Hopman P, Blankers M, Dom G, Keet R
Tijdschr Psychiatr. 2017;59(2):111-115.
People with mental illnesses tend to smoke more often and more heavily than other members of the public and their addiction to tobacco also has harmful effects on their physical health. So far, however, limited priority was given to smoking cessation in mental health care settings.
To provide insight into the formal and informal smoking policies of Dutch mental health care organisations and into the nature and extent of the smoking cessation support they offer, and, additionally, to look at the opportunities for improvement in clinical settings.
Document research on formal policies of 61 mental health care facilities, interviews with workers directly involved (n = 10), and a survey on policy implementation among staff members of treatment facilities (n = 600).
One-third of the facilities did not have a formalised smoking policy document, and there was a marked difference between the smoking policies at the rest of the facilities. Treatment provision was limited, strongly dependent on the individual staff member, and was often not the most effective form of care (like medication).
Many mental health patients really do want to give up smoking and often respond well to treatment. Psychiatrists play a key role in integrating and implementing an anti-smoking policy which will benefit their patients.
患有精神疾病的人往往比其他公众吸烟更频繁、更严重，而且他们对烟草的成瘾也对其身体健康产生有害影响。然而，到目前为止，心理健康护理机构对戒烟的重视程度有限。
深入了解荷兰心理健康护理机构的正式和非正式吸烟政策，以及它们提供的戒烟支持的性质和程度，此外，研究临床环境中的改进机会。
对61家心理健康护理机构的正式政策进行文献研究，对直接相关的工作人员进行访谈（n = 10），并对治疗机构的工作人员进行政策实施情况调查（n = 600）。
三分之一的机构没有正式的吸烟政策文件，其余机构的吸烟政策存在明显差异。戒烟服务有限，严重依赖个别工作人员，而且往往不是最有效的护理形式（如药物治疗）。
许多精神健康患者确实想戒烟，而且通常对治疗反应良好。精神科医生在整合和实施有利于患者的反吸烟政策方面起着关键作用。
