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Smoking and mental health - NCSCT

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<strong>Smoking</strong> <strong>and</strong> <strong>mental</strong> <strong>health</strong><br />

> <strong>Smoking</strong> cessation interventions are effective among pregnant women but<br />

may be more so if tailored to the specific needs <strong>and</strong> co-morbidities of<br />

women with <strong>mental</strong> disorders.<br />

> Systematic <strong>and</strong> sustained intervention <strong>and</strong> support are necessary to<br />

maximise smoking cessation among pregnant women.<br />

> Child <strong>and</strong> adolescent <strong>mental</strong> <strong>health</strong> services, <strong>and</strong> local authority foster care<br />

<strong>and</strong> smoking policies, should explicitly protect children from passive smoke,<br />

<strong>and</strong> promote smoke-free foster homes.<br />

> Professionals working with or caring for young people should provide positive<br />

(ie non-smoking) role models <strong>and</strong> be trained to deliver cessation advice <strong>and</strong><br />

provide or arrange further support for those who want help to quit.<br />

> In settings where young people are most vulnerable, such as adolescent<br />

inpatient units, there should be a broad programme of <strong>health</strong> promotion<br />

aimed at preventing initiation of smoking as well as smoking cessation.<br />

> In view of the current lack of evidence on safe, feasible <strong>and</strong> effective tobacco<br />

dependence treatment in the settings <strong>and</strong> populations covered in this<br />

chapter, further research is urgently required.<br />

References<br />

1 Rutherford M, Duggan S. Forensic <strong>mental</strong> <strong>health</strong> services: Facts <strong>and</strong> figures on current<br />

provision. London: The Sainsbury Centre for Mental Health, 2007.<br />

2 Kennedy HG. Therapeutic uses of security: mapping forensic <strong>mental</strong> <strong>health</strong> services by<br />

stratifying risk. Advances in Psychiatric Treatment 2002;8:433–43.<br />

3 Cormac I, Ferriter M, Benning R, Saul C. Physical <strong>health</strong> <strong>and</strong> <strong>health</strong> risk factors in a<br />

population of long-stay psychiatric patients. The Psychiatrist 2005;29:18–20.<br />

4 Meiklejohn C, S<strong>and</strong>ers K, Butler S. Physical <strong>health</strong> in medium secure services. Nursing<br />

St<strong>and</strong>ard 2003;17:33–7.<br />

5 Shetty A, Alex R, Bloye D. The experience of a smoke-free policy in a medium secure<br />

hospital. The Psychiatrist on line 2010;34:287–9.<br />

6 McNally L. Quitting in mind: a guide to implementing stop smoking support in <strong>mental</strong><br />

<strong>health</strong> settings. www.londondevelopmentcentre.org/<strong>mental</strong>-wellbeing/<strong>mental</strong>-<strong>health</strong>-<strong>and</strong>well-being/smoking-cessation/quitting-in-mind-online-resource.aspx,<br />

source: NHS<br />

London Development Centre [Accessed 26 February 2013]<br />

7 Lawn S, Pols R. <strong>Smoking</strong> bans in psychiatric in-patient settings? A review of the research.<br />

Australian <strong>and</strong> New Zeal<strong>and</strong> Journal of Psychiatry 2005;39:855–66.<br />

8 Dickens G, Stubbs J, Popham R, Haw C. <strong>Smoking</strong> in a forensic psychiatric service: A survey<br />

of inpatients’ views. Journal of Psychiatric <strong>and</strong> Mental Health nursing 2005;12:672–8.<br />

9 McNally L, Oyefeso A, Annan J, et al. A survey of staff attitudes to smoking related policy<br />

<strong>and</strong> intervention in psychiatric <strong>and</strong> general <strong>health</strong> care settings. Journal of Psychiatric <strong>and</strong><br />

Mental Health Nursing 2006;12:672–8.<br />

10 Cormac I, McNally L. How to implement a smoke-free policy. Advances in Psychiatric<br />

Treatment 2008;14:198–207.<br />

11 Cormac I, Creasey S, McNeill A, et al. Impact of a total smoking ban in a high secure<br />

hospital. The Psychiatrist 2010;34:413–417.<br />

154 © Royal College of Physicians 2013

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