Smoke-free policies in psychiatric services: identification of unmet needs
Por:
Ballbe, M, Nieva, G, Mondon, S, Pinet, C, Bruguera, E, Salto, E, Fernandez, E, Gual, A
Publicada:
1 nov 2012
Resumen:
Introduction Smoke-free policies have been extended to enclosed workplaces in many countries; however, smoking continues to be commonly allowed on psychiatric premises. The aim of this study was to describe tobacco control strategies undertaken in psychiatric inpatient services and day centres in Spain.
Methods This cross-sectional survey included all psychiatric service centres that offered public services in Catalonia, Spain (n=192). Managers responded to a questionnaire of 24 items that covered four dimensions, including clinical intervention, staff training and commitment, smoking area management and communication of smoke-free policies.
Results A total of 186 managers (96.9%) completed the questionnaire. Results showed low tobacco control in psychiatric services: 41.0% usually intervened in patient tobacco use, 34.1% had interventional pharmacotherapy available and 38.9% had indoor smoking areas. Day centres showed the lowest implementation of tobacco control measures. Out of 186 managers, 47.3% stated that the staff had insufficient knowledge on smoking cessation interventions.
Conclusions The former Spanish partial law has not been sufficiently successful in promoting tobacco control in psychiatric services. There is room for improvement in tobacco control policies, specifically in smoking interventions, staff training and resource availability.
Filiaciones:
Ballbe, M:
Inst Catala Oncol, Unitat Control Tabaquisme, Programa Prevencio & Control Canc, Catalan Network Smoke Free Hosp, Barcelona 08908, Spain
Hosp Clin Barcelona, Dept Neurosci, Alcohol Unit, Barcelona, Spain
Nieva, G:
Univ Vall dHebron, Addict Behav Unit, Dept Psychiat Hosp, Barcelona, Spain
Mondon, S:
Hosp Clin Barcelona, Dept Neurosci, Alcohol Unit, Barcelona, Spain
Pinet, C:
Hosp Santa Creu & Sant Pau, Drug Dependence Unit, Dept Psychiat, Barcelona, Spain
Bruguera, E:
Univ Vall dHebron, Addict Behav Unit, Dept Psychiat Hosp, Barcelona, Spain
Salto, E:
Minist Hlth, Dept Publ Hlth, Barcelona, Spain
Univ Barcelona, Dept Publ Hlth, Barcelona, Spain
Fernandez, E:
Inst Catala Oncol, Unitat Control Tabaquisme, Programa Prevencio & Control Canc, Catalan Network Smoke Free Hosp, Barcelona 08908, Spain
Univ Barcelona, Dept Clin Sci, Barcelona, Spain
Gual, A:
Hosp Clin Barcelona, Dept Neurosci, Alcohol Unit, Barcelona, Spain
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