Smoking and mental health - NCSCT

More documents

Recommendations

Info

Smoking and mental health 6.5 Summary > Population-level tobacco control policies have a significant effect on smoking prevalence in the general population by promoting quit attempts and discouraging smoking uptake. > Although specific evidence on the effect of existing population-level policies in people with mental disorders is lacking, the stability of smoking prevalence in mental health populations over recent decades in the UK suggests that they are less effective in this group. > It may be possible to increase the impact of some approaches, such as media campaigns, by tailoring to the specific needs of mental health populations. > However, it is also important to capitalise on the opportunities presented by contacts with mental health services to intervene to support smoking cessation and harm reduction. > Smoking is, however, a widely accepted component of the culture of many mental health settings, making cessation more difficult for smokers. > Smoke-free policies are a vital means of changing this culture. > Smoke-free policies are more likely to be successful and effective if they are comprehensive, and can be implemented successfully in mental health settings with appropriate leadership and support strategies for patients and staff. > Training and support to overcome prevailing misconceptions and negative or indifferent attitudes towards treating smoking among mental health staff are urgently needed. > Provision of effective smoking cessation and harm reduction support for people who smoke is crucial in maintaining smoke-free policy. > Investment in achieving smoke-free mental health settings, and in the support needed by patients and staff to allow this to happen, is therefore an urgent national priority. References 1 Department of Health. Smoke-free Premises and Vehicles: Consultation on proposed regulations to be made under powers in the Health Bill. London: DH, 2006. 2 Bauld L, Judge K, Platt S. Assessing the impact of smoking cessation services on reducing health inequalities in England: observational study. Tobacco Control 2007;16:400–4. 3 Department of Health. Smokefree England – one year on. London: DH, 2008. 4 Holliday JC, Graham FM, Laurence ARM. Changes in child exposure to secondhand smoke after implementation of smoke-free legislation in Wales: a repeated cross-sectional study. BMC Public Health 2009;9:430. 5 Pell JP, Haw S, Cobbe E, et al. Smoke-free legislation and hospitalizations for acute coronary syndrome. New England Journal of Medicine 2008;359:482–91. 6 Royal College of Physicians. Passive Smoking and Children: A report by the tobacco advisory group of the Royal College of Physicians. London: Royal College of Physicians, 2010. 124 © Royal College of Physicians 2013
Population strategies to prevent smoking in mental disorders 6 7 Sims M, Maxwell R, Bauld L, Gilmore A. Short term impact of smoke-free legislation in England: retrospective analysis of hospital admissions for myocardial infarction. British Medical Journal 2010;340:81. 8 Szatkowski L, Coleman T, McNeill A, Lewis S. The impact of the introduction of smokefree legislation on prescribing of stop-smoking medications in England. Addiction 2011;106:1827–34. 9 Bajoga U, Lewis S, McNeill A, Szatkowski L. Does the introduction of comprehensive smoke-free legislation lead to a decrease in population smoking prevalence? Addiction 2011;106:1346–54. 10 Bala M, Strzeszynski L, Cahill K. Mass media interventions for smoking cessation in adults. Cochrane Database of Systematic Reviews 2008;(1):CD004704. 11 Durkin SJ, Biener L, Wakefield MA. Effects of different types of antismoking ads on reducing disparities in smoking cessation among socioeconomic groups. American Journal of Public Health 2009;99:2217–23. 12 Hyland A, Wakefield M, Higbee C, Szczypka G, Cummings KM. Anti-tobacco television advertising and indicators of smoking cessation in adults: a cohort study. Health Education Research 2006;21:348. 13 National Cancer Institute. The Role of the Media in Promoting and Reducing Tobacco Use. London: National Cancer Institute, 1998. 14 National Institute for Health and Clinical Excellence. A Review of the Effectiveness of Mass Media Interventions which Both Encourage Quit Attempts and Reinforce Current and Recent Attempts to Quit Smoking. London: NICE, 2007. 15 Wakefield MA, Durkin S, Spittal MJ, et al. Impact of tobacco control policies and mass media campaigns on monthly adult smoking prevalence. American Journal of Public Health 2008;98:1443–50. 16 Campion P, Owen L, McNeill A, McGuire C. Evaluation of a mass media campaign on smoking and pregnancy. Addiction 1994;89:1245–54. 17 McVey D, Stapleton J. Can anti-smoking television advertising affect smoking behaviour? Controlled trial of the Health Education Authority for England’s anti-smoking TV campaign. Tobacco Control 2000;9:273–82. 18 Owen L. Impact of a telephone helpline for smokers who called during a mass media campagin. Tobacco Control 2000;9:148–54. 19 Sutton SR, Hallett R. Experimental evaluation of the BBC TV series ‘So you want to stop smoking?’. Addictive Behaviors 1987;12:363–6. 20 Avery R, Kenkel D, Lillard DR, Mathios A. Private Profits and Public Health: Does advertising smoking cessation products encourage smokers to quit? Cambridge, MA: NBER, 2006. 21 Tauras JA, Chaloupka FJ, Emery S, et al. The impact of advertising on nicotine replacement therapy demand. Social Science and Medicine 2005;60:2351–8. 22 Langley TE, McNeill A, Lewis S, Szatkowski L, Quinn C. The impact of media campaigns on smoking cessation activity: A structural vector autoregression analysis. Addiction 2012;107:2043–50. 23 Hammond D, Fong GT, McNeill A, Borland R, Cummings KM. Effectiveness of cigarette warning labels in informing smokers about the risks of smoking: findings from the International Tobacco Control (ITC) Four Country Survey. Tobacco Control 2006;15:iii19–25. 24 Hammond D, Fong G, Borland R, et al. Text and graphic warnings on cigarette packages: Findings from the International Tobacco Control Four Country Study. American Journal of Preventive Medicine 2007;32:210–17. 25 European Parliament. European Parliament and Council Directive (EC) 2001/37/EC of 5 June 2001 on the approximation of the laws, regulations and administrative provisions of © Royal College of Physicians 2013 125
Page 1 and 2:
PDF not for circulation Smoking and
Page 3 and 4:
Contents Members of the Tobacco Adv
Page 5 and 6:
Contents 4.4.3 Attention deficit hy
Page 7 and 8:
Contents 6.4.3 Staff knowledge 122
Page 9 and 10:
Contents 10.5 Tobacco policy and me
Page 11 and 12:
Contributors Anthony Aclet - Specia
Page 13 and 14:
Contributors Jill Williams - Associ
Page 15 and 16:
1 Mental disorders 1.1 What is a me
Page 17 and 18:
Mental disorders 1 1.3 Common menta
Page 19 and 20:
Mental disorders 1 1.4.4 Somatisati
Page 21 and 22:
Mental disorders 1 In addition to s
Page 23 and 24:
Mental disorders 1 not diagnosed un
Page 25 and 26:
Mental disorders 1 Similar to many
Page 27 and 28:
Mental disorders 1 12 Chang CK, Hay
Page 29 and 30:
Mental disorders 1 52 Young S, Toon
Page 31 and 32:
Smoking among people with mental di
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Neurobiological and behavioural mec
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Epidemiology of the association bet
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88: Epidemiology of the association bet
Page 99 and 100: Smoking cessation interventions for
Page 125 and 126: 6 Population strategies to prevent
Page 127 and 128: Population strategies to prevent sm
Page 137: Population strategies to prevent sm
Page 145 and 146: Smoking and mental disorders: speci
Page 179 and 180: The economic cost of smoking in peo
Page 189 and 190:
The economic cost of smoking in peo
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Ethical and legal aspects 9 pose co
Page 199 and 200:
Ethical and legal aspects 9 less an
Page 201 and 202:
Ethical and legal aspects 9 patient
Page 203 and 204:
10 Summary and conclusions 10.1 Smo
Page 205 and 206:
Summary and conclusions 10 10.4 Smo
Page 207 and 208:
Summary and conclusions 10 although
Page 209 and 210:
11 Key conclusions and recommendati
Page 211 and 212:
Key conclusions and recommendations
Page 213 and 214:
Page 215:
show all

Smoking and mental health - NCSCT

Create successful ePaper yourself

Delete template?

Save as template?