Implementation of a Quit Smoking Programme in Community Adult Mental Health Services–A Qualitative Study

Burns, Annette; Webb, Margaret; Stynes, Greg; O’Brien, Tom; Rohde, Daniela; Strawbridge, Judith; Clancy, Luke; Doyle, Frank

dc.contributor.author	Burns, Annette
dc.contributor.author	Webb, Margaret
dc.contributor.author	Stynes, Greg
dc.contributor.author	O’Brien, Tom
dc.contributor.author	Rohde, Daniela
dc.contributor.author	Strawbridge, Judith
dc.contributor.author	Clancy, Luke
dc.contributor.author	Doyle, Frank
dc.date.accessioned	2019-01-03T11:45:17Z
dc.date.available	2019-01-03T11:45:17Z
dc.date.issued	2018-12
dc.identifier.uri	http://hdl.handle.net/10147/623988
dc.description	Little is known about the experiences of people with severe mental health difficulties in smoking cessation interventions. This study aimed to review the implementation of a smoking cessation programme across 16 community mental health day services. The aim was to establish the experience from both service user and facilitator perspectives and refine implementation for future groups. In-depth interviews were conducted with 20 service users and four focus groups held with 17 facilitators. Thematic analysis was used to analyse the data for emergent themes in relation to key enablers and barriers to implementation. Data from service users and facilitators revealed that implementation was enabled by an open and engaged recruitment approach; the resourcefulness of facilitators; programme materials and group-based format; combining the cessation programme with other and broader health initiatives; and participants’ motivations, including health and money. Barriers included the structure of the service; the lack of a joined-up approach across the health services; literacy issues and the serial/logical process assumed by the programme. Barriers perceived as more specific to those with mental health difficulties included the use of smoking as a coping mechanism, lack of alternative activities/structure and lack of consistent determination. The tobacco free policy, implemented shortly before the programme, interestingly emerged as both a barrier and an enabler. In conclusion, although this group-based cessation programme in community mental health settings was well-received overall, a number of key barriers persist. A joined-up approach which addresses the culture of smoking in mental health settings, inconsistencies in smoking policies, and provides consistent cessation support, is needed. Care needs to be taken with the timing as overall it may not be helpful to introduce a new smoking cessation programme at the same time as a tobacco free policy.	en_US
dc.language.iso	en	en_US
dc.publisher	Frontiers in Psychiatry	en_US
dc.rights	Attribution-NonCommercial-NoDerivs 3.0 United States	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/us/	*
dc.subject	SMOKING	en_US
dc.subject	SMOKING CESSATION	en_US
dc.subject	MENTAL HEALTH SERVICES	en_US
dc.subject	PROGRAMME EVALUATION	en_US
dc.title	Implementation of a Quit Smoking Programme in Community Adult Mental Health Services–A Qualitative Study	en_US
dc.type	Article	en_US
dc.identifier.journal	Frontiers in Psychiatry	en_US
refterms.dateFOA	2019-01-03T11:45:18Z