'They're Going to Smoke Anyway': A Qualitative Study of Community Mental Health Staff and Consumer Perspectives on the Role of Social and Living Environments in Tobacco Use and Cessation

Frontiers in Psychiatry
Laura TwymanTackling Tobacco Mental Health Advisory Group

Abstract

Background: Addressing the high prevalence of tobacco use experienced by people with severe mental illness (SMI) requires consideration of the influence of wider cultural, socioeconomic and environmental factors. This qualitative study aimed to examine the impact of social and living environments on tobacco use and cessation by people with SMI accessing community managed mental health services. The perspectives of both staff and consumers with SMI were explored. Methods: Semi-structured focus groups were undertaken with a purposive sample of community mental health staff and consumers from three sites in three major cities in NSW, Australia. Two sites provided outreach support, and one site provided residential support. Data were collected (2017-2018) until saturation was reached. Focus groups were audio-recorded and transcribed, and thematic analysis was conducted. Results: Thirty-one staff and 17 consumers participated separately in six focus groups. Themes identified by staff included a degree of fatalism, conceptualising tobacco use as choice rather than addiction and tensions between cessation support and broader models of care. Staff viewed smoke-free home and mental health service policies as effective at promoting quitt...Continue Reading

References

Nov 22, 2000·JAMA : the Journal of the American Medical Association·K LasserD H Bor
Jan 3, 2001·The British Journal of Psychiatry : the Journal of Mental Science·S Lawn
Mar 23, 2005·Lancet·Michael Marmot
Nov 7, 2007·Schizophrenia Bulletin·Judith J ProchaskaLisa A Bero
May 24, 2008·The New England Journal of Medicine·Nicholas A Christakis, James H Fowler
Jul 3, 2008·Acta Psychiatrica Scandinavica·S CasteleinD Wiersma
Oct 7, 2008·Annual Review of Pharmacology and Toxicology·Neal L Benowitz
Jan 6, 2009·The Milbank Quarterly·Sarah E GollustKenneth E Warner
Jul 28, 2009·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Alice L MillsJohn P Pierce
Aug 12, 2009·BMC Public Health·David LawrenceStephen R Zubrick
Dec 17, 2009·Annual Review of Public Health·Steven A Schroeder, Chad D Morris
Dec 15, 2010·The Australian and New Zealand Journal of Psychiatry·Jacqueline A BowdenJanet E Hiller
Sep 21, 2011·Journal of Empirical Research on Human Research Ethics : JERHRE·Norval J HickmanLaura B Dunn
May 31, 2012·The Australian and New Zealand Journal of Psychiatry·Jae CooperDavid Castle
Aug 11, 2012·The British Journal of Psychiatry : the Journal of Mental Science·Rajeev KrishnadasRobin G McCreadie
Aug 21, 2012·Journal of Dual Diagnosis·Colleen E McKay, Faith Dickerson
Mar 16, 2013·The Australian and New Zealand Journal of Psychiatry·Maxie AshtonCherrie Galletly
Apr 2, 2013·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Philip HullKelly Williams
Jul 20, 2013·American Journal of Public Health·Jill M WilliamsNina Cooperman
Feb 15, 2014·BMJ : British Medical Journal·Gemma TaylorPaul Aveyard
Sep 5, 2014·Perspectives in Psychiatric Care·Sheila J Linz, Bonnie A Sturm
Jan 9, 2015·Tobacco Control·Kimberly SnyderBrian A King
Aug 26, 2015·The Journal of Behavioral Health Services & Research·J Randy Koch, Alison Breland
Nov 22, 2015·BMC Psychiatry·Kimberley AndersonStefan Priebe
Dec 24, 2015·International Journal of Environmental Research and Public Health·Laura J RosenJeff Kott
Sep 11, 2016·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Bethany C BrayTimothy B Baker
Dec 20, 2016·Annual Review of Public Health·Judith J ProchaskaKelly C Young-Wolff
Feb 12, 2017·The Cochrane Database of Systematic Reviews·Dennis ThomasJohnson George
Aug 2, 2017·Journal of Substance Abuse Treatment·Erikas SimonaviciusLeonie S Brose
Aug 18, 2017·The Medical Journal of Australia·Billie BonevskiNatalie Walker
Oct 24, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Erin S RogersScott E Sherman
Nov 15, 2017·International Journal of Environmental Research and Public Health·Leah StevensonAlan R Clough
Dec 1, 2017·The European Journal of General Practice·Irene Korstjens, Albine Moser
Dec 1, 2017·The European Journal of General Practice·Albine Moser, Irene Korstjens
Dec 5, 2017·The European Journal of General Practice·Albine Moser, Irene Korstjens
Dec 6, 2017·The European Journal of General Practice·Irene Korstjens, Albine Moser

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Citations

Nov 26, 2021·Australian and New Zealand Journal of Public Health·Elizabeth M GreenhalghMichelle Scollo

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