Achieving Smoke-Free Mental Health Services: Lessons from the Past Decade of Implementation Research

作者：Lawn Sharon^*; Campion Jonathan

来源：International Journal of Environmental Research and Public Health, 2013, 10(9): 4224-4244.

DOI：10.3390/ijerph10094224

• smoke-free policy
• mental disorder
• mental illness
• smoking
• smoking culture
• mental health services
• psychiatric inpatients

The culture of smoking by patients and staff within mental health systems of care has a long and entrenched history. Cigarettes have been used as currency between patients and as a patient management tool by staff. These settings have traditionally been exempt from smoke-free policy because of complex held views about the capacity of people with mental disorder to tolerate such policy whilst they are acutely unwell, with stakeholders%26apos; continuing fierce debate about rights, choice and duty of care. This culture has played a significant role in perpetuating physical, social and economic smoking associated impacts experienced by people with mental disorder who receive care within mental health care settings. The past decade has seen a clear policy shift towards smoke-free mental health settings in several countries. While many services have been successful in implementing this change, many issues remain to be resolved for genuine smoke-free policy in mental health settings to be realized. This literature review draws on evidence from the international published research, including national audits of smoke-free policy implementation in mental health units in Australia and England, in order to synthesise what we know works, why it works, and the remaining barriers to smoke-free policy and how appropriate interventions are provided to people with mental disorder.

• 出版日期2013-9