Smoking and mental health - NCSCT

Contents
6.4.3 Staff knowledge 122
6.4.4 Staff smoking 122
6.4.5 Systems, targets, and resources 123
6.5 Summary 124
7 Smoking and mental disorders: special circumstances 130
7.1 Forensic psychiatric inpatient services 130
7.1.1 Introduction 130
7.1.2 Smoking prevalence in forensic psychiatric services 131
7.1.3 Smoking cessation support within forensic psychiatric
services 131
7.1.4 Smoke-free policies in forensic psychiatric services 131
7.1.5 Maintaining a smoke-free environment 133
7.1.6 Summary points 134
7.2 Prisons 134
7.2.1 Introduction 134
7.2.2 Smoking and mental disorders in prison populations 135
7.2.3 Smoke-free policy in prisons 136
7.2.4 Effectiveness and uptake of cessation services in prisons 137
7.2.5 Design of prison cessation services 137
7.2.6 Regime issues 138
7.2.7 Staff attitudes and logistics 138
7.2.8 Misuse of NRT 139
7.2.9 Impact of mental disorders in the prison setting 139
7.2.10 Summary points 139
7.3 Smoking and misuse of alcohol or other drugs 140
7.3.1 Prevalence of alcohol and drug misuse 140
7.3.2 Smoking and alcohol or drug misuse 140
7.3.3 Mental disorders and alcohol or drug misuse 141
7.3.4 Impact of smoking in people with alcohol or drug
misuse 141
7.3.5 Smoking cessation and alcohol or drug misuse 142
7.3.6 Summary points 143
7.4 Homeless people 143
7.4.1 The size of the UK homeless population 143
7.4.2 Homelessness and mental disorders 143
7.4.3 Smoking and homelessness 144
7.4.4 Excess mortality and health service use among
homeless people 144
7.4.5 Smoking cessation in homeless people 145
7.4.6 Increasing smoking cessation in homeless people 145
7.4.7 Summary points 146
7.5 Smoking, mental disorders and pregnancy 146
7.5.1 Smoking in pregnancy 146
© Royal College of Physicians 2013 vii