潮流的转变:改变解决精神疾病患者吸烟问题的制度

B. Bonevski, J. Bowman, R. Richmond, Jamie Bryant, P. Wye, E. Stockings, K. Wilhelm, T. Butler, Devon Indig, A. Wodak
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引用次数: 12

摘要

吸烟在精神疾病患者中很常见。许多行为和环境因素是造成高吸烟率的原因。有证据表明,患有精神疾病的吸烟者需要额外的有针对性的支持来帮助他们戒烟。通过对国际文献的选择性回顾,本文将论证系统级改变方法是一种适当的策略,针对具有许多优势的环境和环境,以达到患有精神疾病的吸烟者。系统层面的改变包括:(1)实施识别和记录吸烟状况的系统;(2)提供教育、资源和反馈,以促进员工干预;(3)让员工专门提供烟草依赖治疗;(4)促进支持和提供烟草依赖服务的组织政策。将讨论三种环境——精神健康服务、社区社会服务组织和监狱。由于历史和文化,吸烟……
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Turning of the tide: changing systems to address smoking for people with a mental illness
Smoking tobacco is common among people with a mental illness. A number of behavioural and environmental factors underlie the high smoking prevalence rates. Evidence suggests that smokers with mental illness require additional targeted support to help them stop smoking. By using a selective review of the international literature, this article will argue that a systems-level change approach is an appropriate strategy, targeting settings and environments with a number of advantages for reaching smokers with mental illness. Systems-level changes include: (1) implementing a system of identifying and recording smoking status;(2) providing education, resources and feedback to promote staff intervention;(3) dedicating staff to provide tobacco-dependence treatment;(4) promoting organisational policies that support and provide tobacco-dependence services. Three settings will be discussed – mental health services, community social service organisations and prisons. As a result of a history and culture where smoking ...
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