Journal article
A Mountain Not Too High to Climb: A Qualitative Study Exploring Facilitators and Barriers to Smoking Cessation in a Regional Mental Health Service
Advances in Mental Health, Vol.14(1), pp.26-37
2016
Abstract
Tobacco smoking is the largest single preventable cause of death and disease in Australia. Reports suggest that up to 88% of people who have mental health problems of any kind continue to smoke, even when in acute mental health units. Some organisations have adopted smoking free policies; however, implementation of smoking cessation programs in acute mental health units has had varied levels of success. This qualitative study examined the second attempt to implement a smoke-free policy in an acute mental health service in Queensland, Australia, to explore the facilitators and barriers to change. Post-process interviews conducted with ten clinicians and consumers revealed facilitators and barriers within themes of Culture, Wellbeing and Strategy. Key barriers included a negative institutional culture, fear and inconsistent application of the policy (associated with staff attrition, workloads, policy loopholes and resistance). Key facilitators were positive leadership, adequate resources, staff and consumer engagement, supportive formal policy, and staff unity. Analysis also suggested benefits in cultivating a non-restrictive, healthy and respectful environment, and deploying a clear, consistent strategy that includes planning, preparation, implementation and maintenance phases.
Details
- Title
- A Mountain Not Too High to Climb: A Qualitative Study Exploring Facilitators and Barriers to Smoking Cessation in a Regional Mental Health Service
- Authors
- Margaret McAllister (Author) - Central Queensland UniversityLynne Halliday (Author) - Sunshine Coast Hospital and Health ServiceHeather Jobson (Author) - Sunshine Coast Hospital and Health ServiceTerry Jacobs (Author) - Sunshine Coast Hospital and Health ServiceTrudi Flynn (Author) - Central Queensland UniversityChristina Kargillis (Author) - Central Queensland UniversityFlorin I Oprescu (Author) - University of the Sunshine CoastJohn B Lowe (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
- Publication details
- Advances in Mental Health, Vol.14(1), pp.26-37
- Publisher
- EContent Management Pty Ltd
- Date published
- 2016
- DOI
- 10.1080/18387357.2015.1075355
- ISSN
- 1838-7357
- Copyright note
- Copyright © 2015 EContent Management Pty Ltd. The accepted manuscript is reproduced in accordance with the copyright policy of the publisher.
- Organisation Unit
- School of Social Sciences - Legacy; University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; Engage Research Lab; School of Law and Society; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
- Language
- English
- Record Identifier
- 99449159202621
- Output Type
- Journal article
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- Domestic collaboration
- Web Of Science research areas
- Psychiatry
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