospital Psychiatry·Elena RatschenAnn McNeill
May 30, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Elena RatschenAnn McNeill
May 25, 2010·Addiction·Lindsay Banham, Simon Gilbody
Jun 22, 2010·The Australian and New Zealand Journal of Psychiatry·Ranita SiruRobert J Tait
Jan 5, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Elena RatschenAnn McNeill
Aug 21, 2013·American Journal of Public Health·Judith J ProchaskaSharon M Hall
Sep 13, 2013·International Journal of Environmental Research and Public Health·Sharon Lawn, Jonathan Campion
Jun 19, 2014·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Emily A L StockingsJohn H Wiggers
Oct 7, 2014·The Psychiatric Bulletin·Elena Ratschen
Apr 17, 2016·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Debbie RobsonAnn McNeill

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Citations

May 8, 2020·The Australian and New Zealand Journal of Psychiatry·Sally PleverKaren Hay
Dec 29, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Gemma M J TaylorAlison Shaw
Dec 5, 2020·International Journal of Environmental Research and Public Health·Debbie RobsonSol Richardson
Dec 6, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Tom S AinscoughElena Ratschen
Nov 16, 2021·PloS One·Gabrielle JenkinSusanna Every-Palmer

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Software Mentioned

Statistical Package for Social Sciences ( SPSS )
Excel
Datrix
SPSS

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