A cross-sectional survey of mental health clinicians’ knowledge, attitudes, and practice relating to tobacco dependence among young people with mental disorders

BMC Health Services Research

Elena Ratschen¹  Kapil Sayal²  Anne Taylor³  Lisa Huddlestone¹  Meghana Kulkarni³ 

[1] Division of Epidemiology & Public Health, The University of Nottingham, Clinical Sciences Building, City Hospital Campus, Nottingham NG5 1 PB, UK;Division of Developmental Psychiatry, The University of Nottingham, Queens Medical Centre, Nottingham, UK;Nottinghamshire Healthcare NHS Trust, Nottingham, UK

关键词: Mental health services;    Addiction;    Tobacco;    Mental illness;    Smoking;   

Others  :  1090815
DOI  :  10.1186/s12913-014-0618-x

 received in 2014-04-23, accepted in 2014-11-19,  发布年份 2014

【 摘 要 】

Background

Mental health services in England are smoke-free by law and expected to provide comprehensive support to patients who smoke. Although clinicians’ knowledge in this area is reported to be limited, research exploring the issue in Child and Adolescent Mental Health Services (CAMHS) is lacking. This study aimed to investigate the knowledge, attitudes, and practice of clinicians working within specialist and highly specialist Child and Adolescent Mental Health Services (CAMHS) relating to tobacco dependence, its treatment and its relation to mental disorder.

Methods

A cross-sectional survey of clinicians working across all CAMHS teams of a large UK National Health Service mental health Trust.

Results

Sixty clinicians (50% response rate) completed the survey. Less than half (48.3%) believed that addressing smoking was part of their responsibility, and half (50%) asserted confidence in supporting patients in a cessation attempt. Misconceptions relating to smoking were present across all staff groups: e.g. only 40% of respondents were aware of potential interactions between smoking and antipsychotic medications, although psychiatrists were more knowledgeable than non-medical clinicians (91.6% vs 27.1%; OR 3.4, p < .001). Self-reported attendance at smoking-related training was significantly associated with more proactive clinical practice.

Conclusions

There is a need to improve clinicians’ knowledge, capacity and confidence in effectively identifying, motivating, supporting and treating young smokers in the context of treatment for mental disorders.

【 授权许可】

   
2014 Kulkarni et al.; licensee BioMed Central Ltd.

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