Deconstructing myths, building alliances: a networking model to enhance tobacco control in hospital mental health settings

Gaceta Sanitaria

Antoni Gual¹  Gemma Nieva²  Esteve Saltó³  Esteve Fernández⁴  Montse Ballbè⁴ 

[1] Addictions Unit, Psychiatry Department, Institute of Neurosciences, Hospital Clínic de Barcelona – IDIBAPS, Barcelona, Spain;Addictive Behaviours Unit, Department of Psychiatry, Hospital Universitari Vall d’Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain;Health Plan Directorate, Ministry of Health, Generalitat de Catalunya, Barcelona, Spain;Tobacco Control Unit, Cancer Prevention and Control Program, Institut Català d’Oncologia, WHO Collaborating Center for Tobacco Control, L’Hospitalet de Llobregat, Barcelona, Spain;

关键词: Smoking;    Tobacco;    Hospitals;    Mental health services;    Psychiatry;    Public health;   

DOI  :  10.1016/j.gaceta.2016.04.017

来源: DOAJ

【 摘 要 】

Life expectancy for people with severe mental disorders is up to 25 years less in comparison to the general population, mainly due to diseases caused or worsened by smoking. However, smoking is usually a neglected issue in mental healthcare settings. The aim of this article is to describe a strategy to improve tobacco control in the hospital mental healthcare services of Catalonia (Spain). To bridge this gap, the Catalan Network of Smoke-free Hospitals launched a nationwide bottom-up strategy in Catalonia in 2007. The strategy relied on the creation of a working group of key professionals from various hospitals —the early adopters— based on Rogers’ theory of the Diffusion of Innovations. In 2016, the working group is composed of professionals from 17 hospitals (70.8% of all hospitals in the region with mental health inpatient units). Since 2007, tobacco control has improved in different areas such as increasing mental health professionals’ awareness of smoking, training professionals on smoking cessation interventions and achieving good compliance with the national smoking ban. The working group has produced and disseminated various materials, including clinical practice and best practice guidelines, implemented smoking cessation programmes and organised seminars and training sessions on smoking cessation measures in patients with mental illnesses. The next challenge is to ensure effective follow-up for smoking cessation after discharge. While some areas of tobacco control within these services still require significant improvement, the aforementioned initiative promotes successful tobacco control in these settings.

【 授权许可】

Unknown